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Program Simplification

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

Medi-Cal Simplification: Opportunities to Streamline Enrollment Processes

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

The Exchange and Public Programs Report

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

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

Medi-Cal Simplification

OVERVIEW In its current state, the Medi-Cal program is large, complex, and slow moving.  For beneficiaries, county eligibility workers, and state administrators alike, the system is burdened by excessive bureaucracy and unnecessary complexity that oftentimes lead to significant barriers to coverage. For instance, there are currently some 35 eligibility categories […] more