California’s Healthy Families Program Transition – Closed in September 2013


In January of 2013, California began a year-long transition of more than 800,000 children from the Healthy Families program to the Medi-Cal program.

Issue Analysis

Each of the four transition phases, which group the roughly 860,000 current Healthy Families beneficiaries by plan type and region, is contingent on federal approval to ensure continuity of care and other quality and access metrics are maintained throughout the process. Following the final transition phase, scheduled to begin no sooner than September 1 of 2013, the Healthy Families program should be fully incorporated into Medi-Cal.

Beneficiaries with family incomes up to 250 percent of the federal poverty level (FPL), previously eligible for Healthy Families, will be enrolled in Medi-Cal’s new Optional Targeted Low Income Children’s Program (OTLICP). School districts participating in the Medi-Cal Administrative Activities (MAA) and LEA Billing Option programs are likely to see an increase in their Medi-Cal percentages as a result of the transition.

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