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- October 17, 2025
An Advocate’s Guide to Access GAC in CA: Chapter 3 Types of Coverage
Read moreThis chapter is part of NHeLP’s forthcoming Advocate’s Guide to Accessing Gender-Affirming Care in California. It provides an overview of types of health coverage people may have. It will help people to identify what kind of coverage they have, how it is regulated, and what laws and requirements apply…
- September 17, 2025
Medicaid Financing after OBBBA: State Directed Payments and Provider Taxes
Read moreThe so-called "One Big Beautiful Bill Act" (OBBBA) makes changes to complex but crucial Medicaid financing mechanisms that are likely to force states to reduce provider payments and limit benefits. This issue brief provides an overview of state directed payments and provider taxes and explains how they interact; how…
- July 29, 2025
Revisiting Managed Care Sanctions
Read moreThis issue brief is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care. It updates our research on Medicaid managed care sanctions by revisiting the states we profiled in 2022. We summarize recent sanctions content from the managed care websites of those states…
- July 28, 2025
Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised July, 2025)
Read moreFederal and state law and the state and federal Constitutions require that enrollees in Medi-Cal managed care plans receive notice, and grievance and appeal rights when they are denied access to medically necessary services. Frequently, however, enrollees fail to receive the required notice, get an inadequate notice, or do not…
- February 6, 2025
Protect Medi-Cal Funding 2025 series
Kimberly Lewis, Skyler Rosellini, Abigail Coursolle, Jules Lutaba, Jasmine Young, Fabiola De Liban, Amy Chen, Alicia Emanuel, Carly Myers, Alexis Robles-Fradet, and Héctor Hernández-Delgado Issue BriefRead moreCalifornia’s Medicaid program (Medi-Cal) provides a critical investment in the health of Californians. Medi-Cal coverage and services are tailored to meet the unique needs of low-income individuals and families, and provides the most affordable coverage. If Medicaid cuts are enacted, states like California will lose billions of dollars in…
