California’s health system includes statewide public coverage programs and special county-based programs: Medi-Cal, Healthy Kids/Healthy Families, and others created under Section 1115 of the Social Security Act.
Summary of Federal Medicaid Eligibility Rule Changes
| April 12, 2012 | Posted by Kiwon Yoo under Federal, Legislation/Policy, Medi-Cal, Public Coverage |
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* Impacts and options for California are italicized. The new federal Medicaid rules do the following: Set the Medicaid minimum income eligibility at 133% of FPL for non-disabled adults Collapse Medicaid eligibility categories into four groups: children, pregnant women, parents and all other adults Modernize eligibility verifications to rely on… more
Medi-Cal Transformation
| March 16, 2012 | Posted by Kiwon Yoo under Medi-Cal, Public Coverage, Special Features |
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This report is an updated version that was distributed at our 16th annual conference in February. Executive Summary In 2014, up to three million uninsured low income Californians will be eligible to enroll in Medi-Cal, joining the 7.3 million already in the program, and another 3 million uninsured will be… more
Summary of §1115 Waiver
| January 23, 2012 | Posted by Mike Sloyan under Legislation/Policy, Public Coverage, State, Waiver Reports |
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Introduction The §1115 Waiver provides a bridge or stepping-stones to implementation of the Affordable Care Act of 201o (ACA). The projected value to the state is more than $10 billion in federal match over the next five years. This briefing paper describes the evolution from our current system to the… more
Medi-Cal Transformation
| January 23, 2012 | Posted by Mike Sloyan under Medi-Cal, Program Simplification, Public Coverage, Workgroups |
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Introduction In 2014, up to three million uninsured low income Californians will be eligible to enroll in Medi-Cal, joining the 7.3 million already in the program and another 3 million uninsured will be eligible for private insurance the Exchange.[i] Some want to shift an additional 1 million persons from the… more
California’s §1115 Waiver Implementation
| January 23, 2012 | Posted by Mike Sloyan under Legislation/Policy, Public Coverage, State, Waiver Reports |
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Introduction California’s §1115 waiver,[1] approved on November 1, 2010, provides the vital infrastructure to bridge current coverage options into 2014 and offers immediate support and relief to the financially hard pressed[2] safety net system and the individuals they serve. Local communities face the challenge of implementing three new programs at… more
2011 Regional Workgroup Executive Summaries
| October 17, 2011 | Posted by Kiwon Yoo under Public Coverage, Workgroups |
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The executive summaries from the first round of regional workgroups are now available. This post will be updated as the rest become available. more
Waiver Implementation Update (Oct 2011)
| October 11, 2011 | Posted by Lucien Wulsin under Public Coverage, Waiver Reports |
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The §1115 waiver approved for California on November 1, 2010 provides a bridge and other vital infrastructure to coverage in 2014 and offers immediate support and relief to the financially hard pressed safety net system and the individuals they serve. Local communities face the challenge of implementing three new programs… more
California’s Mental Health System
| August 24, 2011 | Posted by Sara Watson under Public Coverage |
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California’s Mental Health System: Aligning California’s physical and mental health services to strengthen the state’s capacity for federal coverage expansion Abstract This report will analyze the delivery of mental health services in California and will investigate the potential impacts of federal health reform legislation on the State and counties. California… more
The Exchange and Public Programs Report
| August 7, 2011 | Posted by Kiwon Yoo under Insurance Exchange, Program Simplification, Public Coverage |
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This working draft outlines public programs for adults, possible integration with the Exchange, and their future in a post-reform world.Programs covered include: the Medi-Cal program (including the Medically Needy and Pregnancy/Perinatal Care programs), county health programs, the §1115 Waiver, the Basic Health Plan, MRMIP and PCIP, Access for Infants and… more
Children’s Coverage and the Exchange
| June 9, 2011 | Posted by Kiwon Yoo under Insurance Exchange, Program Simplification, Public Coverage |
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This working draft outlines public programs for children, possible integration with the Exchange, and their future in a post-reform world.
Programs covered include: Healthy Families; Access for Infants and Mothers (AIM); Family Planning, Access, Care and Treatment (Family PACT); Child Health Disability and Prevention (CHDP); California Children’s Services (CCS); Healthy Kids and Children’s Health Initiatives (CHI); the Medi-Cal Pregnancy and Perinatal Care; and the Medi-Cal Medically Needy Program. more
