Medi-Cal Managed Care

CMS Issues Proposed Rules on Medicaid Access and Payment Rates

The Centers for Medicare & Medicaid Services (CMS) has issued two proposed rules related to Medicaid programs. The proposed rules are designed to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service and managed care delivery systems. Comments on both proposed rules are due to CMS by 2 p.m. (PT) on July 3.  

CalAIM Long-Term Care Carve-In

To increase access to comprehensive care coordination, care management, and a broad array of services for Medi-Cal beneficiaries, CalAIM is standardizing Medi-Cal Long-Term Care (LTC) across the state. Effective January 1, all managed care plans must authorize and cover medically necessary LTC services at Skilled Nursing Facilities.