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
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.
Both the Medicare Payment Advisory Commission (MedPAC) and the
Medicaid and CHIP Payment and Access Commission (MACPAC) have
issued their March 2019 reports to Congress, based on
recommendations approved at their January meetings. The
MedPAC report evaluates Medicare payment issues, while the
MACPAC report recommends — among other items — that if
planned Medicaid disproportionate share hospital (DSH) cuts
proceed, they should be phased-in to give states and hospitals
more time to respond.
Earlier this week, CHA attended a Senate Health Committee
informational hearing that examined strategies across all
purchasers and programs that have the objective of improving the
care delivered to people with chronic conditions.
informational series from the California Health Care
Foundation explains various facets of the Medi-Cal program,
including a program overview, challenges of program
eligibility and enrollment, the process and challenges of
payments to Medi-Cal managed care plans, the 2019 edition of
Medi-Cal facts and figures, the intersection of Medi-Cal and
behavioral health, and the Medi-Cal budget process.
Twenty-four counties have now been approved to deliver services
through the Drug Medi-Cal Organized Delivery System Waiver,
according to a recent update from the Department of Health Care
Services (DHCS), with 16 additional counties in various phases of
The Department of Health Care Services (DHCS) has released
All Plan Letter 19-002, which details reporting requirements
for Medi-Cal managed care health plans (MCPs) during the annual
network certification process.