1. Providers and Cal MediConnect Paul Van Duine Senior Director of Provider Network Operations www.calmediconnectla.org

2. L.A. Care’s Provider Network Strategy Network Subcontracted health plans (similar to our current Medi-Cal model) Care1 st Health Plan CareMore Kaiser Permanente IPAs with the capacity and expertise to serve this population LA County Department of Health Services and community clinics Hospitals, DME, and pharmacies experienced in serving this population Long-Term Services and Supports (LTSS) providers Mix of groups: small, large, Medi-Cal, safety net, commercial IPAs and Medical Groups with a strong hospital affiliation Contracting Predominantly shared risk model IPA capitation Facility DRGs C-CAP potentially in the future to align risk between plan, IPA, and hospital | 2

3. Delegation Model (DRAFT) | 3 L.A. CareL.A. Care Cal MediConnect (CMC) Delegated Responsibility Subcontracted Health Plans Medical Groups (PPGs) Other ServicesEntity UM Care Coordination Complex Case Mgmt Credentialing Partial QI Member Rights LTSS Care Plan Options Behavioral Health UM/Partial UM Care Coordination Credentialing (some PPGs)/ Partial Credentialing (some PPGs) Quality Improvement Continuity of Care VisionVSP PBMMedImpact Nurse 24/7 Advice LineMcKesson HRAAPS HCBS CoordinationAPS Specialty Mental Health/Behavioral Health HRA (certain BH diagnoses) Beacon HRA (nursing facility)GeriNet Care CoordinationGeriNet

4. Timeline (Subject to Change) | 4 ActivitiesTiming DHCS Awarded First Four Counties Duals Demonstration Project April 2012 L.A. Care & DHCS Initiated Public Education EffortsSummer 2012 CMS-DHCS MOU Is SignedMarch 2013 Health Plans Receive Preliminary RatesMay 2013 3-Way ContractsTBD Dual Eligibles begin receiving notices about voluntary enrollment into Cal MediConnect February 2014 Voluntary Cal MediConnect Coverage BeginsApril 2014 More information to come from DHCS regarding the MLTSS portion of the CCI.

5. For the Latest Information www.calmediconnectla.org | 5