SB 586 (Hernandez) will be heard in the Assembly Floor before the Legislative Session ends on August 31st. The current exclusion of CCS beneficiaries from Medi-Cal Managed Care programs will expire at the end of the year and there has been extensive discussions about their inclusion. Most CCS providers and beneficiary advocacy groups want to remain excluded from Medi-Cal managed care but DHCS has pushed for their inclusion via the Whole Child Model on at least a pilot basis in multiple counties.
SB 586 has been extensively amended to continue the "carve out" in certain counties and include patient protections for continuity of care for existing CCS providers in "carve in" counties, advisory groups for any Medi-Cal managed care plan that enrolls CCS beneficiaries, and many additional patient protections.
The new proposal calls for moving about 30,000 children from CCS to Medi-Cal managed care sometime after July 2017. These children live in 21 counties across the state: Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Merced, Modoc, Monterey, Napa, Orange, San Luis Obispo, San Mateo, Santa Barbara, Santa Cruz, Shasta, Siskiyou, Solano, Sonoma, Trinity and Yolo counties.
Once the Governor signs the bill we will provide more details and it will be the subject of a presentation at our October Membership Meeting in Long Beach.
