California: Mandatory Enrollment of Seniors and the Disabled into Managed Care
Posted Sep 27 2012 12:00am
In 2010, CMS approved California’s “Bridge to Reform” waiver request that authorized the state to expand its mandatory managed care to seniors and people with disabilities covered by Medi-Cal. Authorized under a Section 1115 waiver, the policy affected nearly 400,000 Medi-Cal enrollees, including 240,000 who were moved from fee-for-service into managed care between June 2011 and May 2012. Certain individuals are exempt from this requirement including disabled children in the California Children’s Services (CCS) program, foster children, and individuals dually-eligible for Medicare and Medicaid.