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Public Coverage

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.


Providing Health Care to the Residually Uninsured in a Post-Reform World

On March 23, 2010, the Patient Protection and Affordable Care Act (ACA) was signed into law, laying the groundwork for many health reforms, including the expansion of Medicaid, increasing coverage of preexisting conditions through guaranteed issue, and the establishment of statewide and/or regional health insurance exchanges. Although these reforms will provide […] 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

Summary of §1115 Waiver

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

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

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

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)

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

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