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.

CHA Issues Summary of Medicaid Drug Rebate Program Proposed Rule

CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of a proposed rule to implement policies in the Medicaid Drug Rebate Program related to legislative requirements addressing drug misclassification, as well as drug pricing and product data misreporting by manufacturers. The proposed rule also includes several other program integrity and program administration provisions. Comments are due to the Centers of Medicare & Medicaid Services (CMS) by 2 p.m. (PT) on July 25 and can be submitted online. 

Reminder: CHA to Host Webinar on Implementing Age-Friendly Care Throughout the Health Care System

Older adults who experience acute health events are regularly managed through services provided in multiple settings – emergency departments, inpatient care, and post-acute care settings – and require several risky care transitions. These episodes are among the top drivers of health care costs and poor outcomes for aging populations. Hospitals have responded by implementing cross-continuum strategies to increase understanding of the unique needs of older adults and establish “age-friendly care.” On June 20, CHA will host a webinar where members can hear from West Health, a leader in the development of health care delivery models that improve care and access while reducing costs for the fast-growing, diverse population of older adults.

Federal Medicaid Proposed Regulations Webinar

CHA is hosting a webinar featuring Chad Mulvany, Vice President of Federal Policy, and Robert Ducay, Vice President of Policy. Both experts will discuss their insights and potential impacts related to these proposals. They will answer any questions you have about these proposed rules. 

CMS Removes COVID-19 Vaccination Requirements for Health Care Workers

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule withdrawing the COVID-19 vaccination requirements for workers in most health care settings that receive Medicare or Medicaid reimbursement. They include but are not limited to hospitals, dialysis facilities, ambulatory surgical settings, home health agencies, and long-term care facilities.   

AHA Issues Member Advisory as Debt Ceiling Negotiations Continue

As noted in CHA News last week, hospitals’ Medicare and Medicaid payments are at risk if an agreement to raise the nation’s borrowing limit, known as the debt ceiling, isn’t reached. As negotiations continue between President Biden and Speaker McCarthy, our national partners at the American Hospital Association have put together this Member Advisory to […]

Breaching the Debt Ceiling Will Likely Impact Medicare and Medicaid Payments

Congressional leaders and President Biden continue to try to find agreement on a plan to raise the federal debt limit. The borrowing limit for the federal government is set in statute and once it’s reached (known as the X date) the federal government can no longer meet its financial obligations. Once the limit is reached, it is unclear how the U.S. Treasury will disburse a limited pool of funds collected daily against a growing list of unmet obligations, including Medicare and Medicaid reimbursements to providers.