- September 29, 2014
County Organized Health System Medi-Cal Plans
Read moreIn certain counties, Medi-Cal managed care is operated by a single County Organized Health System (COHS). In COHS counties,…
- August 28, 2014
Lessons from CA: Medicaid Estate Recovery
Read moreCalifornia is among a limited number of states that recovers against the estates of its Medicaid beneficiaries for more…
- August 19, 2014
Managed Care in CA Series, Issue 1: Network Adequacy Laws (Revised May 7, 2018)
Read moreManaged Care and California Series Issue 1: Medi-Cal managed care plans are capitated, meaning. they receive a set payment…
- August 19, 2014
Managed Care in California Series, Issue 2: Network Adequacy Laws in Covered California Plans
Read moreManaged Care and California Series Issue 2: Covered California QHPs receive a set premium payment ("capitation") per enrollee in…
- July 30, 2014
Lessons from CA: Medi-Cal Application Backlog
Read moreMore than 600,000 applications are still pending a Medi-Cal eligibility determination as of July 2014. As with other states,…
- July 1, 2014
Coverage of Pregnant Women in California
Read moreThis chart shows pregnant women's current and future financial eligibility thresholds for Medi-Cal and advance premium tax credits in…
- June 27, 2014
Lessons from CA: Pregnant Women’s Coverage Options
Read moreThe ACA made many positive changes in health coverage for pregnant women. Many women now qualify for both pregnancy-related…
- May 30, 2014
Lessons from CA: Delaying 2014 Renewals for Medi-Cal Enrollees
Read moreIn June, current enrollees of California's Medicaid program, Medi-Cal, will be asked to complete a new renewal process and…
- May 8, 2014
Network Adequacy Laws in Medi-Cal Managed Care Plans
Read moreMedi-Cal managed care plans are capitated, meaning they receive a set payment per enrollee per month in exchange for…
