Partnership Healthplan: What is happening with my Medi-Cal?
If you have Medi-Cal, something important is coming up. Starting January 1, 2024, Partnership Healthplan is expanding to more Northern California counties; including Placer, Nevada and Yuba counties. This change switches Medi-Cal members who are covered under Anthem and California Health & Wellness to Partnership Healthplan or Kaiser. The goal of the change is to provide a wider network of providers and improved quality of care for thousands across Northern California.
What is Partnership Healthplan?
Partnership Healthplan is a non-profit that currently works with the counties shown in blue on the map of Northern California. Their purpose is to ensure residents have access to quality medical and behavioral health services through Medi-Cal. Starting January 1st, 2024, they will expand to serve more counties across Northern California. The goal of this change is to help Medi-Cal members take better control of their health and have better access to the care that they deserve.
Most Medi-Cal members in the counties shown in green on the map will move to Partnership Healthplan. A small number of people in Placer, Sutter, and Yuba Counties will have a choice between Partnership and Kaiser. For now, Kaiser will only be an option for those who have a family member already with Kaiser. View DHCS’s FAQs for more information.
What if I live in a different county?
If you live outside of the counties listed above, your Medi-Cal may also be changing. Changes are taking place in numerous California counties in hopes of improving care for many Medi-Cal members. Learn more about changes happening in other counties HERE
What do I need to do to switch to the new plan?
If you live in one of the 10 counties shown above, your coverage will switch automatically into Partnership Healthplan or Kaiser Permanente. Keep an eye out for 3 letters coming in the mail that will make you aware of any changes.
Out Now: You should have gotten a letter from your current Medi-Cal health plan (Anthem or California Health & Wellness) telling you more about this change.
By November 1 (and again by December 1): You will get a letter from Medi-Cal Health Care Options telling you more about your Medi-Cal changes.
First week of January: You will get a new member packet from your new Medi-Cal plan.
If you are not receiving these letters, please contact your Medi-Cal Case Worker. If you have questions or concerns about the change, contact Medi-Cal Health Care Options using the information below.
Medi-Cal Health Care Options
Phone: 1-800-430-4263
TTY: 1-800-430-7077
Hours: Monday – Friday, 8 a.m. to 6 p.m.
Website: www.healthcareoptions.dhcs.ca.gov
Can I still see the same providers?
Your new Medi-Cal health plan will offer a network of qualified providers. It will be easy to keep your same provider(s) if they agree to work with the new plan. If your doctor does not work with your new Medi-Cal health plan, you may need to choose a new provider who does. In some cases, you might be able to keep your doctor and other providers for 12 months. You must ask your new health plan for “continuity of care.” There is a process to request this and Chapa-De will be here to assist our patients through the transition. Learn more about Continuity of Care here: https://www.dhcs.ca.gov/MCP-Transition/Pages/Continuity-of-Care.aspx
What does this mean for my care with Chapa-De?
Chapa-De is happy to continue your Medical, Optometry, and Behavioral Health care with Partnership Healthplan and there will be no changes to your coverage or benefits for other services like pharmacy and dental. We’ve been working closely with Partnership to ensure that our patients will not experience an interruption in their care during this transition. Both our Auburn and Grass Valley locations will accept Partnership Healthplan Medi-Cal and you will still be able to see the same providers.
We will continue accepting all Medi-Cal plans available in our service area and those with American Indian heritage will always be accepted at Chapa-De.
Have questions?
We are here to help. Give us a call today to get in touch with one of our Care Coordinators who can guide you to resources available to you.
Ways to Connect with a Care Coordinator:
- Call us at (530) 887-2800 (Auburn) or (530) 477-8545 (Grass Valley)
- Ask your medical provider or nurse during your appointment
- Stop by either location during business hours and ask to speak with a Care Coordinator
Chapa-De Indian Health Auburn Grass Valley | Medical Clinic
PASSIONATE PEOPLE. COMPASSIONATE CARE.
Chapa-De provides medical care, dental care, optometry, behavioral health, pharmacy services and much more.
Serving all American Indian, Low Income and Limited Income Community Members
