Medi-Cal Managed Care
Network Adequacy Standards in California: How They Work and Why They Matter
Amy Y. Gu, Michele Ellson, Katherine L. Gudiksen
Health Care Costs
In California, both state and federal laws impose provider network adequacy standards on health plans to ensure that the plans provide meaningful access to health care for enrollees. Yet these standards may put plans at a competitive disadvantage when negotiating contracts with providers such as specialists in short supply. This issue brief outlines considerations for policymakers.
School Mental Health 101: A Primer for Medi-Cal Managed Care Plans
National Center for Youth Law, California Children’s Trust
School Mental Health 101: A Primer for Medi-Cal Managed Care Plans introduces managed care plans to California’s vast and complex K–12 education system to help foster partnerships with schools to increase access to school-based and school-linked care for students on Medi-Cal.
CalAIM Explained: Overview of New Programs and Key Changes
CalAIM (California Advancing and Innovating Medi-Cal) will add new programs and make important reforms to many existing programs, bringing in significant federal matching dollars in addition to the millions allocated from the general fund. This explainer provides an overview of all the changes proposed.
Organizations React to Medi-Cal Managed Care Procurement Request for Proposals
Medi-Cal, Health Equity
In June DHCS issued a draft RFP for the first-ever statewide procurement for commercial Medi-Cal managed care plans. CHCF asked organizations to share the comments they submitted to the agency about the RFP. This report presents common themes from across those shared comments.
2021 Edition — Medi-Cal Facts and Figures
Len Finocchio, James Paci, Matthew Newman, Blue Sky Consulting Group
Medi-Cal, Coverage Trends
Medi-Cal, California’s Medicaid program, is the state’s health insurance program for Californians with low incomes, including children, people with disabilities, and seniors. Get the latest data on this program, which covers one in three Californians.
A Budget for California’s Future Good Health
July 27, 2021
Sandra R. Hernández
Behavioral Health, Expanding Health Coverage, Health Equity, Medi-Cal, Telehealth, Workforce
The California state budget for fiscal year 2021–22 represents a historic level of investment in health that will pay dividends for years to come.
CalAIM Explained: A Five-Year Plan to Transform Medi-Cal
California Advancing and Innovating Medi-Cal (CalAIM) is a far-reaching, multiyear plan to transform California’s Medi-Cal program and to make it integrate more seamlessly with other social services. The goal of CalAIM is to improve outcomes for the millions of Californians covered by Medi-Cal, especially those with the most complex needs. This fact sheet includes a high-level overview of the plan's details.
August 5, 2021
Webinar — Organizations React to Medi-Cal Managed Care Procurement Draft RFP
Medi-Cal, Payment & Financing
August 5, 2021
CHCF’s webinar on August 5 from noon to 1:15 PM (PT) highlighted the feedback provided to DHCS from various organizations on the Medi-Cal managed care procurement draft RFP.
Medical Respite: Post-Hospitalization Support for Californians Experiencing Homelessness
Aurrera Health Group
Homelessness & Health Care
Medical respite provides acute and postacute care for people experiencing homelessness who have recently been discharged from the inpatient setting. This report surveys the California medical respite landscape and examines the variation in programs by program components, funding sources and mechanisms, and challenges.
Health Disparities Require Bolder Action on Medi-Cal Managed Care Contracts
June 24, 2021
Health Equity, Medi-Cal, Payment & Financing
The draft RFP for Medi-Cal managed care procurement is a significant step forward, but California must do more to eliminate disparities in access and outcomes