Medi-Cal

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.

State Medicaid Agencies Can Apply for CMS Grant by Sept. 20

What’s happening: The California Department of Health Care Services (DHCS) is preparing to apply for a federal grant related to the Transforming Maternal Health (TMaH) model, which is projected to run for 10 years.   

What else to know: The Centers for Medicare & Medicaid Services (CMS) is accepting applications through Sept. 20. DHCS is planning to apply, with its pilot plan operating in Madera, Fresno, Kings, Tulare, and Kern counties. 

Hospitals Are Invited to Complete CalAIM Survey

What’s happening: The California Health Care Foundation (CHCF) and the Lucile Packard Foundation for Children’s Health are asking providers to share their experiences in a survey about the implementation of Medi-Cal’s California Advancing and Innovating Medi-Cal (CalAIM) waiver.  

What else to know: This survey is a follow-up to the initial survey conducted in the summer of 2023. The findings will be made public to help stakeholders, including policy makers, understand how CalAIM implementation is progressing. CHCF is asking hospitals to identify both the positives and the areas for improvement.  

Hospitals Can Now Apply for Funds to Treat Patients with Behavioral Health Needs

What’s happening: Following the March 2024 passage of CHA-supported Proposition 1, applications are now open for $4.4 billion in new Behavioral Health Continuum Infrastructure Program (BHCIP) funding to support capital projects that expand the behavioral health services continuum.  

What else to know: Hospitals can start the application process now for the first round of grants. Required pre-application consultation must be requested by Oct. 15, and applications are due by Dec. 13. 

MCO Funding Must be Restored

California’s Legislature has a little more than a week to finalize the state budget for the coming year — no small task given the multibillion-dollar, multiyear deficit at hand. 

DHCS Announces Upcoming Supplemental Payment Dates for 2023-24

What’s happening: The Department of Health Care Services (DHCS) will make April-May payments for state fiscal year (SFY) 2023–24 for the following programs on June 10:   Qualified Non-Designated Public Hospitals Disproportionate Share Hospital (DSH)  Private DSH Replacement    What else to know: The payments will have a warrant date of June 6. 

Behavioral Health Infrastructure Grants Available in July

What’s happening: The Newsom administration will start taking applications for behavioral health infrastructure grants this summer; hospitals will be eligible to apply. 

What else to know: When voters passed Proposition 1 on the March 2024 ballot, they approved a $6.4 billion bond to finance new investments in housing and treatment for Californians experiencing mental health conditions and substance use disorders.