Advisory Board: CCHP Joint Conference Committee
Subject: Contra Costa Health Care Plus, CCHP’s Dual Eligible Special Needs Plan Report
Presenter: Beth Hernandez
Contact: Norman Hicks
Information:
Regulatory Requirement: Effective January 1, 2026, California state law requires all Medi-Cal Managed Care Plans to offer a D-SNP product. This mandate ensures integrated Medicare-Medicaid coverage for dual-eligible beneficiaries, California's most vulnerable population.
Strategic Rationale: Beyond regulatory compliance, D-SNP represents a strategic opportunity for CCHP.
• Mission alignment: Serves dual-eligible seniors and persons with disabilities who require integrated Medicare-Medicaid benefits
• Revenue diversification: Establishes long-term revenue stream in growing dual-eligible market
• Market positioning: Entry into Medicare product line creates platform for future growth and competitive positioning
Implementation Timeline: CCHP launched its D-SNP product on January 1, 2026, following a compressed 6-month build period (industry standard is 12-18 months). The launch required establishing new operational infrastructure, contracting with Centers for Medicare & Medicaid Services (CMS), implementing Medicare-specific systems, and building organizational capability to manage dual federalstate regulatory oversight.
Recommendation(s)/Next Step(s):
ACCEPT report on Contra Costa Health Care Plus (D-SNP)