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.
DHCS Community Support Updates Take Effect July 1
What’s happening: The Department of Health Care Services (DHCS) has updated service definitions for four of the 14 community supports that Medi-Cal managed care plans (MCPs) may offer as part of the state’s Medi-Cal reform effort, California Advancing and Innovating Medi-Cal (CalAIM). The four updated service definitions go into effect July 1.
CHA Memo Helps Hospital EDs with Psychiatric Emergencies Under AB 1316
What’s happening: As of Jan. 1, hospital emergency departments (EDs) have a clear pathway for Medi-Cal reimbursement for behavioral health visits under CHA-sponsored Assembly Bill (AB) 1316 (2024). In a memo to members, CHA provides guidance to hospitals on the new requirements and their obligations for stabilizing or transferring individuals in EDs experiencing a mental health crisis.
Hospital Fee Program 8 Invoices Due April 8
What’s happening: Payments for the Hospital Quality Assurance Fee program 8 directed payment are due to the Department of Health Care Services (DHCS) by April 8.
CDPH Issues New Guidance to Support Doula Access in Hospitals
What’s happening: The California Department of Public Health (CDPH) released All Facilities Letter (AFL) 25-13 on March 24 that offers guidance to hospitals on supporting the Medi-Cal doula benefit — available since January 1, 2023 — and outlines recommendations for patient visitation policies and procedures.
Hospitals: Let Congress Know How Medicaid Cuts Will Impact People, Communities
What’s happening: As Congress works on a federal budget for 2026 that could result in devastating cuts to Medicaid (Medi-Cal in California), it is imperative that all hospital leaders let members of Congress know directly the impact these cuts will have on the people and communities they represent. Representatives will be home in their districts from April 11-27, which is an excellent time to invite your representative to come visit their local hospital.
DHCS Releases Private Hospital-Directed Payment Encounter Files
What’s happening: On March 14, the Department of Health Care Services (DHCS) uploaded three new hospital-directed payment encounter files, available via the Secure File Transfer Protocol site, that hospitals must download as soon as possible — they will be deleted within 45 days of the upload date.
New CHCF Poll Shows Overwhelming Support for Medi-Cal Across All Parties
What’s happening: On March 3, the California Health Care Foundation (CHCF) released a statewide poll that assesses attitudes about Medi-Cal and Covered California, and possible reductions to federal funding for both programs.
Hospitals: Now Is the Time to Speak Up About the Impact of Medicaid Cuts
What’s happening: As Congress works on a federal budget for 2026 that could result in devastating cuts to Medicaid (Medi-Cal in California), it is imperative that all hospital leaders let members of Congress know directly the impact these cuts will have on the people and communities they represent. One effective method is to submit an op-ed or Letter to the Editor to your local newspaper or another relevant news outlet, as did Elaine Batchlor, MD, who serves as CEO of MLK Community Healthcare in Los Angeles and as a CHA board member.