About Medi-Cal
More than 15 million Californians rely on Medi-Cal, the state’s health care coverage safety net, for health insurance. Two-thirds of those on Medi-Cal are people of color and often live in communities with a lack of adequate health care providers. Without significant investments to support providers that deliver health care to California’s most vulnerable, millions living in rural and underserved areas are in jeopardy.
Medi-Cal is California’s version of the federal program known as Medicaid. To learn more about CHA’s work to protect Medicaid, visit our federal resource page.
Future of Medi-Cal Commission Advisory Group Discusses Draft Priorities
What’s happening: The Advisory Group for the Future of Medi-Cal Commission held its second meeting on March 3. The group met to review and provide feedback on draft priorities that will help shape the commission’s recommendations for the long-term direction of California’s Medicaid program.
State Consulting Contract Targets Medi-Cal Oversight, Program Integrity, and Hospital Payment Reform
What’s happening: The California Department of Finance has hired Boston Consulting Group — under a contract worth up to $20 million — to identify cost savings and operational improvements across several state programs, including oversight of Medi-Cal managed care plans, Medi-Cal fraud detection, and hospital payment policies.
Commission Examines System-Level Challenges During First Meeting
What’s happening: The Future of Medi-Cal Commission meeting on Jan. 22 brought commissioners together for the first time, giving the group an opportunity to introduce themselves and start tackling the challenges facing Medi-Cal.
Following State Bill Intro Deadline, Focus Remains on Financial Instability
Last Friday marked the deadline to introduce bills for the 2026 state legislative session. While the focus for this year will be on CHA’s two sponsored bills, there are several concerning pieces of legislation that will demand intensive engagement. (All told, about 1,800 bills have been introduced this year.)
CalAIM Section 1115 Renewal Open for Public Comment Until March 12
What’s happening: The Department of Health Care Services (DHCS) has opened a 30-day public comment period — ending on March 12 — to solicit feedback on a five-year renewal request of the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration.
DHCS Issuing DSH Payments Starting This Week
What’s happening: The Department of Health Care Services (DHCS) will issue full disproportionate share hospital (DSH) payments beginning on Feb. 20.
Action Needed for Prescribers: Ensure Enrollment as Medi-Cal FFS Provider
What’s happening: Beginning on June 26, claims and prior authorizations will not be processed by Medi-Cal Rx if the prescribing health care provider is not enrolled in Medi-Cal fee-for-service (FFS) with a Type 1 National Provider Identifier (NPI).
Insurance Companies Play Blame Game, But They Have Much to Answer For
Late last month, the chief executives of some of the nation’s largest insurance companies — UnitedHealth, CVS, Cigna, Elevance, and the California Blues — trekked to Capitol Hill for a day of hearings where federal lawmakers probed one of the most pressing issues of the day: health care affordability.
CMS Issues Updated Guidance on Medicaid State-Directed Payments
What’s happening: On Feb. 2, the Centers for Medicare & Medicaid Services (CMS) issued a letter providing guidance on Section 71116 of the One Big Beautiful Bill Act, which eventually limits the total managed care payment rate received by hospitals to Medicare levels after a temporary grandfathering period. This letter supersedes the guidance CMS released on Sept. 9, 2025.
Federal Spending Deal Includes Key Wins for Hospital Care
Hospitals and health systems are getting some financial relief and operational predictability, thanks to a bipartisan health care spending bill signed by President Trump earlier this week.