MEDICAL SERVICES MEDICAL SERVICES INITIATIVE
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1 COUNTY OF ORANGE HEALTH CARE AGENCY MEDICAL SERVICES MEDICAL SERVICES INITIATIVE MARK A. REFOWITZ AGENCY DIRECTOR RICHARD SANCHEZ ASSISTANT DIRECTOR HOLLY A. VEALE ACTING DIRECTOR MEDICAL SERVICES ANTHONY ROSE ADMINISTRATOR MEDICAL SERVICES INITIATIVE MAILING ADDRESS: P. O. BOX 355 SANTA ANA, CA TELEPHONE: (714) FAX: (714) DATE: October 11, 2013 TO: FROM: SUBJECT: All MSI Providers Anthony Rose, MSI Administrator Copies of Notices to MSI Members re: Medi-Cal Expansion As part of the Affordable Care Act (ACA), a significant portion of the MSI membership (70%) will transition to the forthcoming Medi-Cal expansion to be administered by CalOptima on January 1, The MSI Program has been working with CalOptima for the last two years to ensure that the approaching transition is both smooth and seamless for our clients. The remaining membership (30%) will be eligible to purchase subsidized insurance through Covered California California s Health Insurance Exchange. The California Department of Health Care Services has provided, as part of their transition planning, a series of notices regarding the transition. Under their transition plan, the first of these notices was mailed by the MSI Program between October 1 and October 11, 2013 and pertains to those who will transition to Medi-Cal. Those eligible for subsidized insurance through Covered California will receive a separate notice at a later date. To ensure that these notices reach the widest possible audience of eligible individuals, we are sending copies of the notices to our MSI Providers so that you and your patients are fully informed about important information on the upcoming ACA transition. Feel free to share with the MSI clients that you encounter. MSI staff is available to answer any questions that providers or clients may have. Please find the notice in three languages (English, Spanish, and Vietnamese) attached to this message. MSI has prepared a presentation about the forthcoming transition. It is available online at: Please feel free contact me at arose@ochca.com or if you require additional information. Thank you for being an MSI Provider.
2 State of California-Health and Human Services Agency Department of Health Care Services October 11, 2013 Important Information About the Medical Services Initiative (MSI) Program move to Medi-Cal Dear Member: You are receiving this letter because you are currently enrolled in the Medical Services Initiative Program (Orange County's LIHP). New state and federal health care laws add a new program to Medi-Cal. If you are in the Medical Services Initiative Program in December 2013, your health benefits coverage will move automatically to the Medi-Cal Program on January 1, You do not have to do anything now. Your benefits won t be changed. You will get all of the same services you get now until December 31, 2013 as long as you stay enrolled. You will get another letter from the State in early November with more information about the move to Medi-Cal, the Medi-Cal health plan in your county and who to call if you have questions. You will be automatically enrolled in the Medi-Cal health plan in your county. If you want to change doctors, you can contact your Medi-Cal plan for help. CH_LHP3954_ENG1_0913
3 Please visit the Department of Health Care Services website, at to learn more about the Medi-Cal program. If you have questions about your move to Medi-Cal, please call or visit: Medical Services Initiative (MSI ) Program: MSI General Administration: MSI Patient Relations: MSI Patient Education: Questions about the move to Medi-Cal Q. Is the MSI Program still my health coverage program? A: Yes. You will get health benefits until December 31, On January 1, 2014, Medi-Cal will become your health benefits program. Q: Will my benefits change? A: Your health benefits will not be changed. You will continue to have all the same services prior to December 31, Some of the services you get now, such as dental and vision may change. Watch your mail for more information. Q: What do I need to do to stay enrolled? A: Be sure to read and answer all letters about your eligibility or status. Call the MSI Program to let them know if your income, address or phone number changes. Q. Will I be able to go to the same doctor or clinic when I have Medi-Cal? A: Probably, if the Medi-Cal health plan in your county works with your current doctor or clinic. You can choose to change your doctor if you like. Q. How will I be notified about my change to Medi-Cal? A: You may receive information by mail, phone or . CH_LHP3954_ENG2_0913
4 State of California Health and Human Services Agency Department of Health Care Services 11 de octubre 2013 Información Importante Acerca de la transferencia de la Iniciativa de Servicios Médicos (MSI) programa a Medi Cal Estimado Miembro: Está recibiendo esta carta porque usted está inscrito actualmente en la Iniciativa de Servicios Médicos. Las nuevas leyes de atención de la salud estatales y federales añaden un nuevo programa a Medi Cal. Si usted está en la Iniciativa de Servicios Médicos (MSI) en diciembre de 2013, la cobertura de sus beneficios de salud serán transferidos automáticamente al Programa de Medi Cal el 1 de enero de No necesita hacer nada en este momento. Sus beneficios no cambiarán. Usted recibirá todos los mismos servicios que ya recibe ahora hasta el 31 de diciembre de 2013 siempre y cuando usted esté inscrito. Recibirá otra carta de parte del estado a principios de noviembre con más información acerca de la transferencia a Medi Cal, el plan de salud de Medi Cal en su condado y a quién llamar si usted tiene preguntas. Se le inscribirá automáticamente en el plan de salud de Medi Cal en su condado. Si usted desea cambiar de doctor, puede comunicarse con su plan de Medi Cal y pedirles ayuda. CH_LHP3954_SPA1_0913
5 Por favor visite el sitio web del Department of Health Care Services en para conocer más acerca del programa de Medi Cal. Si tiene preguntas acerca de la transferencia a Medi Cal, por favor llame o visite: La Iniciativa de Servicios Médicos (MSI) Departamento para la educación del paciente (PED): Información general sobre MSI: Relaciones con los pacientes MSI: Preguntas acerca de la Transferencia a Medi Cal Q: Aún es la Iniciativa de Servicios Médicos mi programa de cobertura de salud? A: Sí. Usted recibirá los beneficios de salud hasta el 31 de diciembre de Medi Cal será su programa de beneficios de salud a partir del 1 de enero de Q: Cambiarán mis beneficios? A: Sus beneficios de salud no cambiarán. Usted seguirá teniendo los mismos servicios en su totalidad que tuvo antes del 31 de diciembre de Algunos de los servicios que usted recibe ahora, como los servicios dentales y de la visión podrían cambiar. Esté pendiente de su correo para recibir más información. Q: Qué necesito hacer para seguir inscrito? A: Asegúrese de leer y responder a todas las cartas acerca de su elegibilidad o estado. Llame a la Iniciativa de Servicios Médicos para informarles sobre cambios en sus ingresos, dirección o número de teléfono. Q: Podré ver al mismo doctor o clínica cuando tenga Medi Cal? A: Es probable, si el plan de salud de Medi Cal en su condado trabaja con su doctor o clínica actual. Usted puede elegir cambiar su doctor, si así lo desea. Q: Cómo se me notificará acerca de mi cambio a Medi Cal? A: Usted podría recibir la información por correo, por teléfono o por correo electrónico. CH_LHP3954_SPA2_0913
6 State of California Health and Human Services Agency Department of Health Care Services Ngày 11 tháng 10 năm 2013 Thông tin quan trọng Về Chương trình dịch vụ y tế căn bản MSI ( ) chương trình được chuyển sang Medi Cal Kính gửi quý thành viên: Quý vị nhận được thư này do quý vị hiện đang ghi danh Medical Services Initiative (MSI). Luật chăm sóc sức khỏe mới của tiểu bang và liên bang đã thêm một chương trình mới vào Medi Cal. Nếu quý vị tham gia Medical Services Initiative (MSI) vào tháng 12 năm 2013, bảo hiểm phúc lợi y tế sẽ tự động chuyển sang Chương trình Medi Cal vào ngày 1 tháng 1 năm Quý vị không phải làm gì vào lúc này. Phúc lợi của quý vị sẽ không thay đổi. Quý vị sẽ nhận được toàn bộ dịch vụ tương tự như quý vị nhận được bây giờ cho đến ngày 31 tháng 12 năm 2013 chừng nào quý vị vẫn còn ghi danh. Quý vị sẽ nhận được một bức thư khác từ tiểu bang vào đầu tháng 11 với thông tin bổ sung về việc chuyển sang Medi Cal, bảo hiểm y tế Medi Cal tại quận hạt của quý vị và người quý vị cần gọi điện nếu có thắc mắc. Quý vị sẽ tự động được ghi danh vào chương trình bảo hiểm y tế Medi Cal tại quận hạt của quý vị. Nếu quý vị muốn thay bác sĩ, quý vị có thể liên hệ với bảo hiểm Medi Cal để được trợ giúp. CH_LHP3954_ENG1_0913
7 Vui lòng truy cập trang web của Sở dịch vụ chăm sóc sức khỏe tại địa chỉ để tìm hiểu thêm về chương trình Medi Cal. Nếu quý vị có thắc mắc về việc chuyển sang Medi Cal, vui lòng gọi điện hoặc ghé thăm: Chương trình dịch vụ y tế căn bản Medical Services Initiative (MSI) Giáo dục bệnh nhân MSI: Ban quản trị chung của MSI: Quan hệ bệnh nhân MSI: Các câu hỏi về việc chuyển sang Medi Cal Hỏi: Chương trình MSI có phải vẫn là chương trình bảo hiểm y tế của tôi không? Đáp: Đúng. Quý vị sẽ nhận được phúc lợi y tế cho đến ngày 31 tháng 12 năm Vào ngày 1 tháng 1 năm 2014, Medi Cal sẽ trở thành chương trình phúc lợi y tế của quý vị. Hỏi: Phúc lợi của tôi có thay đổi không? Đáp: Phúc lợi y tế của quý vị sẽ không thay đổi. Quý vị sẽ tiếp tục nhận được tất cả các dịch vụ tương tự trước ngày 31 tháng 12 năm Một số dịch vụ mà quý vị nhận được hiện nay như nha khoa và nhãn khoa có thể thay đổi. Vui lòng theo dõi thư để biết thêm thông tin. Hỏi: Tôi phải làm gì để tiếp tục ghi danh? Đáp: Hãy đọc và phúc đáp tất cả thư từ về tư cách hợp lệ và tình trạng của quý vị. Gọi cho Medical Services Initiative (MSI) để thông báo cho họ biết nếu lợi tức, địa chỉ hay số điện thoại của quý vị thay đổi. Hỏi: Tôi có thể đến thăm khám cùng một bác sĩ hay bệnh viện khi có Medi Cal không? Đáp: Có thể, nếu bảo hiểm y tế Medi Cal tại quận hạt của quý vị áp dụng với bác sĩ hay bệnh viện hiện tại. Quý vị có thể chọn thay đổi bác sĩ nếu muốn. Hỏi: Tôi sẽ được thông báo về việc chuyển sang Medi Cal bằng cách nào? Đáp: Quý vị có thể nhận được thông tin qua thư, điện thoại hay . CH_LHP3954_ENG2_0913
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