Cover title.

At head of title: The 2012-13 budget.

"Mac Taylor, legislative analyst."

"February 17, 2012."

"About 1.9 million seniors and persons with disabilities (SPDs) are enrolled in California's medicaid program (known as Medi-Cal), the state-federal program providing medical and long-term care services to low-income persons. The majority of SPDs are also eligible for Medicare, the federal program that provides medical services to qualifying persons over age 65 and certain persons with disabilities. The SPDs who are eligible for both Medi-Cal and Medicare are known as "dual eligibles" and receive services paid for by both programs. Service Delivery System Is Fragmented. The current financial and program structure for delivering medical and social services to SPDs is fragmented ... Governor Proposes Care Coordination Initiative. To address these issues, the Governor proposes as part of the 2012-13 budget the Care Coordination Initiative to integrate all services, including medical care and LTSS, into managed care for all SPDs (including dual eligibles) statewide beginning in January 2013"--P. 3

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