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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.


Final Week of 2012 California Legislative Session: Votes Scheduled on ACA Implementation Legislation; New Bills Arise to Halt Healthy Families Transition to Medi-Cal

This week, the California Legislature is scheduled to vote on key pieces of legislation that will implement the Affordable Care Act (ACA) in California. Bills under consideration would enact key health insurance market reforms, including prohibiting denials of coverage for preexisting conditions and establishing an essential health benefits package for […] more

Basic Health Plan: Taking a Slow Deep Breath and Thinking of Alternatives

In the last few weeks, I have received many concerned inquiries about the Basic Health Plan (BHP). For lack of a better definition, a Basic Health Plan is a hybrid, – not Medi-Cal, not Medicare, not commercial insurance – an option for states to cover individuals with incomes between 133% […] more

The Puzzling Mystery of Shifting 0.9M Healthy Families Children into Medi-Cal

The Governor and the California legislature agreed to shift about 900,000 moderate-income children from Healthy Families to Medi-Cal. The shift is part of the legislature’s efforts to balance the state’s nearly $16 billion budget shortfall.[1] However, this particular effort will cost the state far more than it saves, disrupt children […] more

ITUP Summary of CHCF’s Medi-Cal Survey

This is an excellent overview of Medi-Cal on the cusp of reform. In general, current enrollees are happy with the program except for access to specialists. On the other hand most prospective enrollees are either uninformed about Medi-Cal or have negative perspectives about it.  This summary highlights the needs for both […] more

Summary of Federal Medicaid Eligibility Rule Changes

* 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

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

Medi-Cal Transformation

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

Thinking About Children’s Coverage

We need to thank the Brown Administration for their efforts to provoke all of our best thinking on the best way to cover California’s children in 2011, 2014 and onward. They propose to shift the 900,000 Healthy Families children into Medi-Cal beginning January 2012. Healthy Families covers uninsured children with […] more

Medi-Cal Restructuring

Health reform not only requires California to make notable changes to the Medi-Cal program, it also offers our state the opportunity to radically simplify coverage and allow Med-Cal to become the cornerstone of a more streamlined, system-wide approach to covering low income citizens and legal permanent residents. First, there are […] more

Restructuring Medi-Cal

Health reform not only requires California to make notable changes to the Medi-Cal program, it also offers our state the opportunity to radically simplify coverage and allow Med-Cal to become the cornerstone of a more streamlined, system-wide approach to covering low income citizens and legal permanent residents. First, there are […] more