CalAIM Long-term Care Carve-In Transition

Starting on Sunday, January 1st, 2023, the long-term care (LTC) benefit will be administered by the Alliance as a part of the statewide California Advancing and Innovating Medi-Cal (CalAIM) goal to standardize benefits and reduce complexity and county-to-county differences across the state.

Effective Sunday, January 1st, 2023, the Alliance will coordinate and cover the cost of care in a nursing home past the month of admission and the subsequent month, and the member will no longer transition to FFS. On Sunday, January 1st, 2023, Alameda County residents enrolled in Medi-Cal FFS and residing in a nursing facility who have selected the Alliance as their health plan will be transitioned to the Alliance. Additionally, the State will assign them to a health plan if they do not select one by Wednesday, February 1st, 2023.

For more information about the LTC carve-in, please refer to the Department of Health Care Services website at www.dhcs.ca.gov/provgovpart/Pages/Long-Term-Care-Carve-In-Transition.aspx.

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