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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.

Read more news in the January issue of Provider e-News.