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- 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…
- December 13, 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…
- November 7, 2024
Medicaid Eligibility for Incarcerated Individuals in California
Read moreHistorically, Medicaid has prohibited federal payments for health care services for adults and youth who are incarcerated. This federal law is known as the “inmate exclusion.” The federal law restricting Medicaid funds from paying for Medicaid services while an individual is in a carceral setting must not be confused…
- 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…
- July 15, 2024
Coalition Letter on California’s Essential Health Benefits Benchmarking
Read moreCalifornia is currently in the process of evaluating the State's Essential Health Benefits benchmark plan. In response to a request for comment from the Department of Managed Health Care, NHeLP and a coalition of statewide health advocacy organizations submitted a letter explaining why the benchmarking process presents an opportunity…
- 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…
