CHA News Article

Network Adequacy Report Released for Healthy Families Transition

The Department of Health Care Services (DHCS) has provided further details on the transition plan to move 863,000 children from the Healthy Families program into Medi-Cal. Specifically, DHCS announced that phase 1 of the transition will be split into two parts, with part A starting Jan. 1, 2013, and part B beginning March 1, 2013. In addition, in response to stakeholder concerns, DHCS has collaborated with the Department of Managed Health Care on a report assessing Medi-Cal managed care plans’ network adequacy. The report concludes that all health and dental plans in phase 1, part A, have adequate networks and provider capacity to transition children on Jan. 1, with the exception of HealthNet in San Diego county. The transition results from a provision included in the current state budget that aims to save $13 million in the 2012-13 state fiscal year and $73 million in each subsequent year. For more information, see attached documents.