Commonwealth Coordinated Care Update

Earlier this week, the Department of Medical Assistance Services (DMAS) released a Commonwealth Coordinated Care (CCC) update.  The launch dates for the CCC, Virginia’s dual eligible demonstration, have been revised slightly from previous communications.  DMAS indicates a one-month delay from the original dates due to the extended time required to finalize the three-way contract.  With this adjustment, the timeline for passive enrollment has been shifted accordingly to allow for a gradual implementation.  As a result, services for beneficiaries passively (automatically) enrolled in the Tidewater Region will begin July 1 and the service start date for Central Virginia beneficiaries will shift to August 1.  Following is the revised enrollment timetable for each region in the Commonwealth:

Tidewater area:

  • March 2014: Voluntary enrollment begins
  • April 2014: Services/supports begin for those enrolled
  • May 2014: Automatic enrollment begins
  • July 2014: Services/supports for those automatically enrolled begins

Central Virginia/Richmond area:

  • March 2014: Voluntary enrollment begins
  • April 2014: Services/supports begin for those enrolled
  • June 2014: Automatic enrollment begins
  • August 2014: Services/supports for those automatically enrolled begins

Northern Virginia, Roanoke, Charlottesville areas:

  • May 2014: Voluntary enrollment begins
  • June 2014: Services/supports begin for those enrolled
  • August 2014: Automatic enrollment begins
  • October 2014: Services/supports for those automatically enrolled begins

As a follow-up to a meeting of VHCA’s ad-hoc managed care committee in mid-December, association staff will meet with DMAS on January 10th to address a number of issues identified during the meeting.  Specifically, we will work to set dates for additional meetings with all three CCC MCOs and DMAS to try and work through a number of key operational concerns that must be resolved prior to the launch of the demonstration.

As a reminder to our members, all three health plans have indicated that they will not finalize their provider manuals until early to mid-February.  These manuals will serve as key resource documents and guidance for our members.  Since the provider participation agreements to be executed between each MCO and individual providers make heavy references to the yet-to-be completed provider manuals, we anticipate that many of our members will be unwilling to execute agreements with plans until they have a chance to review the finalized manuals. 

The full DMAS CCC update is available here.