Dual Eligibles

Posted June 24, 2015
This brief summarizes California’s implementation of key models from the Patient Protection and Affordable Care Act (ACA) to improve care for older adults and people with disabilities, noting current accomplishments and recommendations for further system transformation.
Posted February 3, 2015
This January, California's dual eligible demonstration called Cal MediConnect experienced the largest monthly enrollment since operations began.  This update provides an overview of enrollment and program changes since August 2014.
Posted January 7, 2015
A brief from the Center for Heath Care Services explores considerations in aligning Medicare and Medicaid appeals processes and highlights key lessons from two states serving Medicare-Medicaid enrollees.
Posted November 3, 2014
Individuals eligible for both Medicare and Medicaid are among the highest-need populations in either program. States integrating care for this population must ensure that individuals’ health and social service support needs are addressed promptly. Stratifying Medicare-Medicaid enrollees by their level of need may help states and health plans in better prioritizing and promptly addressing care management to ensure high-quality, timely care.
Posted August 19, 2014
The Coordinated Care Initiative (CCI) changes the way the medical care and long-term services and supports systems serve low-income older adults and people with disabilities. The main components of the CCI include: Cal MediConnect, California’s dual eligible integration demonstration; Mandatory enrollment of individuals eligible for both Medicare and Medi-Cal into managed care; and Integration of Medi-Cal-funded LTSS into managed care (MLTSS).
Posted June 6, 2014
Giving low-income older adults in California a voice in their own care is critical to making a seamless transition into Cal MediConnect, a new managed care program for dual-eligibles, according to a policy note by the UCLA Center for Health Policy Research.