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[PLEASE REVIEW BEFORE SENDING Directions for staff sending the agreement If RPG is not delegated for CCM or SNP, please remove entire section for Complex Case Management pg 1214, Special Needs Program
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How to fill out californias dual eligible demonstration
How to fill out californias dual eligible demonstration
01
Determine eligibility for California's dual eligible demonstration by meeting the criteria for both Medicare and Medi-Cal.
02
Enroll in a dual eligible special needs plan (D-SNP) through a participating health plan.
03
Choose a primary care physician within the D-SNP network and schedule an initial health assessment.
04
Work with the care team to establish a care plan tailored to your specific healthcare needs and goals.
05
Stay engaged with your care team, attend appointments, and follow the recommended treatment plan.
Who needs californias dual eligible demonstration?
01
Individuals who are eligible for both Medicare and Medi-Cal in California.
02
Those who want to receive coordinated care through a D-SNP health plan.
03
People who would benefit from a personalized care plan and access to a dedicated care team.
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What is californias dual eligible demonstration?
The California dual eligible demonstration is a program that aims to coordinate care and services for individuals who are eligible for both Medicare and Medicaid.
Who is required to file californias dual eligible demonstration?
Health plans participating in the program are required to file California's dual eligible demonstration.
How to fill out californias dual eligible demonstration?
To fill out California's dual eligible demonstration, health plans need to report on various aspects of care coordination and service delivery for dual eligible individuals.
What is the purpose of californias dual eligible demonstration?
The purpose of California's dual eligible demonstration is to improve health outcomes and reduce costs by better coordinating care for individuals eligible for both Medicare and Medicaid.
What information must be reported on californias dual eligible demonstration?
Health plans need to report on care coordination efforts, service delivery, and outcomes for dual eligible individuals.
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