SACRAMENTO COUNTY MEDI-CAL MANAGED CARE
Most California residents who qualify for Medi-Cal based on income and family size will be placed in Medi-Cal Managed Care. When you first qualify for Medi-Cal and receive a BIC (Beneficiary Identification Card) you will be covered under Fee for Service Medi-Cal. Within 45 days, you will be mailed information explaining health plan options.
Once you get the information you need to pick a health plan. If you do not pick a plan within 30 days, Medi-Cal will choose a health plan for you. Health Care Options can help you. You can call
(1-800-430-4263) or use their webpage:
https://www.healthcareoptions.dhcs.ca.gov/
The webpage includes information on learning about health care options; finding health care plans; and enrolling in health care plans.
In Sacramento County there are five commercial health plans that provide Medi-Cal Managed Care: Aetna Better Health; Anthem Blue Cross; Health Net; Kaiser and Molina Healthcare. There are two Programs of All Inclusive Care for the Elderly: InnovAge California PACE and Sutter SeniorCare (PACE.)
Medi-Cal Managed Care Health Plans are under contract by the State Department of Health Care Services. See link for details on eligibility, how to apply, enrolling in a plan and using the benefits:
https://www.dhcs.ca.gov/individuals/Pages/MMCDHealthPlanDir.aspx
Mental Health: There are two paths for mental health benefits depending on the mental health need. Mental Health benefits are available within the Health Plan for people with mild to moderate mental health conditions. For individuals with serious and persistent mental health conditions, services are available through the County Mental Health Plan specialty services. Health Plan information including Member Services resource lists numbers (for physical healthcare and mental health services), RN advice lines, and urgent care clinics are posted on the Sacramento County Medi-Cal Managed Care Advisory Committee webpage under Resources: . https://www.dhcs.ca.gov/services/Pages/ManagedCareAdvisoryGroup.aspx
Other resources such as Care Coordination Guides are posted for providers and healthcare navigators who may be assisting new members.
Dental Managed Care Medi-Cal
Dental Care: Sacramento County is the only county with mandatory Dental Managed Care. There are three dental managed care plans: Access Dental Plan, Inc., Health Net of California, Inc. Dental, and Liberty Dental Plan of California, Inc. New Medi-Cal members may also enroll in a plan through Health Care Options (1-800-430-4263). Beneficiaries may visit the State DHCS webpage at: http://www.denti-cal.ca.gov/WSI/Bene.jsp?fname=BeneSrvcs .