APL 24-009
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Clearpol's Opinion of this Guidance
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Clearpol's AI Summary
The All Plan Letter 24-009 outlines requirements for Medi-Cal managed care plans regarding Skilled Nursing Facility (SNF) long-term care benefits as part of California's CalAIM initiative. Effective January 1, 2023, all members requiring SNF services must remain enrolled in managed care, ensuring standardized benefits across counties. The letter details policies on treatment authorizations, continuity of care, network readiness, and reimbursement processes, emphasizing the need for MCPs to coordinate care and maintain quality assurance in long-term services.
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