Medi-Cal Explained - California Health Care Foundation

Medi-Cal Explained
Medi-Cal is the foundation of California’s health care safety net and a major component of the state’s budget. The Medi-Cal Explained series provides an overview of the program, including the people it serves, the services it provides, and how it is organized, managed, and financed.

The Medi-Cal Program: An Overview

Margaret Tatar, Health Management Associates, Athena Chapman, Chapman Consulting

This publication offers an overview of the Medi-Cal program, which provides health coverage in California for low-income children and their parents, pregnant women, seniors, and nonelderly adults, including people with disabilities.

Medi-Cal Waivers and State Plan Amendments

Two short documents provide an overview of Medicaid waivers and State Plan Amendments, and how they are used in California. A one-page comparison chart shows the differences between these two policy instruments.

October 24, 2019

Webinar — Medi-Cal Explained: Waivers and State Plan Amendments

October 24, 2019

As California is set to launch the California Advancing and Innovating Medi-Cal (CalAIM) initiative, brush up on the fundamentals of waivers and State Plan Amendments, including what's in California's current Section 1115 and Section 1915(b) waivers.

Medi-Cal Eligibility and Enrollment: Current Status and Challenges

Health Management Associates

This fact sheet provides an overview of the eligibility determination and enrollment process for the Medi-Cal program.

Medi-Cal Payment to Managed Care Plans: Current Process and Challenges

Health Management Associates, Athena Chapman, Chapman Consulting

This fact sheet provides an overview of Medi-Cal managed care plans and how they are structured.

2019 Edition — Medi-Cal Facts and Figures

Len Finocchio, Matthew Newman, Eunice Roh, Blue Sky Consulting Group

Medi-Cal, Insurance Coverage

Medi-Cal, California’s Medicaid program, is the state’s health insurance program for low-income Californians, including children, people with disabilities, seniors, and low-income adults. Get the latest data on this program, which covers one in three Californians.

Medi-Cal and Behavioral Health Services

Health Management Associates

Medi-Cal, Behavioral Health

This fact sheet provides a high-level overview of how mental and behavioral health issues are managed in the Medi-Cal program.

The Medi-Cal Budget

Health Management Associates

This fact sheet describes the organization, funding sources, and process for developing the Medi-Cal program budget.

February 25, 2019

Briefing — Medi-Cal Explained: An Overview of Program Basics

February 25, 2019

This briefing provided an overview of the basics of the Medi-Cal program, including eligibility and enrollment, organization, oversight, and financing.

Accountability in the Medi-Cal Managed Care Program

This fact sheet provides an overview of how the Department of Health Care Services assesses quality of care provided by the more than 30 full-service and specialty managed care plans that participate in Medi-Cal's managed care program.