Medi-Cal is California's Medicaid program — a public health insurance program that provides needed health care services for low-income families with children, seniors, people with disabilities, foster caregivers, pregnant women and low-income people with specific diseases, such as tuberculosis, breast cancer or HIV/AIDS. Medi-Cal is financed equally by the state and federal governments.
Medi-Cal is California’s Medicaid program — a public health
insurance program that provides needed health care services for
low-income families with children, seniors, people with
disabilities, foster caregivers, pregnant women and low-income
people with specific diseases, such as tuberculosis, breast
cancer or HIV/AIDS. Medi-Cal is financed equally by the state and
The Department of Health Care Services (DHCS) has renamed its
multi-year initiative to improve health outcomes and quality of
life for California’s Medi-Cal beneficiaries. Effective
immediately, the program previously known as “California
Advancing and Innovating Medi-Cal” will be called “Medi-Cal
Healthier California for All.”
Yesterday, CHA submitted
recommendations to the Department of Health Care Services
(DHCS) on its California Advancing and Innovating Medi-Cal
(CalAIM) initiative proposal,
the state’s multi-year initiative to redesign the Medi-Cal
California Surgeon General Dr. Nadine Burke Harris and Dr. Karen
Mark, medical director for the Department of Health Care Services
(DHCS), have unveiled a new
initiative to help health care providers screen patients for
adverse childhood experiences (ACEs) that increase the likelihood
of health conditions caused by toxic stress.
In a large showing of bipartisan support, 47 of the 53 members of
the California congressional delegation sent a
letter urging Speaker Pelosi and Minority Leader McCarthy to
eliminate the scheduled cuts to Medicaid disproportionate share
hospitals (DSH) for two years.
On Tuesday, the Centers for Medicare & Medicaid Services (CMS)
proposed rule titled “Medicaid Fiscal Accountability Rule.”
CHA is still analyzing the provisions outlined in the proposed
rule and the potential impact of new guidelines and reporting for
Medicaid supplemental payments and their financing arrangements.
Yesterday, the U.S. Senate passed a continuing resolution to
provide funding for the federal government for the first few
weeks of federal fiscal year 2020, which begins Oct. 1. Of
particular note for California’s safety-net hospitals, the
measure includes a provision to delay the Medicaid
disproportionate share hospital (DSH) cuts slated to take effect
on Oct. 1. The delay is in place until Nov. 21.
The Centers for Medicare & Medicaid Services (CMS) has issued a
final rule implementing reductions to Medicaid
disproportionate share hospital (DSH) allotments, as required by
the Affordable Care Act, beginning in federal fiscal year (FFY)
2020 through FFY 2025.
The California Health and Human Services Agency has developed a two-page guide — to the federal government’s new public charge rule, which changes the policy under which the federal government can deny immigrants U.S. entry or adjustment to their legal permanent resident status (e.g., green card) if they are determined likely to become dependent on public programs as their main source of support. The guide —which will be updated periodically — includes information on the programs subject to the new rule, who is affected, its impact on permanent legal residents, links to legal resources, and more.
The Supreme Court ruled
this week that the Department of Health and Human Services (HHS)
violated the Medicare Act when, in 2014, it changed the
calculation for payments to disproportionate share hospitals
(DSH). The 7-1 court ruling could affect billions of dollars in
Medicare payments to safety net hospitals.
The Centers for Medicare & Medicaid Services (CMS) has issued a
rule revising and updating requirements for
Programs for All-Inclusive Care for the Elderly (PACE). PACE
provides comprehensive medical and social services to individuals
who qualify for nursing home care but can still live safely in
A total of 302 members of Congress signed on to a
bipartisan House letter urging Congress to delay cuts to
Medicaid disproportionate share hospitals for at least two
years. An overwhelming majority — 48 of 53 — of members
of the California delegation cosigned the letter. CHA
strongly supports this bipartisan effort and thanks members for
their engagement on this critical issue.
As of April 1, 26 counties were approved to deliver Drug Medi-Cal
Organized Delivery System (DMC-ODS) services, representing nearly
88 percent of the Medi-Cal population statewide. Fourteen
additional counties are in various phases of implementation.
Yesterday, CHA issued a
news release on Gov. Newsom’s revised 2019-20 state budget.
CHA applauds the Governor for making investments that improve
Californians’ health and well-being, including: ongoing support
for expanding Medi-Cal coverage to young adults, regardless of
immigration status; imposing a state-level individual coverage
mandate; broader premium subsidies for low and middle-income
families; and significant investments in behavioral health.
On Feb. 28, the Centers for Medicare & Medicaid Services (CMS)
approved the Home- and Community-Based Services Assisted Living
Waiver (ALW) renewal, effective March 1, 2019, through Feb. 28,
2024. The renewal includes 2,000 slots added in the CMS-approved
amendment from October 2018, for a total capacity of 5,744.
The Department of Health Care Services (DHCS) last week received
federal approval of a three-year extension of its Cal MediConnect
(CMC) program, which provides coordinated services to patients
who are dually eligible for Medicare and Medicaid.
The Department of Health Care Services earlier this week
announced how it will distribute the Governor’s $100 million
budget allocation to support active Whole Person Care pilot
programs that provide housing services, as well as its
methodology for determining the distributed amounts.
Today, CHA member hospitals participated in a lobby action day in Sacramento to encourage legislators to ask the administration to reset the calculation of Proposition 55 funds. During the event, 20 hospital leaders met with key legislators and their staff, urging them to support the voters’ intent and direct crucial health care funding to Medi-Cal.