The California Department of Health Care Services (DHCS) is planning to mandatorily enroll approximately 24,000 Medicaid beneficiaries with disabilities who live in 19 rural managed care expansion counties into Medi-Cal managed care plans by December 1, 2014. The transition affects beneficiaries in the seniors and persons with disabilities (SPD) population in Alpine, Amador, Butte, Calaveras, Colusa, El Dorado, Glenn, Imperial, Inyo, Mariposa, Mono, Nevada, Placer, Plumas, Sierra, Sutter, Tehama, Toulumne, and Yuba counties. In May 2013, DHCS had submitted a State Plan Amendment (SPA) for California’s 1115 Bridge to Reform waiver seeking federal approval to transition SPD . . .