In Los Angeles County, about 300,000 Healthy Way LA members are expected to transition to full-scope Medi-Cal benefit coverage. LIHP/HWLA (matched) program ends on Dec. 31, 2013, pursuant to California’s 1115 Waiver.

Transitioning HWLA members will receive Medi-Cal coverage through the Medi-Cal managed care plan and can choose between a Medi-Cal plan and primary care provider. “No choice” members will be defaulted into the Medi-Cal managed care plan.

Activity so far suggests a high LIHP/HWLA member “no choice” rate is expected. California has conducted a “matching process” to determine a plan for auto-assigning linkage for no LIHP/HWLA “no choice” members.

On Dec. 27, 2013, L.A. Care will receive a final confirmed list of LIHP/HWLA members transitioning to L.A. Care on Jan. 1, 2014. HWLA members currently assigned to HWLA / DHS clinic home will be assigned to L.A. Care / DHS Participating Provider Group.

L.A. Care and its contracted provider network will honor continuity of care for inpatient admissions with discharge date on or after Jan. 1, 2014. For HWLA members assigned to L.A. Care/DHS Participating Provider Group effective Jan. 1, 2014, DHS/MCS will coordinate discharge planning, and lower level of care service authorizations will be processed by Health Integrated.

Contact: Jaime Garcia
(213) 538-0702, jgarcia@hasc.org