CAMRI: Medi-Cal Beneficiaries Who Use Long Term Services and Supports (Updated)

summary

The California Medicaid Research Institute (CAMRI) developed an integrated and longitudinal database containing Medi-Cal and Medicare claims and assessment data of LTSS recipients in California in 2008. CAMRI’s integrated database provides a unique opportunity to look at characteristics and program spending across the entire care continuum for beneficiaries with LTSS needs within Medi-Cal and for dual eligibles across Medicare and Medi-Cal. This report focuses on LTSS use and spending in the eight duals demonstration counties.

Date Updated: 02/11/2013

Background

California is one of fifteen states that received a $1 million design contract from the Centers for Medicare and Medicaid Services (CMS) to develop plans to better integrate the financing and services of Medi-Cal (California’s Medicaid program) and Medicare for those dually eligible for both programs (often referred to as dual eligibles or Medicare-Medicaid enrollees, MMEs). The state’s efforts resulted in the passage of the Coordinated Care Initiative (CCI), authorizing a three-year demonstration beginning in 2013.1 Eight counties were selected as the demonstration sites: Alameda, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo and Santa Clara…


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