Barbara Roth

New Managed Care Plan Changes in January Help Advance Health Equity, Access, and Accountability

What’s happening: Effective Jan. 1, 2024, Medi-Cal managed care plans (MCPs) will operate under a new and revamped contract intended to better advance quality, access, accountability, health equity, and transparency.   

What else to know: Also effective Jan. 1, 2024, MCPs available for enrollment in certain counties will change due to county-elected model changes, the awarding of new commercial MCP contracts, and/or the expansion of direct contracts with Kaiser Permanente.   

Full-Scope Medi-Cal Coverage Expanded to Eligible Adults Regardless of Immigration Status

What’s happening: Effective Jan. 1, 2024, California will provide full-scope Medi-Cal benefits to individuals ages 26 to 49, regardless of citizenship or immigration status, who otherwise meet financial eligibility criteria for the program.   

What else to know: The state previously expanded full-scope eligibility for similarly situated people ages 19 to 25 in 2020 and people 50 and older in 2022.   

Provisions of Prescription Error Legislation to Take Effect

What’s happening: Certain provisions in Assembly Bill (AB) 1286 (Haney, D-San Francisco) become effective Jan. 1, 2024. The California State Board of Pharmacy encourages licensees to immediately take steps for compliance. 

What else to know: The new law establishes a requirement for the reporting of medication errors that occur in the outpatient setting to an entity that will be approved by the board. The Enforcement and Compounding Committee (ECC) will begin its evaluation of entities in the coming months. 

California Dispensers Must Use New Reporting Format Starting Aug. 1

Starting Aug. 1, 2024, all California dispensers of controlled substances will be required to report dispensations to the controlled substance utilization review and evaluation system (CURES) using version 4.2B of the American Society of Automation in Pharmacy (ASAP) format. On and after this date, data submitted using the current CURES ASAP version 4.1 format will no longer be accepted.