CHA News Article

CHA Submits Comments on Medi-Cal Managed Care Network Adequacy Standards

Today, CHA — along with the California Association of Public Hospitals and Health Systems, Private Essential Access Community Hospitals, Inc., the California Children’s Hospital Association and the District Hospital Leadership Forum — submitted comments to the California Department of Health Care Services (DHCS) on its Medicaid Managed Care Final Rule: Network Adequacy Policy Proposal, released for public comment on Feb. 2. The document outlines California’s proposed network standards that conform to the network adequacy provisions of the Medicaid managed care and Children’s Health Insurance Program (CHIP) managed care final rule. The joint comment letter addresses time and distance and timely access standards, additional considerations for certain populations, alternative access standards, ensuring adequate payments to support access to care and stakeholder engagement.

Ensuring access for the Medi-Cal population is particularly important given its expansion under the Affordable Care Act (ACA) and the growth of Medi-Cal managed care throughout the state and across populations. Over 3.7 million individuals have become newly enrolled under Medi-Cal expansion. Medi-Cal — the largest Medicaid program in the nation — now serves over 13.6 million Californians, including approximately one-half of the state’s children. Nearly one in three Californians depends on the Medi-Cal program for all of their health care needs. Questions and comments about DHCS’ proposal should be submitted to DHCS at by tomorrow, Feb. 28.