Medi-Cal Older Adult Expansion

Medi-Cal Older Adult Expansion

By: Francia Nava, Program Advocate

Medi-Cal Older Adult Expansion

Medi-Cal Older Adult Expansion 1024 683 My Health LA

MHLA continues to prepare for the transition of our participants who are 50 years and older. We have a few updates on the transition that we wanted to share with you all:

  • Disenrollments: The first group of MHLA participants — those who are already in restricted scope Medi-Cal – will be disenrolled by May 1. The second group will be disenrolled by August 1.
  • Second List from DPSS: We should be receiving a second list from DPSS identify MHLA participants in Medi-Cal.  We will share the list with you all the first week of April.
  • Communications: Disenrollment letters in May and August will go out to participants letting them know when they are disenrolled from MHLA. One more letter in May will go out to participants that did not transition reminding them to sign up for Medi-Cal and that they will be disenrolled by August 1. We have sent text and robocall messages to participants regarding the transition. We have updated the MHLA website to include the section on 50+ transition
  • Restricted Scope: Please keep enrolling you MHLA participants in restricted scope Medi-Cal. Here are some organizations that can help with enrollment if you need help: CHOI and BAILA Network or 1-888-624-4752.

Older Adult Transition Frequently Asked Question:  Click on the FAQ.

  • Specialty Care: To ensure continuity of care for our age 50+ participants transitioning to Full-scope Medi-Cal who will no longer be eligible for MHLA after August 1, 2022, MHLA is currently working with DHS specialty care leadership. Our aim is to address the needs of participants who are in an acute phase of treatment or have scheduled a time-sensitive procedure at a DHS facility.  During this transition, DHS:
    • Will not abandon patients who are in specialty care. These are our joint patients and we don’t want anyone to fall through the cracks.
    • Will partner with you all to ensure a smooth transition for existing specialty care patients and are developing a process for that transition. We understand that individuals do not have access to a robust specialty network while they are on FFS.
    • Will rely on you all to transition MHLA patients into new specialty care networks as they get onto managed care plans.
  • State Webinar: The state will be having a second webinar on April 14th at 2pm. Here is the information about the meeting:

Thank you for helping ensure a smooth transition for MHLA participants!