Medicare

About Medicare

The federal Medicare program is an essential pillar of the state’s health care system, supporting more than 6 million Californians over the age of 65 and younger Californians with disabilities. One in five hospitals is at risk of closing, in part because Medicare reimbursement rates are far lower than the cost of providing care. It’s essential that future federal Medicare policy protects patient care.

CalAIM Long-Term Care Carve-In

To increase access to comprehensive care coordination, care management, and a broad array of services for Medi-Cal beneficiaries, CalAIM is standardizing Medi-Cal Long-Term Care (LTC) across the state. Effective January 1, all managed care plans must authorize and cover medically necessary LTC services at Skilled Nursing Facilities.