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- January 29, 2024
Medi-Cal Enhanced Care Management for Children and Youth
Read moreThis factsheet provides an overview of a new Medi-Cal managed care benefit called Enhanced Care Management (ECM) for children and youth with complex needs. It summarizes the ECM benefit, who is eligible for it, and how children and youth can access it.
- December 14, 2023
A Quick and Easy Method of Screening for Medicaid Eligibility under the Pickle Amendment: 2024 Update
Read more“A Quick and Easy Method of Screening for Medicaid Eligibility under the Pickle Amendment: 2024 Update” is a screening tool and chart, originally created by Gordon Bonnyman of the Tennessee Justice Center and updated by NHeLP, to determine if clients may be Medicaid eligible under the Pickle Amendment. The…
- December 6, 2023
Unwinding Call Center Data Shows Ongoing Problems
Read moreIn August 2023, CMS issued letters to states regarding unwinding data metrics as of May 2023, including data on call center operations. The call center data tracks average wait times and call abandonment rates. These CMS letters flagged 16 states regarding concerns on their call center data. Frustratingly, the…
- November 27, 2023
Continuity of Care in Medi-Cal Managed Care (Updated 2023)
Abbi Coursolle Fact SheetRead moreContinuity of Care (“COC”) is critical to Medi-Cal beneficiaries in a variety of circumstances. There are a number of laws and policies that govern COC for Medi-Cal beneficiaries, depending on the situation. Some of these protections are specific to Medi-Cal while others are more broadly applicable to people enrolled…
- September 28, 2023
Foster Youth Access to Medi-Cal Specialty Mental Health Services in the California Counties with the Largest Foster Care Populations
Carly Myers, Alexis Robles-Fradet, Abigail Coursolle, and T. Nancy Lam Issue Brief, Manual/Report, Fact Sheet, GuideRead moreChildren and youth involved in child welfare have complex mental health needs, due in part to their compounding experiences with trauma and often inadequate access to appropriate services. In California, the State’s Medicaid program (Medi-Cal) provides a critical safety net for foster children and youth. Under Medi-Cal, County Mental…
- September 18, 2023
EPSDT’s Legal Landscape & Implementation History
Amanda Avery and Jane Perkins Court Document, Health Advocate, Regulations and Laws, Fact Sheet, Case ExplainerRead moreThis Fact Sheet provides essential information to help advocates become EPSDT experts. After giving an overview to EPSDT, we focus on: (1) legislative milestones; (2) notable federal agency guidance; and (3) precedent-setting cases from the judiciary. Next, we provide a snapshot of states’ performance implementing EPSDT, using government reports…