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 federal governments.
The Medi-Cal Inmate County program will begin April 1 for participating counties, including Alameda, Fresno, Kern, Los Angeles, Sacramento, Santa Clara and Stanislaus. Calaveras, Placer and San Luis Obispo counties are scheduled to begin July 1. Providers that treat inmates under the custody of counties that have opted into the Medi-Cal Inmate County program should bill Medi-Cal directly for services provided on or after their agreement date. Applicable services include inpatient services at a medical facility located off the grounds of the correctional facility for an extended stay of more than 24 hours. For more information and a full list of participating counties, visit the Medi-Cal website. Questions should be directed to DHCSIMCU@dhcs.ca.gov.
Seema Verma was confirmed this week as the Administrator for the Centers for Medicare & Medicaid Services. Verma was previously an Indiana-based consultant and worked with Vice President Mike Pence to reform Indiana’s Medicaid program. Verma was confirmed by the U.S. Senate by a vote of 55 to 43.
The California Department of Health Care Services (DHCS) has extended the deadline for 2016 attestations for the Electronic Health Record (EHR) Incentive program to May 2. Meaningful use (MU) attestations for program year 2016 will be accepted until that date; the State Level Registry will then switch to accepting 2017 MU attestations only, which initially will only be available for Stage 2. Providers will not be able to attest to Stage 3 until Oct. 24. Those that have previously attested to MU will be required to use a full year reporting period for clinical quality measures (CQMs), while providers that have not previously attested to MU will be able to use 90-day reporting periods for both CQMs and objectives. DHCS has requested that the reporting periods for objectives and CQMs be 90 days for all providers, but has not yet received approval from the Centers for Medicare & Medicaid Services. Providers that are ineligible for the Medicaid EHR Incentive program may submit an alternate MU attestation to avoid Medicare payment adjustments; that deadline has been extended to March 13. More information is available at http://medi-cal.ehr.ca.gov/.
Hospitals can play an important role in reducing the number of uninsured through the Hospital Presumptive Eligibility (HPE) program. The HPE program will allow all hospital Medi-Cal providers — including any clinic on a hospital’s license — to provide potentially-eligible individuals with temporary, full-scope Medi-Cal benefits.