About Medi-Cal
More than 15 million Californians rely on Medi-Cal, the state’s version of the federal program known as Medicaid, for health insurance. The program acts as California’s health care coverage safety net, with those on Medi-Cal often living 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.
CMS Proposes Changes to Medicaid Provider Tax Rules
What's happening: The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule implementing the provider tax provisions included in the One Big Beautiful Bill Act (OBBBA), while also proposing additional policy changes that would strengthen federal oversight of Medicaid provider taxes.
DHCS to Host July 30 Town Hall on Enrollment Requirements for Pharmacy and Medical Billing Claims
What’s happening: The Department of Health Care Services (DHCS) will host a town hall on July 30 at 9:30 a.m. (PT) to explain Ordering, Referring, and Prescribing (ORP) enrollment requirements for claims across both pharmacy (Medi-Cal Rx) and medical (CA-MMIS) billing systems. While event registration is currently full, interested members should join the waitlist — CHA...
DHCS Releases Hospital Fee Program 9 Draft Fee & Payment Schedule
What's happening: With the major federal approvals of Hospital Fee Program 9 on June 26, the Department of Health Care Services (DHCS) can begin assessing the fee and implementing the managed care portion of the program. While federal approval of the fee-for-service (FFS) payment components is still pending and expected to be received in the coming weeks,...
DHCS Publishes APLs on Several Medi-Cal Managed Care Plan Policies
What is happening: The Department of Health Care Services has published All Plan Letters (APLs) updating policies for Medi-Cal managed care plan (MCP) coverage of skilled nursing, subacute care, and intermediate care facility services.
2026-27 State Budget Includes Support for Distressed Hospitals
What’s happening: This week, Gov. Gavin Newsom signed into law the 2026-27 fiscal year state budget. Of note to hospitals, the final budget agreement includes $135 million to help financially distressed hospitals and $250 million to support public hospitals.
DHCS to Host July 9 Webinar on Value Strategy
What's happening: The Department of Health Care Services (DHCS) will host a public webinar on July 9 from 3:30 to 5 p.m. (PT) to discuss its long-term vision for advancing value in Medi-Cal.
Summaries Detail Changes to Medicaid Payments, Work Requirements
What’s happening: CHA is sharing two analyses prepared by Health Policy Alternatives (HPA) that cover Medicaid rules on directed payments and targeted supplemental payments as well as the implementation of community engagement (work requirement) provisions.
Immediate Action Needed for Prescribers: Ensure Enrollment as Medi-Cal FFS Provider
What’s happening: 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. Prescribers not yet enrolled should immediately submit their Medi-Cal provider enrollment application via the Provider Application and Validation for Enrollment page.
Reminder: Include ICD-10-CM Diagnosis Codes on Medi-Cal Rx Claims
What’s happening: As a reminder, ICD-10-CM diagnosis codes will be required for Medi-Cal Rx claims starting this fall.
Fact Sheet: Medicaid in California
Medicaid in California
Medicaid is a lifeline to millions of Californians