CHA News Article

DHCS Issues Transition Plan for Developmental Center Closures

The California Department of Health Care Services (DHCS) has issued a plan for transitioning Medi-Cal eligible patients, now served by three state developmental centers that the state is closing, into Medi-Cal managed care plans (MCPs). The state Department of Developmental Services (DDS) is in the process of closing Sonoma Developmental Center (DC), Fairview DC and General Treatment Area of Porterville DC. Some of the state’s most vulnerable individuals, who have unique and often complex medical needs, reside in the areas of these three DCs. DHCS and DDS are coordinating efforts to provide a smooth transition for these individuals.  

DHCS, in collaboration with DDS, will assist beneficiaries in making a choice of managed care plan, when applicable, and maintaining services currently provided by the DCs. DHCS will work closely with managed care plans and DDS to continue medically necessary covered services by establishing transition requirements for contractors congruent with existing policies and procedures. DDS will work with the regional centers and DCs to provide services in accordance with each person’s individual program plan.

Individuals transitioning from the DCs require a full range of services and supports including health, dental, behavioral, specialty equipment, psychiatric and other services. Responsibility for medically necessary covered services currently provided through the DCs will be transitioned to the Medi-Cal managed care and fee-for-service delivery systems, as appropriate. The transition plan, however, does not address transitions to Medi-Cal fee-for-service models.

The full transition plan, which includes background on the closures, DHCS’ transition approach, transition requirements, information related to continuity of services, DHCS’ communication and outreach plan, and DHCS’ oversight and monitoring approach, is available on the DHCS website.