Medi-Cal, California’s Medicaid program, is the main source of health insurance for more than seven million people, or one in five Californians. It pays providers for essential primary, specialty, acute, and long-term care services delivered to children, their parents, pregnant women, seniors, and nonelderly adults with disabilities. In fiscal year 2012–13, Medi-Cal is projected to draw more than $37 billion in federal funds into the state’s health care system and will account for nearly 23% of General Fund spending.
The program is in the midst of a major transformation, as it shifts most enrollees to managed care and prepares for a major expansion due to the Patient Protection and Affordable Care Act (ACA). Enrollment in the program will surge in 2013 as more than 850,000 children transition to Medi-Cal from the Healthy Families Program. Medi-Cal will see an estimated total increase of one million or more enrollees due to the ACA, including 680,000 people in 2014, the first year of Medi-Cal expansion under health reform.
As Medi-Cal evolves, it faces numerous challenges, including ensuring that enrollees have appropriate access to care and controlling health care costs. Medi-Cal Facts and Figures: A Program Transforms serves as an up-to-date overview of Medi-Cal, covering program eligibility and enrollment, benefits, service delivery, background on policy issues, budget, and forces that affect the program’s costs.
These materials are part of CHCF’s California Health Care Almanac, an online clearinghouse for key data and analyses describing the state’s health care landscape.