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- August 14, 2024
Medi-Cal Intensive Care Coordination (ICC) & Intensive Home Based Services (IHBS): Access Standards and Beneficiary Rights
Carly Myers and Kim Lewis Fact SheetRead moreSome county mental health plans (MHPs) have policies and practices on ICC and IHBS that do not comply with state law and policy, such as imposing additional eligibility criteria or requiring prior authorization for ICC. This factsheet reviews the correct legal standards for ICC and IHBS access and outlines…
- May 22, 2024
Crosswalk Between Coverage of Behavioral Health Services in Medi-Cal and Private Plans in California
Read moreCalifornia is currently undergoing efforts to align coverage of behavioral health services in Medi-Cal (the State's Medicaid program) with coverage in private plans. To inform those efforts, this resource compares mental health and substance use disorder coverage requirements imposed, in state and federal law, on Medi-Cal with coverage requirements…
- April 24, 2024
Know Your Appeal Rights for the California Children’s Services Program
Read moreThe CCS Program can often be challenging to navigate for families with children with complex health needs. CCS children and their families who experience delays, denials, reductions, discontinuances or other changes to their CCS benefits have the right to appeal, including CCS children with Medi-Cal who have the additional…
- January 30, 2024
FAQ: Medi-Cal Managed Care Enrollment for Foster Youth
Read moreThis FAQ answers common questions about when children and youth in California's child welfare system about enrolling in Medi-Cal managed care plans.
- January 29, 2024
Medi-Cal Enhanced Care Management for Children and Youth
Read moreThis factsheet provides an overview of a new Medi-Cal managed care benefit called Enhanced Care Management (ECM) for children and youth with complex needs. It summarizes the ECM benefit, who is eligible for it, and how children and youth can access it.
- November 29, 2023
NHeLP Federal Comments on California CalAIM 1115 Waiver Amendment Submission
Abbi Coursolle CommentsRead moreIn comments to HHS, NHeLP provides several policy considerations regarding California's proposals to add Transitional Rent as an "In Lieu of Service" that Medi-Cal managed care plans could offer to enrollees.
