Federal and State Governments Sign Duals Demonstration Pilot MOU

Federal and State Governments Sign Duals Demonstration Pilot MOU

April 2013

On March 27, 2013, the federal Centers for Medicare and Medicaid Services (CMS) and California Department of Health Care Services DHCS announced the completion of a Memorandum of Understanding for the Duals Demonstration Pilot. This important initiative, which is part of California's Coordinated Care Initiative, will now be called Cal MediConnect.

Through Cal MediConnect, eligible beneficiaries will have the opportunity to combine all their Medicare and Medi-Cal benefits into one health plan-and receive more coordinated and accountable care.


Major Changes in Cal MediConnect Program Based on Memorandum of Understanding
 

Table showing major changes between previous proposals and Memorandum of Understanding

For nearly two years, L.A. Care has been working to design the delivery system for this new program.  We have also been meeting with the advocates, care takers, current members and other stakeholders to develop a comprehensive and culturally sensitive program.

L.A. Care has a proven track record of providing high quality, cost-effective health care in Los Angeles County, with over 15 years of expertise in serving Medi-Cal members, seniors and people with disabiliities.

We believe that Cal MediConnect will allow us to improve continuity of care and health outcomes, and maximize the ability of Medi-Medis to remain in their homes and in their community.  The most vulnerable members of our community deserve the quality of care and simplified delivery system that L.A. Care can provide.

Click below for the full text of the MOU, fact sheets and the DHCS official announcement.
•   California Memorandum of Understanding
•    DHCS MOU Fact Sheet
•    CMS MOU Fact Sheet
•    DHCS Press Release

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About Cal MediConnect
Cal MediConnect is a three-year voluntary program for people with both Medicare and Medi-Cal. It benefits seniors and people with disabilities and will combine medical, behavioral, long-term and home and community-based services in one health plan. L.A. Care Health Plan was chosen by the state to participate in the program and is partnering with Care1st Health Plan, CareMore, and Kaiser Permanente to provide high quality health care through this program.