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The SFMMS keeps you up to date on the latest news,
policy developments, and events

San Francisco Marin Medical Society Blog


CMS Approves Medicare/Medi-Cal Duals Project

The Department of Health Care Services (DHCS) announced that CMS has given approval to the project to require Medicare/Medi-Cal dual eligibles to enroll in a managed care plan. The project, which was previously known as the “Coordinated Care Initiative,” will now be called CalMediConnect.

Blue Shield Requires Physicians to Notify Patients Before Referring Out-of-Network

On March 15, Blue Shield announced that it would soon begin requiring contracted physicians to notify patients in writing before making out-of-network referrals. Effective May 15, physicians will be required to notify patients in writing using a form provided by the payor when referring a patient to an out-of-network provider.