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Medi-Cal

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.


Creating a Streamlined Service Center for California’s Health Subsidy Programs

The California Health Benefit Exchange, in coordination with the Department of Health Care Services (DHCS), will launch a new service center in 2014 to provide individuals and families with a unified eligibility determination and enrollment portal. This service center will allow consumers to learn about their coverage options and simultaneously […] more

2012 Health Care Financing Report

The Health Care Financing Report examines the state’s budget, health expenditure trends, fiscal future, Proposition 30, and the state of public programs (Medi-Cal, Healthy Families, the Major Risk Medical Insurance Plan, Access for Infants and Mothers, Family PACT, Genetically Handicapped Persons Program).  The full report can be downloaded below. The State […] more

Survey of State Medicaid Programs Finds Program Spending at Near-Record Low, Slowing Enrollment and Provider Payment Cuts Cited As Causes

A Kaiser Family Foundation survey of Medicaid programs in all 50 states and the District of Columbia found that overall Medicaid program spending is nearly at a record low in 2012. State Medicaid programs also expect similar spending figures in 2013. The survey cites two chief reasons for the reduced overall […] more

Governor Brown Signs Health Reform Legislation, but Vetoes Some Measures

Over the weekend, Governor Brown signed legislation that implements central parts of the Affordable Care Act (ACA) in California. These pieces of legislation define the essential health benefits package, increase oversight of the small group health insurance market, inform individuals of insurance coverage options when they experience a major life […] more

Medi-Cal in Rapid Transition

California is in the process of substantially transforming the Medi-Cal program. This overhaul necessitated by several factors, including implementation of the state’s §1115 waiver, implementation of the Affordable Care Act (ACA), persistent budgetary difficulties,2 and other opportunities to improve the effectiveness and efficiency of care through the rapid expansion of […] more

Affordable Care Act Provisions for Consumers

The Affordable Care Act (ACA) was the most consequential piece of health care legislation in decades and remains deeply controversial among the American public more than two years after becoming law. Even though some individuals have strongly held opinions about the law, much of the public still has a relatively […] more

In Final Week of 2012 Session, California Legislature Passes ACA Implementation Legislation, Effort to Restore Healthy Families Fails

Last week was the final week of the 2012 legislative session, and the California Legislature passed several key pieces of health reform legislation. Many of the bills implement central elements of the Affordable Care Act (ACA) in California. Governor Brown will have the month of September to decide whether to […] more

An Initial Report on Mandatory Enrollment of Medi-Cal’s Seniors and People with Disabilties into Managed Care

The California Healthcare Foundation (CHCF) recently released a report examining health plans’, providers’, and stakeholders’ experiences during Medi-Cal’s mandatory transition of seniors and people with disabilities to managed care as a part of California’s “Bridge to Reform” 1115 waiver. The managed care expansion primarily affected 240,000 beneficiaries in 16 counties […] more

Mental Health and Substance Abuse in CA’s Public Health Programs

California has had a unique mixture of behavioral health silos[1] that are going to need to evolve under the Affordable Care Act. In this paper, we will try to summarize its current state, the needed evolution and the benefits to patients and their improved health outcomes. The full report is […] more

DHCS Rural Managed Care Expansion Stakeholder Webinar

On August 28, 2012, the Department of Health Care Services (DHCS) held a stakeholder webinar about the Medi-Cal rural managed care expansion. The webinar began with a review of the request for application (RFA), and DHCS officials indicated that they are working to release the RFA in September. DHCS representatives […] more