DHCS MLTSS & Duals Integration Stakeholder Workgroup
On January 20, 2022, at 10 a.m., the Department of Health Care Services (DHCS) will host the CalAIM Managed Long-Term Services and Supports (MLTSS) and Duals Integration Workgroup meeting.
The goal of the workgroup is to collaborate with stakeholders on statewide MLTSS and Exclusively Aligned Enrolled Dual Eligible Special Needs Plans (D-SNP) enrollment, including the transition of the Coordinated Care Initiative (CCI) and Cal MediConnect (CMC), the D-SNP look-alike transition, and new enrollment in exclusively aligned plans. Under exclusively aligned enrollment, beneficiaries can enroll in a D-SNP for Medicare benefits and in a Medi-Cal managed care plan that are both operated by the same parent organization for better care coordination and integration.
Agenda items include an update on the 1115 Waiver Special Terms and Conditions (STCs) and the aligned enrollment policy, an update the 2023 D-SNP State Medicaid Agency Contract (SMAC), and an overview of the state-specific guidance on D-SNP and Medi-Cal network alignment.
Please register for the January 20 workgroup meeting, which is open to the public. Background materials, transcripts, and video recordings of the previous workgroup meetings, along with additional information about the workgroup, are posted on the CalAIM MLTSS and Duals Integration Workgroup webpage.
