Monthly Archives: November 2011
§1115 Waiver Update: California Children’s Services
| November 7, 2011 | Posted by Ashley Cohen under Blog |
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Children in California Children’s Services (CCS) have designated medical conditions and are either in low-income families (less than $40,000 annual family income) or have medical bills that equal 20% or more of a family’s adjusted gross income. Currently, the CCS program is extremely fragmented. Another aspect of the §1115 Waiver… more
Medi-Cal Simplification: Opportunities to Streamline Enrollment Processes
| November 7, 2011 | Posted by Christina Vane under Legislation/Policy, Program Simplification, State |
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The Patient Protection and Affordable Care Act (PPACA) expands Medicaid coverage to 133% of the Federal Poverty Level (FPL) starting in 2014. As a result, nearly 1.7 million Californians will be newly eligible on January 1, 2014. In its current state, Medi-Cal operates inefficiently, bogged down by excessively complex eligibility… more
§1115 Waiver Update: The Low Income Health Program
| November 4, 2011 | Posted by Ashley Cohen under Blog |
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At the Waiver Stakeholder Advisory Committee meeting in Sacramento yesterday, Jalynne Callori, Chief of the Low Income Health Program (LIHP), provided an update on county LIHP timelines and application/enrollment processes. Former CI Counties The ten “legacy” counties (counties that implemented Coverage Initiatives under the 2005 waiver) executed their contracts on… more
§1115 Waiver Update: Transitioning SPDs to Managed Care
| November 3, 2011 | Posted by Ashley Cohen under Blog |
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This morning, the Waiver Implementation Stakeholder Advisory Committee held its quarterly meeting in Sacramento (agenda). Staff from the Department of Health Care Services (DHCS) provided updates on the transition of Seniors and Persons with Disabilities (SPDs) into managed care, the Low Income Health Program (LIHP), California Children’s Services (CCS) pilot… more
Costly Overused Clinical Activities
| November 2, 2011 | Posted by Ashley Cohen under Blog |
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A group of physicians, known as the Good Stewardship Working Group, identified the common medical practice as being overused. They found that diagnostic tests were ordered for patients without symptoms, CT scans or MRIs were ordered for patients with low back pain, antibiotic prescriptions were being written for children with… more
ITUP Comments on Exchange and Medicaid NPRMs
| November 2, 2011 | Posted by Lucien Wulsin under Legislation/Policy |
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Re: Notice of Proposed Rule Making, CMS-2449-P, CMS-9974-P, and IRS REG-131491-10 Dear Secretary Sebelius Thank you to you and your team for a excellent set of proposed regulations on the Exchange and Medi-Cal program expansions, we would like to offer comments on the following issues: 1) Medi-Cal simplification, 2) the… more
