CHA News Article

CHCF Issues Reports on SPD Transition

The California HealthCare Foundation has issued two reports on the transition of seniors and people with disabilities (SPD) into Medi-Cal managed care. One report, A First Look, examines the expansion efforts and documents the activities of stakeholders to carry out the transition.The report states that lessons learned in the SPD transition can be used to improve the expansion of managed care for the dual eligible population. The second report, Raising the Bar, reviews the steps taken by the Department of Health Care Services (DHCS) to address the characteristics and needs of the SPD population and to ensure those needs are met when patients are transitioned into Medi-Cal managed care. The report found that the DHCS’ process could be used in other states or with other Medicaid populations transitioning to managed care.

The Centers for Medicare & Medicaid Services approved the transition of SPDs into managed care in November 2010. From June 2011 through May 2012, DHCS transitioned approximately 380,000 SPDs into managed care. There are now more than 700,000 SPDs in Medi-Cal managed care, and DHCS expects health outcomes to improve and spending growth to slow as a result.