https://www.dhcs.ca.gov/individuals/Pages/MMCDSPDMbrFAQ.aspx#excluded
"With few exceptions, all Medi-Cal beneficiaries in the eight counties will be mandatory enrolled in a managed care plan for their Medi-Cal benefits."
"You will still be considered voluntary, and you will not be mandatory enrolled into managed care if you belong to one or more of these groups:
-Dual Eligible, or those with Medicare
- -Identified as Long Term Care (LTC)
- -Those with Other Health Insurance
- -Share of Cost (SOC) Medi-Cal . . ."
Medicare Part A and Medicare Part B, 와 Medi-Cal 이 있는 등의 여러 자격요건이 충족될경우 가입이 되는" Cal MediConnect Plan is part of California's larger Coordinated Care Initiative (CCI)"
2014년 부터 출시로 가주 8개 카운티에 적용되는 진행형? 주정부 프로그램이라고 하는데. . .
dual eligibles beneficiaries (메디칼과 메디케어 A,B가있을때)가 Cal MediConnect Plan에 가입을 안할경우 (8개 지정된 카운티경우) 메디칼은 메니즈드 케어 플랜에 가입해야 한다 라고 나오네요. ( 널싱홈의 롱텀케어경우 메디칼 managed care plan 이 롱텀케어를 커브를 안하므로 straight Medi-Cal로 전환해야 됨으로. . . Cal MediConnect Plan 은 straight Medi-Cal 과 다릅니다.) https://www.dhcs.ca.gov/Pages/dualsdemonstration.aspx (참조하세요)
"California enacted legislation to move forward with a demonstration project integrating
Medicare and Medi-Cal benefits into managed care plans for dual eligibles living in eight California counties."