Care program Feds approve state’s Medicaid overhaul
CalAIM — California Advancing and Innovating Medi-Cal — intends a more comprehensive approach that improves the “entire continuum of care” across the program that
Starting with the new year Saturday,
“We’re making
Aside from covering one of every three Californians,
The goal of the new approach is to prioritize prevention and address underlying societal conditions, particularly in populations that have had fewer health care services and faced structural racism in health care, said
California’s Medicaid program offers government-funded insurance to people 50 and over and 25 and younger regardless of their immigration status.
The coordinator can help
“The goal here is to extend supports and services beyond hospitals and health care settings directly into communities that need it most,” said
The state is shifting four programs — Medi-Cal Managed Care, Dental Managed Care,
Medicaid services will now for the first time formally include substance abuse treatment, including short-term residential treatment when needed.
The program also expands certain dental benefits statewide, including efforts to spot risk factors for dental decay in children and provide silver diamine fluoride for kids and other high-risk populations.
The state promises under the new system to better coordinate programs under one managed care plan for older residents who are eligible for both
The federal approvals also renew a statewide funding pool for care provided to California’s remaining uninsured residents, such as those served by public hospitals.
Those 21 public health care systems include just 6% of California’s hospitals, but they said they provide 40% of hospital care to the remaining uninsured and 35% of hospital care to
The new approvals also restore coverage of chiropractic services for
Another pending waiver would allow
State law going in effect Jan. 1 targets surprise medical bills
Record Number Of Americans Sign Up For ACA Health Insurance
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