Commonwealth Coordinated Care Plus (a managed long term services and supports program)
What is Commonwealth Coordinated Care Plus?
Commonwealth Coordinated Care Plus (CCC Plus) is a new statewide Medicaid managed long term services and supports program that will serve approximately 214,000 individuals with complex care needs, through an integrated delivery model, across the full continuum of care. Care management is at the heart of the CCC Plus high-touch, person-centered program design. CCC Plus focuses on improving quality, access and efficiency. CCC Plus is proposed to launch August 1, 2017 and enrollment into CCC Plus is required for qualifying populations.
Who Will Participate in Commonwealth Coordinated Care Plus (CCC Plus)?
CCC Plus includes Medicaid members who:
- Receive Medicare benefits and full Medicaid benefits (dual eligible), including members enrolled in Commonwealth Coordinated Care (CCC).
- Receive Medicaid long term services and supports (LTSS) in a facility or through one of the home and community-based (HCBS) waivers, except Alzheimer's Assisted Living waiver. Individuals enrolled in the Community Living, the Family and Individual Support, and Building Independence waivers, known as the Developmental Disabilities (DD) waivers, will enroll for their non-waiver services only. At this time, their DD waiver services will continue to be covered through Medicaid fee-for-service. Detailed information regarding included and excluded populations and services is provided in the CCC Plus Overview Presentation Feb 14, 2017.
- Are eligible in the Aged, Blind, and Disabled (ABD) Medicaid coverage groups, including ABD individuals currently enrolled in the Medallion 3.0 program.
Detailed information regarding included and excluded populations and services is provided in the CCC Plus Program Information section.
Program Announcements, RFP and Program Information
Information for Members
Information for Interested Stakeholders and Providers
Information for Interested Health Plans
Dual Eligible Special Needs Plan (D-SNP) Information and Documents
*Consistent with Virginia General Assembly directives in years 2011 through 2015, the Department of Medical Assistance Services (DMAS) is moving forward with proposed initiatives to expand principles of care coordination to all geographic areas, populations, and services under programs administered by the department. The expansion of care coordination will be based on the principles of shared financial risk such as shared savings, performance benchmarks or risk, and improving the value of care delivered by measuring outcomes, enhancing quality, and monitoring expenditures.
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