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- August 19, 2014
Managed Care in California Series, Issue 2: Network Adequacy Laws in Covered California Plans
Read moreManaged Care and California Series Issue 2: Covered California QHPs receive a set premium payment ("capitation") per enrollee in exchange for providing services. The plans accept the risk of incurring a loss if they spend more on services than they receive through the premium payments, but they will make…
- July 30, 2014
Lessons from CA: Medi-Cal Application Backlog
Read moreMore than 600,000 applications are still pending a Medi-Cal eligibility determination as of July 2014. As with other states, problems with California's new eligibility and enrollment system are at the heart of California's backlog. In this month's, Lessons from California, we highlight how NHeLP is working with advocates in…
- July 14, 2014
CMS California Mitigation Letter
Read moreDownload the document for full publication text.
- July 1, 2014
Coverage of Pregnant Women in California
Read moreThis chart shows pregnant women's current and future financial eligibility thresholds for Medi-Cal and advance premium tax credits in California.
- June 27, 2014
Lessons from CA: Pregnant Women’s Coverage Options
Read moreThe ACA made many positive changes in health coverage for pregnant women. Many women now qualify for both pregnancy-related Medicaid and financial assistance in the Marketplace. In this month's, Lessons from California, we highlight how NHeLP worked with California advocates to provide comprehensive Medi-Cal coverage for pregnant women, including…
- May 30, 2014
Lessons from CA: Delaying 2014 Renewals for Medi-Cal Enrollees
Read moreIn June, current enrollees of California's Medicaid program, Medi-Cal, will be asked to complete a new renewal process and be evaluated under the new MAGI eligibility rules. But with nearly one million Medi-Cal applications still pending and a faulty IT system unable to accurately determine Medi-Cal eligibility, hundreds of…