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 has released its monthly
Stakeholder Communication Update. Among other topics, the
February edition includes information on the department’s
leadership transitions; the Governor’s proposed budget; the
Behavioral Health Integration Incentive Program; the Drug
Medi-Cal Organized Delivery System; the medication-assisted
treatment expansion project; the transition of pharmacy services
from Medi-Cal managed care to fee-for-service; nonmedical
transportation providers in Medi-Cal fee-for-service; Medicaid
optional benefits restoration; trauma screenings; and upcoming
meetings and webinars.
The Department of Health Care Services (DHCS) is hosting a live
webinar from noon to 1 p.m. (PT) on Feb. 26 with California’s
Surgeon General Dr. Nadine Burke Harris, MD, MPH. The webinar
marks the first in a series and will provide an overview of
the Adverse Childhood Experiences (ACEs) Aware initiative.
The Department of Health Care Services will hold a public forum
Feb. 18 from 2 – 3 p.m. to update stakeholders about its
transition of Medi-Cal pharmacy services from managed care to
fee-for-service. All interested organizations — including
hospitals, clinics, health plans, counties, pharmacies, tribal
health programs, and consumer advocates — are invited to
participate either in person or via webinar.
Last week, CHA
submitted comments to the Department of Health Care Services
(DHCS) on its proposal to discontinue Cal MediConnect and the
Coordinated Care Initiative and transition to a statewide managed
long-term services and supports (MLTSS) and dual eligible special
needs plan (D-SNP) structure.
Today, CHA submitted
comments on the Medicaid fiscal accountability proposed
rule issued by the Centers for Medicare & Medicaid Services
(CMS). CHA thanks members for their input, which helped inform
our comments, and for taking time to submit individual comment
letters. There is still time to submit letters, which must be
received by 2 p.m. (PT) tomorrow.
The Centers for Medicare & Medicaid Services (CMS) has
issued guidance to state Medicaid directors announcing a new
demonstration called the Healthy Adult Opportunity initiative. It
would allow states to operate their program within a defined
budget target – set on either total expenses or per-enrollee
basis – commonly known as “block grants.”
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.
CHA, 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 have submitted a
joint letter opposing the Centers for Medicare & Medicaid
proposed rule that would rescind current requirements for the
way states assure access to covered Medicaid services.
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