Beneficiaries

About the Coordinated Care Initiative

If you pay for your health care services using both Medicare and Medi-Cal, you have new choices to make about your health care coverage. In 2014, the Department of Health Care Services (DHCS) began a program called the Coordinated Care Initiative (CCI), which is designed to provide participants with better health care service.

The federal Medicare program and the state Medi-Cal program have partnered to start a new project to improve care for California’s seniors and people with disabilities who are dually eligible for both of the public health insurance programs, “dual eligible beneficiaries” (also known as “dual eligibles,” Medi-Medi beneficiaries” or “Medi-Medis”.) This project, the Coordinated Care Initiative (CCI), will take place in seven counties: Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara. If you’re a dually eligible beneficiary, this means changes for the way your health care operates. The CCI has two parts:

Cal MediConnect: 

All of a beneficiary’s medical, behavioral health, long-term institutional, and home- and community-based services will be combined into a single health plan. This will allow your providers to better coordinate your care and make it simpler for you to get the right care at the right time in the right place.

Medi-Cal Managed Long Term Supports and Services (MLTSS): Medi-Cal beneficiaries, including dual eligible beneficiaries who have opted out of Cal MediConnect or who are not eligible for Cal MediConnect, are required to join a Medi-Cal managed care health plan to receive their Medi-Cal benefits, including long-term supports and services (LTSS) and Medicare wrap-around benefits.