Information about Cal MediConnect
Information about Cal MediConnect
Working in collaboration with providers, community partners and stakeholders, the Coordinated Care Initiative has allowed Santa Clara Family Health Plan (SCFHP) to make great strides in improving delivery of care to seniors and people with disabilities—vulnerable members of our community. The Coordinated Care Initiative (CCI) integrates long-term services and supports into a coordinated health system and streamlines care for people with both Medicare and Medi-Cal through the Cal MediConnect program. SCFHP Cal MediConnect now has 8,700 members enrolled and benefiting from coordinated medical and behavioral health care and long-term services and supports, all aided by the support of an SCFHP case manager.
Access to a case manager has proven to be the cornerstone of the Cal MediConnect program. For Alice*, a 75-year old blind member with multiple chronic conditions, the help of a case manager has empowered her to continue living on her own and improved her quality of life. Alice said,
“Because of my special needs, it has been extremely difficult to get all my meds lined up so I can pick them up from the pharmacy. Then my case manager took it over, and it’s been a whole lot easier. She is able to work out the problems. I tried for a long time to handle it on my own. I’d rather do it myself, but I just can’t anymore. My case manager has really filled in the gaps for me. I’m thrilled and delighted.”
Despite its successes, the fate of the Coordinated Care Initiative is uncertain. As a stakeholder, you can help ensure the viability of the Coordinated Care Initiative that has made a difference in the lives of people like Alice and many others. Below are ways to reach out to elected officials, providers, and dual eligible beneficiaries.
Reach out to your elected officials. Your State Assembly and Senate representatives need to know:
- How the Coordinated Care Initiative (CCI) and Cal MediConnect (CMC) have made a difference in the lives of your patients/clients;
- How CCI is improving the quality of care for the most vulnerable in our communities;
- How CCI integrates care for seniors and people with disabilities, transforming California’s fragmented health and long-term care services into a system that is coordinated and provides quality, fully integrated, person-centered care;
- What it would mean to these patients/clients if the State were to end funding for the program (another confusing and disruptive transition, patients remaining in SNFs instead of being able to move back into a community setting, little or no coordination between medical and mental health care, etc.).
- Press Release - Californians for Coordinated Care Supports Program Improvements to Coordinated Care Initiative
- Press Release - Influential California Health and LTSS Advocates Form “Californians for Coordinated Care,” a Coalition to Bring Together Pieces of Fragmented Health Care System
- SCAN Foundation - The Promise of Coordinated Care
If you or your organization work with medical, behavioral health or social services providers, share your experiences with CMC:
- Ensure that providers understand the Coordinated Care Initiative (CCI) and Cal MediConnect (CMC), so they can better advise and support patients/clients regarding their health care choices;
- Give examples of how CMC helps providers by lessening the administrative burden of coordinating medical and behavioral health care with home- and community-based services and supports, letting providers focus on their areas of expertise.
For your patients/clients who have both Medicare and Medi-Cal and are eligible for Cal MediConnect:
- Share the benefits of the program;
- Access to a case manager to help facilitate transitions in care, coordinate health services, community resources and other support, and make the most of health plan benefits;
- Right care, in the right place, at the right time;
- One plan, one member ID card, one phone number to call for help;
- Share stories of others already enrolled, illustrating for your patient/client how Cal MediConnect might be able to benefit them;
- Refer them to Health Care Options to enroll – 1-844-580-7272 – all they need to do is call and ask to be enrolled in Cal MediConnect.
- Health Care Options
- SCFHP Member Perspectives - English
- SCFHP Member Perspectives - Chinese
- SCFHP Member Perspectives - Spanish
- SCFHP Member Perspectives - Tagalog
- SCFHP Member Perspectives - Vietnamese
- SCFHP Cal MediConnect Brochure - English
- SCFHP Cal MediConnect Brochure - Chinese
- SCFHP Cal MediConnect Brochure - Spanish
- SCFHP Cal MediConnect Brochure - Tagalog
- SCFHP Cal MediConnect Brochure - Vietnamese
*Identifying information has been changed for privacy.