California implemented several significant changes in its Medi-Cal program that impacted low-income older adults and people with disabilities. These changes include those that are part of California’s five-year initiative, California Advancing and Innovating Medi-Cal (CalAIM), and federal policies from the Centers for Medicare & Medicaid Services (CMS). Together, these policies are intended to improve health outcomes in the Medi-Cal program and enhance integrated care for individuals dually eligible for Medicare and Medi-Cal.
Justice in Aging’s new Advocate’s Guide on CalAIM provides updated information and highlights its impact on low-income older adults and people with disabilities. The guide provides information about specific CalAIM policies including the mandatory enrollment into Medi-Cal managed care for dually eligible individuals, integrated Medicare Medi-Cal Plans, enhanced care management and community supports, and the carve in of Medi-Cal’s long-term care benefit into Medi-Cal managed care plans.
This guide is intended for legal service providers, aging and disability providers, community-based organizations working with individuals dually eligible for Medicare and Medi-Cal, and older adults and people with disabilities with Medi-Cal coverage only.