C.B.A.S. & the CCI
Community Based Adult Services will play a key role in Califronia's Coordinated Care Initiative (CCI) also referred to as the "Dual's Project".
Read more about it by clicking hyperlink below:
http://www.calduals.org/wpcontent/uploads/2012/08/CCIOverview082312.pdf
Medi-Cal Managed Care Expedited Enrollment Process
Beginning December 1, 2012, individuals interested in receiving CBAS must be enrolled in Medi-Cal managed care before a CBAS eligibility determination can be made and services can begin. To facilitate faster enrollment for potentially eligible CBAS candidates not enrolled in Medi-Cal managed care December 1st and after, prospective participants can enroll in a plan during the same month as their managed care plan choice is processed.
To enroll in a health plan through the expedited process beneficiaries must:
1) Contact HCO at 1-800-430-4263. Expedited enrollment is only available by phone to HCO. Additional language call lines are available at www.healthcareoptions.dhcs.ca.gov.
2) Indicate that they are interested in receiving CBAS
3) Choose a plan and enroll
CBAS Transitions into Managed Care
On May 17, 2012, the California Department of Health Care Services announced that Community Based Adult Services (CBAS) will be transitioned into Medi-Cal Managed Care in two phases. The first phase, starting in July, involves transition of less than 10% of current CBAS participants, 31 CBAS providers, and 5 individual plan organizations serving 12 counties. The second phase will begin October 1, 2012, and represents the remaining CBAS participants, 222 CBAS providers, and 16 individual plan organizations serving 17 counties. View notice.
Four Counties Selected for Project to Improve Health of Beneficiaries Insured by both Medicare and Medi-Cal, DHCS Awaits Approval by CMS
The State of California Department of Health Care Services recently announced that it will seek approval from the Centers for Medicare and Medicaid Services (CMS) to initiate demonstration projects in four counties that seek to improve health outcomes through better care coordination of Medicare and Medi-Cal services for beneficiaries who are eligible for both insurance programs. The four counties selected are: Los Angeles, Orange, San Diego, and San Mateo. Los Angeles County proposes to utilize Community Based Adult Services (CBAS) as an innovative health home model for individuals requiring complex care in the community. Click here to access County Fact Sheets and to read the full proposal, which is available for public comment now through 5:00 PM May 4, 2012.
The Governor proposes to expand this project to six additional counties through his Coordinated Care Initiative currently before the Legislature as part of the 2012-13 budget package. For more information visit the DHCS website.
CMS Approves Waiver Amendment, CBAS Program is Effective April 1
On March 30, 2012 the Centers for Medicare & Medicaid Services (CMS) approved the State of California's request, submitted January 1, 2012, to amend its Demonstration project authorized under section 1115 of the Social Security Act (Act) entitled the "Bridge to Health Care Reform (Waiver number 11-W-00193/9)," to incorporate the Community Based Adult Services (CBAS) program effective April 1, 2012. Read approval letter.
Court Hearing Postponed to April 27, so Parties Can Work to Resolve Allegations that DHCS Failed to Comply with Darling v. Douglas Settlement
A March 29, 2012 hearing before a federal district court judge was taken off calendar (postponed), at the request of both parties to allow more time to try and reach a resolution. The hearing was rescheduled for April 27, 2012 at 9:00 AM. On March 22, 2012, Disability Rights California (DRC) filed documents with the court claiming the California Department of Health Care Services (DHCS) failed to fully comply with the court approved agreement that settled a lawsuit between the State of California and the class of plaintiffs who include frail seniors and persons with disabilities authorized to receive Adult Day Health Care services as a Medi-Cal benefit.
Beginning December 1, 2012, individuals interested in receiving CBAS must be enrolled in Medi-Cal managed care before a CBAS eligibility determination can be made and services can begin. To facilitate faster enrollment for potentially eligible CBAS candidates not enrolled in Medi-Cal managed care December 1st and after, prospective participants can enroll in a plan during the same month as their managed care plan choice is processed.
To enroll in a health plan through the expedited process beneficiaries must:
1) Contact HCO at 1-800-430-4263. Expedited enrollment is only available by phone to HCO. Additional language call lines are available at www.healthcareoptions.dhcs.ca.gov.
2) Indicate that they are interested in receiving CBAS
3) Choose a plan and enroll
CBAS Transitions into Managed Care
On May 17, 2012, the California Department of Health Care Services announced that Community Based Adult Services (CBAS) will be transitioned into Medi-Cal Managed Care in two phases. The first phase, starting in July, involves transition of less than 10% of current CBAS participants, 31 CBAS providers, and 5 individual plan organizations serving 12 counties. The second phase will begin October 1, 2012, and represents the remaining CBAS participants, 222 CBAS providers, and 16 individual plan organizations serving 17 counties. View notice.
Four Counties Selected for Project to Improve Health of Beneficiaries Insured by both Medicare and Medi-Cal, DHCS Awaits Approval by CMS
The State of California Department of Health Care Services recently announced that it will seek approval from the Centers for Medicare and Medicaid Services (CMS) to initiate demonstration projects in four counties that seek to improve health outcomes through better care coordination of Medicare and Medi-Cal services for beneficiaries who are eligible for both insurance programs. The four counties selected are: Los Angeles, Orange, San Diego, and San Mateo. Los Angeles County proposes to utilize Community Based Adult Services (CBAS) as an innovative health home model for individuals requiring complex care in the community. Click here to access County Fact Sheets and to read the full proposal, which is available for public comment now through 5:00 PM May 4, 2012.
The Governor proposes to expand this project to six additional counties through his Coordinated Care Initiative currently before the Legislature as part of the 2012-13 budget package. For more information visit the DHCS website.
CMS Approves Waiver Amendment, CBAS Program is Effective April 1
On March 30, 2012 the Centers for Medicare & Medicaid Services (CMS) approved the State of California's request, submitted January 1, 2012, to amend its Demonstration project authorized under section 1115 of the Social Security Act (Act) entitled the "Bridge to Health Care Reform (Waiver number 11-W-00193/9)," to incorporate the Community Based Adult Services (CBAS) program effective April 1, 2012. Read approval letter.
Court Hearing Postponed to April 27, so Parties Can Work to Resolve Allegations that DHCS Failed to Comply with Darling v. Douglas Settlement
A March 29, 2012 hearing before a federal district court judge was taken off calendar (postponed), at the request of both parties to allow more time to try and reach a resolution. The hearing was rescheduled for April 27, 2012 at 9:00 AM. On March 22, 2012, Disability Rights California (DRC) filed documents with the court claiming the California Department of Health Care Services (DHCS) failed to fully comply with the court approved agreement that settled a lawsuit between the State of California and the class of plaintiffs who include frail seniors and persons with disabilities authorized to receive Adult Day Health Care services as a Medi-Cal benefit.
