Is Cal MediConnect the same as Medi Medi?
Cal MediConnect combines Medicare and Medi-Cal benefits into one health plan, with additional care coordination benefits.
What is CCI in healthcare?
The Coordinated Care Initiative (CCI) is a program that changed the way certain people in California get their health care and their long-term services and supports (LTSS). The CCI combines and coordinates certain health and other services, including mental health and other long-term services and supports (LTSS).
Is Cal MediConnect a Medicare Advantage Plan?
Medicare Advantage Plan and Cal MediConnect You are getting this letter because you qualify for the Cal MediConnect program and you are in a Medicare Advantage Plan today.
What are the different types of Medi-Cal?
This guidebook explains the two kinds of Medi-Cal: Regular Medi-Cal and Medi-Cal Health Plans.
Who is eligible for Cal MediConnect?
In order to be eligible for the Cal MediConnect Plan you must meet the following criteria: Live in Los Angeles County (our service area), and. Are 21 years of age or older at the time of enrollment, and. Have both Medicare Part A and Medicare Part B, and.
Is Cal MediConnect going away?
The Cal MediConnect program is transitioning on December 31, 2022. Starting on January 1, 2023, Cal MediConnect members will be transitioned to exclusively aligned enrollment (EAE) Dual Eligible Special Needs Plans (D-SNPs) and matching Medi-Cal Managed Care Plans (MCPs).
What is the CCI stand for?
Commodity Channel Index
The Commodity Channel Index (CCI) is a technical indicator that measures the difference between the current price and the historical average price. When the CCI is above zero, it indicates the price is above the historic average. Conversely, when the CCI is below zero, the price is below the historic average.
What are CCI edits in medical billing?
CCI Edits. The NCCI is an automated edit system to control specific Current Procedural Terminology (CPT® American Medical Association) code pairs that can or cannot be billed by an individual provider on the same day for the same patient (commonly known as CCI edits).
What is the difference between Cal MediConnect and Medi-Cal managed care?
Cal MediConnect covers all medical services and benefits covered under Medicare and Medi-Cal. Medi-Cal covers your Medicare deductibles and coinsurance – you should never be billed for those services.
What is the difference between CalOptima and Medi-Cal?
Medi-Cal — also known as Medicaid — is a public health insurance program for low-income people offered by the state. CalOptima provides health care coverage for Orange County residents who are eligible for full Medi-Cal.
Is Medi-Cal PPO or HMO?
Most peoples with Medi-Cal have Managed Care plans, which are like HMOs. You can apply for Medi-Cal through the BenefitsCal website. Covered California is a marketplace where Californians can choose a health plan and often are eligible to receive federal tax credits to help pay the premium.
How do I get Cal MediConnect?