2021 Cal MediConnect benefits
Provider news | Monday, January 11, 2021
SCFHP Cal MediConnect offers a wide range of benefits for members who are eligible for both Medi-Cal and Medicare.
Popular benefits
- Long-Term Services and Supports (LTSS)
- LTSS that occur in the member’s home, community, or in a facility. LTSS include Multipurpose Senior Services Program (MSSP), Community-Based Adult Services (CBAS), and Nursing Facilities (NF).
- Transportation
- Unlimited roundtrips for covered medical services, including doctor visits, lab tests, X-rays, and pharmacy visits.
New benefits
- Acupuncture
- Up to two outpatient services per month in one calendar year, or more often if medically necessary.
- Prior authorization may be required for more than two services per month, and for pregnant women or members living in a nursing facility.
- Cost share: $0
- Chiropractic services
- Adjustments of the spine to correct alignment (when accompanied by documented subluxation)
- Up to two outpatient chiropractic services per month in one calendar year, or more often if medically necessary.
- Prior authorization may be required for more than two services per month.
- Cost share: $0
Learn more about SCFHP Cal MediConnect benefits in the 2021 Member Handbook.