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April 8, 2020
Medi-Cal Telehealth Guidance During the COVID-19 Emergency
Fabiola De Liban Fact Sheet
The COVID-19 pandemic has highlighted the importance of telehealth in delivering critical health care when people are not able to receive health services and supplies in person. Consequently, the state is implementing many policy changes to make sure that Californians are receiving the health care they need. Fortunately, California…
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April 8, 2020
Telehealth Guidance for California Private Plans During the COVID-19 Emergency
Abigail Coursolle Fact Sheet
In California, most private health coverage plans are regulated by one of two regulators. California’s Department of Managed Health Care (DMHC) licenses most fully-insured health maintenance organization (HMO) plans in California, including most Covered California plans, and many private individual, small, and large group plans. The DMHC also regulates…
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December 18, 2019
Advocate Fact Sheet: Evaluating Mental Health Plans’ Provision of Medi-Cal Specialty Mental Health Services
Héctor Hernández-Delgado Fact Sheet
Medi-Cal beneficiaries in California receive mental health services through two separate managed care systems. Medi-Cal Managed Care Plans (MCPs) are responsible for providing non-specialty mental health services and County Mental Health Plans (MHPs) are responsible for providing specialty mental health services (SMHS). This bifurcated system often serves as a…
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October 21, 2019
Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised October, 2019)
Abigail Coursolle Issue Brief
Federal 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…
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October 10, 2019
Pre-Convening Paper: Overview of Medi-Cal’s Behavioral Health System & Necessary Safeguards for an Integrated System
Kimberly Lewis, Abigail Coursolle, and Héctor Hernández-Delgado
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August 7, 2019
Beyond the Law: The Challenge of Marketplace Coverage of Abortions
Fabiola De Liban and Alexis Robles-Fradet Manual/Report
From the Fall of 2017 to Spring of 2018, the National Health Law Program (NHeLP) examined if and how Marketplace plans cover abortion services in the states that do not prohibit such coverage. Our research only looked at publicly available information, principally the plans’ Summary of Benefits and Evidence…
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Medi-Cal Telehealth Guidance During the COVID-19 Emergency

Telehealth Guidance for California Private Plans During the COVID-19 Emergency

Advocate Fact Sheet: Evaluating Mental Health Plans’ Provision of Medi-Cal Specialty Mental Health Services

Internal and External Review: Medi-Cal Managed Care Plans Managed Care in California Series Issue No. 4 (Revised October, 2019)

Pre-Convening Paper: Overview of Medi-Cal’s Behavioral Health System & Necessary Safeguards for an Integrated System

Beyond the Law: The Challenge of Marketplace Coverage of Abortions