« The Dual Agenda: August 20, 2014 Issue

State Highlights

California

On August 1, the California Superior Court for the County of Sacramento ruled against issuing a preliminary injunction to halt implementation of California’s dual eligible demonstration project, Cal MediConnect. A group of stakeholders had filed a lawsuit in early July to stop the continued implementation of the demonstration, and disenroll all individuals who had previously been enrolled. The plaintiffs – a group of Independent Living Centers, the Los Angeles County Medical Association, two dual eligible beneficiaries, and several providers – claimed in their lawsuit against the California Department of Health Care Services that the demonstration project violates the law in several ways, including by passively enrolling people with mental and cognitive impairments.

Massachusetts

In its recent e-newsletter, Disability Advocates Advancing Our Healthcare Rights (DAAHR) coalition applauds the announcement by MassHealth, the Massachusetts Medicaid agency, at the July 25 One Care Implementation Council meeting that the October round of auto-assignment (passive enrollment) is cancelled. The advocates had expressed their concerns that without hard data, it is difficult to determine what the consumer experience is like under the One Care plans. This delay in passive enrollment will give participating plans and the state more time to assess the quality of care and services being provided to enrollees, especially those with complex care and service needs, and allow the plans time to further build capacity to meet the needs of current and future members.

In other news, MassHealth will host the next open meeting on the One Care program  August 22. The purpose of the monthly open meetings is to promote ongoing discussion with the community on key implementation topics related to the program.

Michigan

Leadership team members of the Michigan Voices for Better Health project will speak on the state’s dual eligible demonstration project at the next regional implementation forum hosted by the Michigan Department of Community Health (MDCH). The purpose of these forums is for MDCH to update participants on the status of Michigan's demonstration project and announce additional opportunities for stakeholders to be involved in the implementation process. The upcoming forum will take place in the Upper Peninsula region on September 11.

 

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