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July 31, 2023
Roadmap for State Pharmacy Access Laws
Liz McCaman Taylor and Amy Chen Issue Brief, Manual/Report
This is a roadmap for state advocates, policymakers, and other stakeholders to understand how best to achieve legislation, state plan amendments, regulation, and other guidance that allow for pharmacist prescribing and pharmacy access for reproductive and sexual health medications, primarily self-administered contraceptives. *Liz McCaman Taylor is a former Senior…
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June 28, 2023
California Abortion Coverage in Medi-Cal and Private Insurance
Jasmine Young, Amy Chen, and Fabiola De Liban Fact Sheet, Guide
*Co-written with Xochitl Lopez-Ayala (Policy Advocacy Coordinator at ACCESS REPRODUCTIVE JUSTICE) Access to comprehensive health care, which includes abortion care, is critical to every person’s health and well-being. Abortions are legal in California. Both Medi-Cal and private health insurance plans in California are required to cover all abortions. This…
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May 17, 2023
Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights
Abigail Coursolle and Nancy Lam Issue Brief
Medi-Cal covers Specialty Mental Health Services (SMHS) for beneficiaries who need them. In California, County Mental Health Plans (MHPs) are responsible for providing SMHS to Medi-Cal beneficiaries of all ages. This issue brief analyzes the legal requirements that require MHPs to ensure Medi-Cal beneficiaries’ access to SMHS and maintain…
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February 24, 2023
Medi-Cal Dyadic Services Advocates and Consumer-Facing Factsheets
T. Nancy Lam Consumer Brochure, Fact Sheet, Toolkit
Effective January 1, 2023, Medi-Cal covers dyadic services for the entire family based on the Medicaid eligibility of a child (aged 0-20). To inform advocates and families this important new Medi-Cal benefit, NHeLP publishes a set of advocate-facing and consumer-facing factsheets on Medi-Cal Dyadic Services. Dyadic Services Factsheet (Consumers)…
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February 1, 2023
CMS Establishes Guardrails for Section 1115 Demonstrations for Justice-Involved Individuals in California Waiver
Jennifer Lav Issue Brief
Since Medicaid’s inception, the program has not covered services for any adult who is an “inmate of a public institution,." However, CMS recently granted a first-of-its-kind section 1115 “reentry demonstration” in California, creating a temporary, limited carve-out to the "inmate exclusion." Under the terms of the demonstration, California will…
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January 25, 2023
Medi-Cal Delivery System Changes in 2023 and 2024
Abigail Coursolle Fact Sheet
Through the combination of the ongoing implementation of the California Advancing and Innovating Medi-Cal (CalAIM) program in California and California’s reprocurement of its contracts with commercial health care service plans to deliver services to people in Medi-Cal managed care, California is making major changes to the delivery of Medi-Cal…
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Roadmap for State Pharmacy Access Laws

California Abortion Coverage in Medi-Cal and Private Insurance

Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights

Medi-Cal Dyadic Services Advocates and Consumer-Facing Factsheets

CMS Establishes Guardrails for Section 1115 Demonstrations for Justice-Involved Individuals in California Waiver

Medi-Cal Delivery System Changes in 2023 and 2024