Next phase of Healthy Families to Medi-Cal transition scheduled for August 1 July 9, 2013 Managed Care, Medi-Cal Managed Care, Medi-Cal, Healthy Families 0 Phase 3 of the Healthy Families transition from fee-for-service to Medi-Cal managed care is scheduled for August 1, 2013. This phase will impact approximately 107,000 children who have a Healthy Families plan that does not offer Medi-Cal managed care or subcontract with a Medi-Cal managed care plan, thus requiring them to transition to a new plan. This is the first phase of the Healthy Families transition where patients may be required to change physicians. Enrollment will include consideration of the child’s primary care providers. Affected counties are: Fresno San Bernardino Kern San Diego Kings San Francisco Los Angeles San Joaquin Madera San Luis Obispo Marin San Mateo Mendocino Santa Barbara Merced Santa Cruz Monterey Solano Napa Sonoma Orange Stanislaus Riverside Ventura Sacramento Yolo Because patients will be switching plans, physician practices are highly encouraged to ask patients for their new insurance cards, to make copies and then to verify eligibility to prevent payment delays and denials due to incorrect insurance information or out-of-network status. CMA is hosting a webinar presented by the Department of Health Care Services on July 18, 2013, from 12:15 to 1:15 p.m. titled, “Preparing for Phases 3 and 4 of the Healthy Families Program Transition to Medi-Cal.” To register, click here or visit our website at www.cmanet.org/events. For more information on the Healthy Families transition, see the DHCS Frequently Asked Questions at www.dhcs.ca.gov. Comments are closed.
