CHA News Article

New Cal MediConnect Enrollment Data Available

The California Department of Health Care Services (DHCS) has released new Cal MediConnect enrollment data as of Dec. 1. The updated data include total active enrollments by county, projected enrollments by plan, total active enrollments by plan, the DHCS Health Care Options (HCO) mailing schedule of enrollment materials to beneficiaries, HCO call center statistics, opt-out requests by month and by county, and a monthly opt-out trend for the most recent three months.

The Cal MediConnect program is part of California’s larger Coordinated Care Initiative (CCI). In November, DHCS announced changes to the CCI enrollment timeline:

  • Alameda County: DHCS announced that the CCI will not move forward in Alameda County, as a result of extensive stakeholder outreach and in coordination with DHCS, the Department of Managed Health Care, Alameda Alliance for Health and local providers. This will allow Alameda Alliance for Health to remain focused on moving toward a healthy financial and operational condition, and transitioning back to local control.
  • Orange County: DHCS indicates it is cautiously optimistic that CalOptima will be able to resolve the issues identified in Medicare and Medi-Cal audits conducted earlier this year. To allow more time to achieve plan readiness and for appropriate beneficiary notification, passive enrollment in Orange County will now begin no sooner than August 2015. Opt-in enrollment in Orange County will begin no sooner than July 2015.

DHCS notes these changes reflect its commitment to moving forward with the CCI in a way that best serves beneficiaries. For more information about the CCI, including information for providers, visit the CalDuals website at www.calduals.org.

Commands