On Sept. 29, the Department of Health Care Services (DHCS) released an updated 2024 Medi-Cal Managed Care Plan (MCP) Transition Policy Guide. It includes the new MCP Transition Monitoring and Oversight Policy and new transition-related requirements for incentive programs, as well as updates to all other sections of the policy guide. It also contains DHCS policy and related MCP requirements related to member transitions among Medi-Cal MCPs that take effect on Jan. 1, 2024.
Updates from previous versions are reflected with highlights and strikethroughs to facilitate MCP and stakeholder tracking of the changes. The policy guide will be updated throughout calendar year 2023 to keep MCPs informed of new and developing guidance.
In addition to the new policies on MCP transition monitoring and oversight and incentive programs, updates to the policy guide include:
- Updates to the protections for American Indian and Alaska Native Members policy regarding newly eligible members and non-medical exemption requests
- Updates to the member enrollment and noticing policy, including enrollment for children or youth enrolled in the foster care system and identified with a foster care aid code, as well as members in a former foster care aid code
- Updates to the continuity of care policy on primary care physician retention and assignment
- Updates to enhanced care management and community supports transition policies on mitigating provider disruption through timely payment of claims
- Updates to the continuity of care data sharing policy
- Updates to the Appendix: County-Level MCP transitions
The companion All Plan Letter 23-018 establishes the binding nature of the policy guide as the DHCS authority specific to the 2024 MCP transition and remains unchanged.