Health Agency Opposes Bill to Create Children’s Medi-Cal Advisory Panel

State health officials have logged official opposition to a bill designed to create an advisory committee on Medi-Cal children's issues. In a letter last week to the bill's author, officials from the Department of Health Care Services said they were taking a stand against a legislative proposal to transform the Healthy Families Advisory Board into the Medi-Cal Children's Health Advisory Panel. ...

State Agency Nearing Extinction: “We Have Accomplished Our Mission”

It's a little quieter these days in the hallways and cubicles of the Managed Risk Medical Insurance Board, the state agency that has overseen programs including Healthy Families, Access for Infants and Mothers and California's Preexisting Condition Insurance Plan. The Affordable Care Act, combined with the state's creation of a health benefit exchange and expansion of the Medi-Cal program, have...

California’s In-Person Assistance (IPA) Program Provides New Opportunity for School Districts

As part of California's outreach and enrollment efforts related to health reform, school districts have an opportunity through the In-Person Assistance Program (IPA) to become Certified Enrollment Entities (CEEs) and receive compensation for successful enrollment and re-enrollment of students and families into Medi-Cal or Covered California health plans. School Medicaid Link Schools have...

14% of Uninsured Kids Eligible for Public Insurance Live in California

Nearly 37% of all U.S. children who are eligible for public health insurance programs but who remain uninsured live in California, Florida and Texas, according to a Robert Wood Johnson Foundation report, UPI reports (UPI, 9/18). Details of Report The report -- which was conducted by Urban Institute researchers -- found that the national rate of children who were eligible for public health...

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

Summary 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...

Kaiser Family Foundation Releases Issue Brief on Aligning Eligibility for Children Under the Affordable Care Act

On August 15, 2013 the Kaiser Family Foundation released an Issue Brief regarding the "stairstep" eligibility rules for children covered by Medicaid under the Affordable Care Act (ACA). The "stairstep" eligibility refers to current requirements that all states minimally cover children under the age of six in families with income of up to at least 133 percent of the  federal poverty level (FPL) in...

Healthy Families Transition Concerns Highlighted as Most Difficult Phases Start

The third phase of the Healthy Families transition begins today, and it could be a bumpy passage. The first two phases moving about 615,000 Healthy Families children to Medi-Cal managed care plans have gone relatively smoothly, with almost all of those children retaining their health plan and roughly 94% of them retaining their primary care physician, according to the Department of Health Care...

DHCS Updates Healthy Families Program Transition to Medi-Cal FAQs and Network Adequacy Reports for Phases 3 & 4

The California Department of Health Care Services (DHCS) has provided new and updated Frequently Asked Questions (FAQs) and Network Adequacy Assessments to their website regarding the ongoing transition of Healthy Families Program beneficiaries to Medi-Cal. Posted FAQs address several service and care questions and are categorized by audience type and issue (for example: mental health...

Healthy Families Program Transition to Medi-Cal: Monitoring Report and Summary Published for Phases 1C and 2

Assembly Bill 1494 requires the California Department of Health Care Services (DHCS) to submit monthly reports on the Healthy Families Program transition to Medi-Cal. On May 15, 2013 the fourth report, on Phases 1C and 2 of the transition, was published. Included in the April Monitoring Report and Summary is data related to: maintaining coverage for transition children, the appropriate...

California HealthCare Foundation Publishes New Report on the Changing Face of Medi-Cal

In CHCF's latest report, 'Medi-Cal Facts and Figures: A Program Transforms', they provide an overview of the program's key features, describe how the program is evolving, and examine the challenges ahead. Medi-Cal, California's Medicaid program, pays providers for essential primary, specialty, acute, and long term care services delivered to more than seven million Californians: children,...