California’s Coordinated Care Initiative: An Update

On April 1, 2014, health plans in select California counties began enrolling low-income older adults and people with disabilities into the CCI, which is aimed to better integrate medical and supportive services. This fact sheet provides an update on the status of the CCI at the start of operation in the eight CCI counties.

Dual Eligibles, CA State Budget and Policy

Enacted as part of the 2012-2013 California Budget, the Coordinated Care Initiative (CCI) began operation on April 1, 2014. The CCI establishes changes in the way the medical care and long-term services and supports (LTSS) systems work together to serve low-income older adults and people with disabilities. The main components of the CCI include:

  1. Provisions for California’s Dual Eligible Integration Demonstration (renamed Cal MediConnect);
  2. Mandatory enrollment of dual eligibles (individuals eligible for both Medicare and Medi-Cal, California’s Medicaid program) into Medi-Cal managed care; and
  3. Integration of Medi-Cal-funded LTSS into managed care.