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Californiaās Medicaid program is relying heavily on community groups to deliver new social services to vulnerable patients, such as security deposits for homeless people and air purifiers for asthma patients. But many of these nonprofits face staffing and billing challenges and havenāt been able to deliver services effectively.
The legislature is considering taking the first steps to make Covered California plans available to immigrants without permanent legal status. The state has already extended Medi-Cal coverage to low-income immigrants.
Oregon is giving Medicaid patients air conditioners and other equipment to help them cope with soaring heat, smoky skies, and other dangers of climate change. Oregon health officials hope to show other states and the federal government that they can save lives and money.
California state lawmakers this year are continuing their progressive tilt on health policy, debating bills banning an ingredient in Froot Loops and offering free condoms for high schoolers.
A California law that takes effect this summer will grant minors on public insurance the ability to get mental health treatment without their parentsā consent, a privilege that their peers with private insurance have had for years. But the law has become a flashpoint in the stateās culture wars.
A state policy to extend Medi-Cal to qualified Californians without legal residency is running up against a federal requirement to resume eligibility checks. The redetermination process is causing many Latinos, who make up a majority of Medi-Cal beneficiaries, to be disenrolled.
Peer leaders can help ease the shortage of mental health providers and build trust through shared experiences, state health officials say. In 2022, California started allowing counties to use Medicaid dollars to pay them for their work.
California has supported expanded use of medications in the fight against opioid use disorder and overdose deaths. But hospitals and addiction treatment advocates say the state needs to secure ongoing funding if it wants more behavioral health workers to guide patients into long-term treatment.
Nearly 2 million Medi-Cal enrollees, mainly people who are aged, disabled, or in long-term care, can now accumulate savings and property without limitations and still qualify for the stateās health insurance program for low-income residents. They join an additional roughly 12 million enrollees who already had no asset limits.
States are using their Medicaid programs to offer poor and sick people housing services, such as paying six monthsā rent or helping hunt for apartments. The trend comes in response to a growing homelessness epidemic, but experts caution this may not be the best use of limited health care money.
The Biden administration is allowing states to use money from the insurance program for low-income and disabled residents to pay for gun violence prevention. California and six other states have approved such spending, with more expected to follow.
More than 1 million immigrants, most lacking permanent legal status, are covered by state health programs. Several states, including GOP-led Utah, will soon add or expand such coverage.
Californiaās Medicaid program is undergoing major changes that could improve health care for residents with low incomes. But they are happening at the same time as several other initiatives that could compete for staff attention and confuse enrollees.
Doulas, independent workers who act as advocates for birthing parents, have been shown to help prevent pregnancy complications and improve the health of both mothers and babies. Californiaās Medicaid program started covering their services this year, but some doulas say bureaucratic obstacles and inadequate pay prevent their effective use.
In the new year, Californiaās Medicaid program will open to otherwise eligible immigrants ages 26 to 49 without legal residency. They will join children, young adults, and adults over 50 enrolled in Medi-Cal through previous expansions to residents lacking authorization. The change is expected to add over 700,000 first-time enrollees.
The health care insurers, nonprofit organizations, and other groups responsible for implementing Gov. Gavin Newsomās ambitious plan to infuse Medicaid with social services say their ability to serve vulnerable, low-income Californians is hamstrung.
Californiaās Medicaid program is making it easier for people with diabetes to obtain the supplies and equipment they need to manage their blood sugar, partly by relaxing preauthorization requirements that can cause life-threatening delays.
Dignity Health is suing several patients and their advocates for ācommercial blockadeā for refusing discharge during the covid-19 pandemic. The lawsuits could set precedents for use of the California commercial blockade statute, conceived to constrain abortion protesters, and how hospitals handle discharges.
Teresa Johnson has been in extreme pain for more than a year after what she believes was a severe allergic reaction to iodine. Her Medi-Cal plan approved her referral to a specialist, but it took her numerous phone calls, multiple complaints, and several months to book an appointment.
Federal officials are trying to clamp down on private arrangements among some hospitals to pay themselves back for the Medicaid taxes theyāve paid. State health officials and the influential hospital industry argue that regulators have no jurisdiction over the agreements.
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