Opportunities for Input on California's Plan to Integrate Services through Managed Care

The State of California was recently awarded a federal grant to develop an integrated approach to care for individuals who receive both Medi-Cal and Medicare (commonly known as dual eligibles). The Department of Health Care Services (DHCS) is using the grant to implement pilot programs that will enroll dual eligibles into managed care plans, which will be responsible for coordinating medical care and social services for enrollees. Currently, dual eligibles can receive a variety of services through multiple service providers, including doctors, therapists, adult day health care centers, and homecare workers (including IHSS). Under the pilot programs, designated managed care plans would be responsible for coordinating many of these services and would act as primary points of contact for participating individuals. Even though DHCS intends to pilot these programs in only four counties, the results of the pilots could change the way that many programs and services are provided throughout the state in the very near future.

As part of the implementation process for the pilots, DHCS is currently seeking input from the individuals and organizations that may be impacted by program changes. In December, three public meetings were held along with several small focus group discussions to collect input from stakeholders. DHCS has stated that there will be several additional opportunities for individuals to provide input in the near future.

For more information on the pilot programs and opporutnies to provide input, please visit DHCS' website at www.calduals.org.

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