Community Well. The Community Well category represents eligible dual members who do not meet the NFLOC standard (including the transition rules) as described later in this section. Within the Community Well category, capitation rates vary by contracting region and the following age groups: 18 - 44, 45 - 64 and 65+.
Community Well. All other Enrollees living in the community with no Medi-Cal covered HCBS services. These are all other Enrollees who are not resident in long-term care facilities and do not utilize CBAS, MSSP, or IHSS services.
Community Well. The Community Well category represents those Beneficiaries who do not meet the nursing facility level of care (NFLOC) standard (including the transition rules) as described later in this Section. Within the Community Well category, capitation rates vary by the following age groups: 18–44, 45–64, and 65+.
