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- 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…
- November 7, 2024
Medi-Cal Services & Supports for Californians Transitioning Out of Incarceration
Read moreIn California, roughly one million adults and youth involuntarily enter or are released from a California public carceral system annually. At least 80 percent of individuals who are incarcerated in California are eligible for Medi-Cal and would benefit from Medicaid-covered services. In 2021, California rolled out the California Advancing…
- 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…
