Medi cal for seniors
[DOC File]Medi-Cal Update from San Diego Regional Center
https://info.5y1.org/medi-cal-for-seniors_1_ba702f.html
To improve care coordination, Medi-Cal beneficiaries determined by the State to be persons with disabilities or seniors will be required to join Medi-Cal managed care plans. In San Diego County there are five Medi-Cal managed care plans from which to choose: Care 1st, Community Health Group, Health Net, Kaiser Permanente, and Molina.
[DOC File]LTSS Stakeholder Workgroup PPT Accessible Version
https://info.5y1.org/medi-cal-for-seniors_1_c4d961.html
Programs: Medi-Cal (including 145,000 seniors and people with disabilities), Medicare for Duals, IHSS workers, and two other programs for low-income children. Mission: To serve the community and support the safety net which includes the County health system and community clinics that take care of low income and uninsured people in our community.
[DOC File]Leona Butler - Senate Committee on Health | Senate Health ...
https://info.5y1.org/medi-cal-for-seniors_1_a1ff02.html
Under the appropriate conditions, managed care can be beneficial, cost-effective, and can improve the health outcomes of seniors and persons living with disabilities in the Medi-Cal program. Medi-Cal managed care currently builds upon the foundation of Medi-Cal by providing members services and programs above and beyond those offered by the ...
San Francisco Human Services Agency
PACE program (a comprehensive Medi-Cal program that offers services including adult day health care, in-home care, and medical services for seniors 55 +, with stable housing & NF/ICF/SNF eligible) Adult Day Health Care
[DOC File]JOINT INFORMATIONAL HEARING - California
https://info.5y1.org/medi-cal-for-seniors_1_bbbff3.html
Low-income seniors and persons with disabilities who are enrolled in both Medicaid (Medi-Cal in California) and Medicare are called dual eligibles and they number approximately one million in California. Approximately 53% of dual eligibles are seniors and 47% are disabled.
[DOCX File]New Member Needs Assessment - Partnership HealthPlan
https://info.5y1.org/medi-cal-for-seniors_1_8ec3f6.html
☒ Medi-Cal ☐ Employees. Page 1 of 3 ... (See policy MCCP2019 for the full process of screening of Seniors and Persons with Disabilities and/or California Children’s Services beneficiaries, and risk assignment process.) For more information on the assessment, outreach and case management activities for CCS members, please see PHC policy ...
[DOC File]San Diego County
https://info.5y1.org/medi-cal-for-seniors_1_7efeb0.html
Fully integrated, voluntary, health and social service system for Medi-Cal adults in aged, blind, and disabled aid codes, including those dually eligible to Medicare; could begin enrollment April 2008 ... no cap on enrollment for non-IHSS Medi-Cal seniors and adults with disabilities. An independent evaluation, with stakeholder input regarding ...
[DOC File]Program - California
https://info.5y1.org/medi-cal-for-seniors_1_8b0f60.html
Provides case management and links to community services intended to keep seniors living at home. Frail elderly, and disabled adults regardless of Medi-Cal eligibility $9 $11 $11 5,643 5,229 5,529 Senior Community Service Employment Provides part-time, work-based training for seniors with poor job prospects. Includes job coaching and counseling.
[DOC File]calduals.org
https://info.5y1.org/medi-cal-for-seniors_1_e3427e.html
Population Long-term services and supports (LTSS) via Mandatory Medi-Cal Managed Care (WIC 14182.16 & 14186.1) Full-Benefit dual eligibles Included Partial-benefit dual eligibles Included Medi-Cal-only seniors and persons with disabilities (SPDs) Included Medi-Cal-only beneficiaries exempt from managed care due to approved Medical Exemption ...
[DOCX File]Application Cover Page - California
https://info.5y1.org/medi-cal-for-seniors_1_3e4700.html
Section G.4.a. Describe possession of at least one and a half (1.5) years of experience of working with low-income clients for in community-based settings, including: the number of low-income persons served; providing access through application submissions; and establishing and maintaining direct linkages with CalFresh, and/or similar benefit programs that provide electronic application ...
[DOC File]Eight-Hour Annuity Training Outline - California
https://info.5y1.org/medi-cal-for-seniors_1_524b1a.html
Fines and penalty 2. Specific advertising to seniors (Section 787 of the CIC) D. Prohibited sales practices 1. Selling annuities for Medi-Cal eligibility (Section 789.9 of the CIC) a. Selling annuity to persons 65 years and older for purpose of qualifying for Medi-Cal is prohibited if: i.
[DOC File]Annuity sales practices
https://info.5y1.org/medi-cal-for-seniors_1_fffe95.html
Prohibited sales practices 35% A. Selling annuities for Medi-Cal eligibility (Section 789.9 of the CIC) 1. Selling annuity to persons 65 years and older for purpose of qualifying for Medi-Cal is prohibited if: a. If assets are equal to or less than community spouse resource allowance b. Senior otherwise qualifies c.
[DOC File]Joint Informational Hearing .gov
https://info.5y1.org/medi-cal-for-seniors_1_9d2a69.html
These challenges have been particularly difficult for beneficiaries dually eligible for Medi-Cal and Medicare (dual eligibles) who previously received their drug coverage through Medi-Cal. As a result, California along with more than 30 other states began paying for dual eligible drugs that should have been available under Part D.
[DOC File]Agenda for meeting 1 - California
https://info.5y1.org/medi-cal-for-seniors_1_8f58d7.html
Review the provider outreach that occurred during the transition of Medi-Cal only Seniors and Persons with Disabilities into Medi-Cal managed care. Identify strengths and challenges of the process, and recommendations for improvements for the duals demonstration transition. Lead: Javier Portela, Chief, Plan Management Branch, Medi-Cal Managed ...
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