When you enroll in (join) a health plan, you must choose a primary care provider (PCP). Your PCP is the doctor or clinic you go to when you are sick or need a checkup.
Select a program to search for providers, dentists, hospitals, medical clinics, and dental clinics near you.
Medi-Cal Managed Care
Medi-Cal is California's Medicaid program. It is public health insurance. Medi-Cal gives needed health care services to people with low income, including families with children, seniors, persons with disabilities, children in foster care, pregnant women, and low-income persons with specific diseases such as tuberculosis, breast cancer or HIV/AIDS.
Cal MediConnect is for people who get both Medi-Cal and Medicare benefits also called dual eligibles. It aims to improve care coordination for dual eligibles. It lets them enroll in a single plan to manage all of their benefits, instead of having separate Medi-Cal and Medicare plans. It also aims for high-quality care that helps people stay healthy and in their homes for as long as possible.
The Future of Cal MediConnect
Information for Beneficiaries
On January 1, 2023, your Cal MediConnect plan will transition to Medicare Medi-Cal Plans (MMPs or Medi-Medi Plans) provided by the same company that provides your Cal MediConnect. These matching plans are designed to coordinate care for people with both Medicare and Medi-Cal. You will still get the same health care benefits as you do today.
You will get all your services through Cal MediConnect until December 31, 2022. Then on January 1, 2023, you will automatically start getting services through your matching plans instead. If you are in Cal MediConnect today, you do NOT need to do anything to enroll into the matching plans and keep your current benefits.
Your new MMP will help you with all your health care needs and will continue to coordinate your benefits and care. This includes medical and home- and community-based services. It also includes medical supplies and medications. The matching plans will include the doctors you see today, or help you find a new doctor that you like.
You will start getting letters about this change in October 2022. You don’t have to do anything this fall to keep getting your health care from the plan you have today. If you have questions about your coverage in 2022, please contact your current Cal MediConnect plan.
Medicare Medi-Cal Plans
The Cal MediConnect program is transitioning on December 31, 2022. Starting on January 1, 2023, Cal MediConnect members will be transitioned to MMPs, or Medi-Medi Plans. MMPs is the California-specific program name for Exclusively Aligned Enrollment Dual Eligible Special Needs Plans (EAE D-SNPs). Under exclusively aligned enrollment, beneficiaries can enroll in a D-SNP for Medicare benefits and in a Medi-Cal managed care plan for Medi-Cal benefits, which are both operated by the same parent organization for better care coordination and integration.
MMPs offer an integrated approach to care and care coordination that is like Cal MediConnect. The MMPs will work together to deliver all covered benefits to their members, and members will receive integrated member materials, such as one integrated member ID card.
The transition will happen in all Coordinated Care Initiative (CCI) counties – Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara. Existing Cal MediConnect plans and all Medi-Cal Managed Care Plans in these counties must create MMPs by January 1, 2023, to support this transition.