For TFCs in California: opting out of CCS

[Guest guest]

I was asked by a 19yo patient if its possible for him to opt-out of CCS and be

MediCal direct. Is this possible? If so, how does he go about it

thank you

[Guest guest]

Yes, he can do it by telling CCS he no longer wants their services. He would ask to be disenrolled.

I'm a bit surprised though, since CCS is usually thought of as a positive. He'll have to keep telling every provider that he does NOT have and does not want CCS, since they'll probably try to get him to sign up. It'll probably be more trouble for him to opt out, but he does have that right.

Goldstein

BMT Financial Specialist

Stanford Blood & Marrow Transplant Program

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of ericbelen7Sent: Thursday, March 11, 2010 12:03 PMTo: TxFinancialCoordinators Subject: For TFCs in California: opting out of CCS

I was asked by a 19yo patient if its possible for him to opt-out of CCS and be MediCal direct. Is this possible? If so, how does he go about itthank you

[Guest guest]

It depends on the situation. And for this one it would seem beneficial for the

patient to be with MediCal direct.

I always thought CCS automatically became primary when a MediCal eligible

patient is under 21. Good info.

Thanks for the info

>

> Yes, he can do it by telling CCS he no longer wants their services. He

> would ask to be disenrolled.

>

> I'm a bit surprised though, since CCS is usually thought of as a

> positive. He'll have to keep telling every provider that he does NOT

> have and does not want CCS, since they'll probably try to get him to

> sign up. It'll probably be more trouble for him to opt out, but he does

> have that right.

>

> Goldstein

> BMT Financial Specialist

> Stanford Blood & Marrow Transplant Program

>

>

> ________________________________

>

> From: TxFinancialCoordinators

> [mailto:TxFinancialCoordinators ] On Behalf Of ericbelen7

> Sent: Thursday, March 11, 2010 12:03 PM

> To: TxFinancialCoordinators

> Subject: For TFCs in California: opting out of

> CCS

>

>

>

>

> I was asked by a 19yo patient if its possible for him to opt-out of CCS

> and be MediCal direct. Is this possible? If so, how does he go about it

>

> thank you

>

[Guest guest]

Im reviving this thread...

I was informed by CalOptima today that a patient cannot opt-out of CCS. If a

patient under 21 has MediCal, they automatically be under CCS and no such thing

as opting-out is possible.

, have you had a case that allowed your patient to opt-out? Or if anyone

else was able to do so?

Thank you,

> >

> > Yes, he can do it by telling CCS he no longer wants their services. He

> > would ask to be disenrolled.

> >

> > I'm a bit surprised though, since CCS is usually thought of as a

> > positive. He'll have to keep telling every provider that he does NOT

> > have and does not want CCS, since they'll probably try to get him to

> > sign up. It'll probably be more trouble for him to opt out, but he does

> > have that right.

> >

> > Goldstein

> > BMT Financial Specialist

> > Stanford Blood & Marrow Transplant Program

> >

> >

> > ________________________________

> >

> > From: TxFinancialCoordinators

> > [mailto:TxFinancialCoordinators ] On Behalf Of ericbelen7

> > Sent: Thursday, March 11, 2010 12:03 PM

> > To: TxFinancialCoordinators

> > Subject: For TFCs in California: opting out of

> > CCS

> >

> >

> >

> >

> > I was asked by a 19yo patient if its possible for him to opt-out of CCS

> > and be MediCal direct. Is this possible? If so, how does he go about it

> >

> > thank you

> >

>

[Guest guest]

The last case I had where the patient didn't want to use CCS was many years ago. I just sent this question to Dr. Kagawa in Sacramento (the CCS Medical Director). I'll let you know what I find out.

Goldstein

BMT Financial Specialist

Stanford Blood & Marrow Transplant Program

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of ericbelen7Sent: Wednesday, May 05, 2010 1:58 PMTo: TxFinancialCoordinators Subject: Re: For TFCs in California: opting out of CCS

Im reviving this thread...I was informed by CalOptima today that a patient cannot opt-out of CCS. If a patient under 21 has MediCal, they automatically be under CCS and no such thing as opting-out is possible. , have you had a case that allowed your patient to opt-out? Or if anyone else was able to do so? Thank you,> >> > Yes, he can do it by telling CCS he no longer wants their services. He> > would ask to be disenrolled.> > > > I'm a bit surprised though, since CCS is usually thought of as a> > positive. He'll have to keep telling every provider that he does NOT> > have and does not want CCS, since they'll probably try to get him to> > sign up. It'll probably be more trouble for him to opt out, but he does> > have that right.> > > > Goldstein> > BMT Financial Specialist> > Stanford Blood & Marrow Transplant Program> > > > > > ________________________________> > > > From: TxFinancialCoordinators > > [mailto:TxFinancialCoordinators ] On Behalf Of ericbelen7> > Sent: Thursday, March 11, 2010 12:03 PM> > To: TxFinancialCoordinators > > Subject: For TFCs in California: opting out of> > CCS> > > > > > > > > > I was asked by a 19yo patient if its possible for him to opt-out of CCS> > and be MediCal direct. Is this possible? If so, how does he go about it> > > > thank you> >>

[Guest guest]

Thanks !

> > >

> > > Yes, he can do it by telling CCS he no longer wants their services.

> He

> > > would ask to be disenrolled.

> > >

> > > I'm a bit surprised though, since CCS is usually thought of as a

> > > positive. He'll have to keep telling every provider that he does NOT

> > > have and does not want CCS, since they'll probably try to get him to

> > > sign up. It'll probably be more trouble for him to opt out, but he

> does

> > > have that right.

> > >

> > > Goldstein

> > > BMT Financial Specialist

> > > Stanford Blood & Marrow Transplant Program

> > >

> > >

> > > ________________________________

> > >

> > > From: TxFinancialCoordinators

> <mailto:TxFinancialCoordinators%40yahoogroups.com>

> > > [mailto:TxFinancialCoordinators

> <mailto:TxFinancialCoordinators%40yahoogroups.com> ] On Behalf Of

> ericbelen7

> > > Sent: Thursday, March 11, 2010 12:03 PM

> > > To: TxFinancialCoordinators

> <mailto:TxFinancialCoordinators%40yahoogroups.com>

> > > Subject: For TFCs in California: opting

> out of

> > > CCS

> > >

> > >

> > >

> > >

> > > I was asked by a 19yo patient if its possible for him to opt-out of

> CCS

> > > and be MediCal direct. Is this possible? If so, how does he go about

> it

> > >

> > > thank you

> > >

> >

>

[Guest guest]

I heard back from the San Francisco Medi-Cal Field Office Medical Director, Dr. Perin. He confirmed that Medi-Cal themselves do NOT require a patient to apply for or maintain CCS coverage. It's completely voluntary. However, a Managed Medi-Cal program may have their own rules and THEY may require CCS coverage.

The patient could ask Medi-Cal to disenroll them to straight Medi-Cal and then disenroll from CCS (by asking CCS to close their case), although I don't think it would be in their best interest to do so.

Goldstein

BMT Financial Specialist

Stanford Blood & Marrow Transplant Program

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of ericbelen7Sent: Wednesday, May 05, 2010 2:11 PMTo: TxFinancialCoordinators Subject: Re: For TFCs in California: opting out of CCS

Thanks !> > >> > > Yes, he can do it by telling CCS he no longer wants their services.> He> > > would ask to be disenrolled.> > > > > > I'm a bit surprised though, since CCS is usually thought of as a> > > positive. He'll have to keep telling every provider that he does NOT> > > have and does not want CCS, since they'll probably try to get him to> > > sign up. It'll probably be more trouble for him to opt out, but he> does> > > have that right.> > > > > > Goldstein> > > BMT Financial Specialist> > > Stanford Blood & Marrow Transplant Program> > > > > > > > > ________________________________> > > > > > From: TxFinancialCoordinators > <mailto:TxFinancialCoordinators%40yahoogroups.com> > > > [mailto:TxFinancialCoordinators > <mailto:TxFinancialCoordinators%40yahoogroups.com> ] On Behalf Of> ericbelen7> > > Sent: Thursday, March 11, 2010 12:03 PM> > > To: TxFinancialCoordinators > <mailto:TxFinancialCoordinators%40yahoogroups.com> > > > Subject: For TFCs in California: opting> out of> > > CCS> > > > > > > > > > > > > > > I was asked by a 19yo patient if its possible for him to opt-out of> CCS> > > and be MediCal direct. Is this possible? If so, how does he go about> it> > > > > > thank you> > >> >>