Biweekly Briefing Articles

5 Things To Know: Default Enrollment Pilot

MEDICARE MEDI-CAL PLANS – DEFAULT ENROLLMENT PILOT: This summer, the Department of Health Care Services (DHCS) will launch a default enrollment pilot for select Medicare Medi-Cal (Medi-Medi) Plans in San Diego and San Mateo counties. Medi-Medi Plans are a type of Medicare Advantage (MA) plan that coordinates all benefits and services across both programs for dually-eligible individuals. Under the pilot, when a managed care plan (MCP) member becomes eligible for Medicare due to age or disability, they will automatically be enrolled in the Dual Eligible Special Needs Plan (D-SNP) for that MCP, unless the member chooses a different Medicare option, such as Original Medicare or another MA plan. The Centers for Medicare & Medicaid Services included guidance on D-SNP default enrollment in its annual MA Enrollment and Disenrollment Guidance. Please contact DHCS at with any questions or comments about Medi-Medi Plans