September Education Meeting


California’s Coordinate Care Initiative—Cal MediConnect
and Mental Health Parity

Thursday, September 18, 2014

7:00 p.m.—8:30 p.m.

St. Michael’s Episcopal Church Hall
2275 Carlsbad Boulevard, Carlsbad, California

Representatives from the Consumer Center for Health Education and Advocacy (CCHEA) and Legal Aid Society of San Diego will present information and answer questions on (1) the new state Cal MediConnect program and (2) the new federal and California parity requirements to assist people in obtaining mental health parity in their treatment.

The state Medi-Cal program and the federal Medicare program have partnered and launched a three-year project, which is likely to continue ongoing to promote coordinated health care delivery to people with disabilities who are dually eligible for both of the public health insurance programs. Dual eligible beneficiaries are people who qualify for both public health insurance programs, Medicare and Medi-Cal. The Cal MediConnect plan began on May 1, 2014. The program is being rolled out based on birthday month. The Cal MediConnect program is part of California’s larger Coordinated Care Initiative (CCI). In California, approximately one in three dual eligible beneficiaries are people with disabilities. These “dual eligible beneficiaries” have the opportunity to enroll in one of four Cal MediConnect plans. Enrollment into a Cal MediConnect plan is optional, but you must opt out or you will be automatically enrolled into a plan.

According to new federal and California requirement health insurance must provide equal coverage for physical and mental health conditions; this is called mental health parity and it is the law. Co-payments, co-insurance, deductibles, out-of-pocket expenses, treatment limitations, prior authorizations requirements, access to medications, and days of coverage must be equal.

Join us to learn more about the new Cal MediConnect program and to learn the questions to ask your healthcare providers so you make the best choice. In addition, have your questions answered about new state and federal requirements for coverage parity between mental health and physical healthcare treatment insurance coverage.

The NAMI Connection support group for consumers will meet from 5:30 to 6:30 PM in the parish library. The NAMI family support group will meet in the church library after the meeting from 8:30 to 10:00 PM.

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