Medi-Cal

As COVID-19 Crisis Continues, CoveredCA Extends Deadline to Sign-Up for Health Coverage

In the midst of the COVID-19 pandemic, many Californians losing jobs or hours are also losing their health care coverage. To help ensure that Californians are covered, Covered California, our state-based marketplace, announced an extension of the open enrollment period by another month, through the end of July. This extension is for both CoveredCA and off-exchange plans. Over 6 million Californians have filed for unemployment during the pandemic, and Covered California has seen a surge in enrollment of over 175,000 people. Health coverage is crucial at all times, but in the middle of a global pandemic it’s essential to ensure the health and well-being of yourself and your family. Especially for those who have lost employer-based coverage, Californians should take advantage of the new state […] Read More

2020-21 State Budget Deal Protects Many Key Health and Health Human Services – But Tough Cuts Made, and More Loom without Revenues

Governor Newsom and the California legislative leaders have announced a state budget deal today that pulls back many of the cuts to vital health and human services proposed in the May Revise, keeping this coverage and care intact as the state works to combat the COVID-19 pandemic. While some significant cuts were made, this budget deal staves off the worst of the proposed health care cuts which would have denied coverage to tens of thousands of low-income seniors, and cut benefits and access to health providers for millions more on Medi-Cal. The budget deal does still rely heavily on federal aid, which is currently pending in Congress. Health care advocates continue to call on the Federal Government to step in with financial […] Read More

CA Legislature Passes a 2020-21 State Budget That Protects Most Health and Human Services Programs – For Now

Deal with Governor Still Being Negotiated–Federal Funds and New State Revenues and Taxes Needed to Stop Trigger Cuts Today the California State Senate and Assembly passed a budget preserving most funding for vital health and human services programs, which are even more important as our state works to combat the COVID-19 pandemic. The budget passed by the California Legislature meets the constitutional deadline for passage, even as negotiations continue with Governor Newsom on a final budget. Those negotiations show signs that a deal to reject the worst of these health care cuts might be reached, but that would depend on new revenues, from federal funds or new state revenues. If the Governor adopts the Legislature’s version of the budget, it would rely on federal […] Read More

New CA Budget Proposes Major Cuts to Health and Other Needed Services, Even Worse Without Federal Assistance

Governor Gavin Newsom today unveiled his May Revision of the California State Budget which includes significant cuts to health, education, and other vital services in order to address the budget deficit caused by the COVID-19 crisis. In a stark contrast from the Governor’s initial proposal in January that had a surplus, Governor Newsom’s budget attempts to address an estimated $54 billion state deficit with deep cuts to the state budget–including to health and human services, a particularly harmful measure in the face of a public health crisis. Governor Newsom emphasized that much of these cuts could be minimized if Congress passes needed state aid, as House leadership has proposed in the pending HEROES Act up for a vote tomorrow. The State Legislature will now […] Read More

New Estimates on Job-Based Coverage Losses in California Highlight Need to Preserve and Strengthen Medi-Cal & Covered California

Researchers at the UC Berkeley Labor Center recently released a new report detailing the impact of job losses during the COVID-19 pandemic on Californians health coverage. The Center estimates that for every 100,000 California workers losing their jobs due to the pandemic, up to 67,000 workers, spouses, and children are at risk of losing job-based coverage. The report also estimates that most of these workers (over three-quarters) will likely be income-eligible for Medi-Cal or subsidized insurance through Covered California. These projections are based on workers in the industries with the highest risk of job losses due to the coronavirus pandemic including those in hospitality, retail, arts, sports, landscaping and transportation services. These workers were approximately 16% of the California workforce in 2018. This report joins with other […] Read More

New Month is a Good Time to Reassess Your Health Care Options

As we begin May, your health care coverage options may be changing as well. If you lost employment or hours in April, the beginning of the month is a good time to assess your health insurance status and make necessary changes. With unemployment claims rising, estimates suggest nearly two million Californians have also lost their employer-sponsored health care coverage. A change in income could mean you are now eligible for more help to access or afford coverage. Even if California didn’t have a requirement for health coverage, a public health pandemic is an important time to ensure that you and your family are covered. What is it? As California’s version of Medicaid, this program provides comprehensive health care coverage, often at no cost, […] Read More

During COVID-19 Crisis Enrollment in Covered California Continues to Grow

Covered California today released updated enrollment numbers showing that interest and sign-ups in the exchange continue to grow. Due to the COVID-19 pandemic, on March 20 Covered California announced a special enrollment period to last until June 30. Since then over 84,000 Californians have enrolled in health care coverage through Covered California—2.5 times more enrollments than during the same period last year. Covered California also announced a new E-mail outreach effort to over 11 million California consumers to help them better understand their health care options.   Federal and state investments in Covered California and Medi-Cal are more crucial than ever. Covered California’s surge in enrollment highlights the need for health care options for those losing their jobs and employer-based coverage […] Read More

California Expands Emergency COVID-19 Treatment Coverage

California continues to take urgent and necessary steps to fight the public health emergency  created by COVID-19. Late last week, California announced new measures to provide emergency coverage for COVID-19 testing and treatment for the uninsured and some underinsured. Under this new “presumptive eligibility” guidance by the Department of Health Care Services (DHCS), uninsured and some underinsured Californians will be able to get covered under emergency Medi-Cal for COVID-19 testing and treatment. This builds on earlier guidance from DHCS that clarified that Medi-Cal coverage for COVID-19 testing and treatment for those in restricted-scope Medi-Cal whether the emergency care takes place in inpatient or outpatient services, including hospitals or a community clinic. This new Medi-Cal aid code will reach beyond the 13 million Californians […] Read More

New DHCS Guidance Covers Emergency COVID-19 Treatment For All Medi-Cal Enrollees

The California’s Department of Health Care Services (DHCS) issued new guidance on the coverage of emergency COVID-19 inpatient or outpatient services in Medi-Cal. The new directive states that for all Medi-Cal beneficiaries, including those in restricted scope Medi-Cal, all testing and treatment of COVID-19 related emergencies will be covered by Medi-Cal, whether that treatment occurs in a hospital or a community clinic. Previously, DHCS had announced that all screening and testing of COVID-19 would be covered for Medi-Cal beneficiaries, but the new guidance expands this to cover all treatment related to a COVID-19 emergency, including if that testing or treatment is in an outpatient setting like a community clinic. This will benefit not just the 13 million Californians currently enrolled in Medi-Cal, but also the one million undocumented Californians in “restricted-scope” […] Read More

Initial Estimates Find Hundreds of Thousands of Californians Have Already Lost On-The-Job Coverage—with Projections into the Millions

Estimates released over the last week paint a dire picture of the health insurance benefits that have been lost as people lose their jobs amidst the COVID-19 pandemic. Initial estimates by the Economic Policy Institute suggests 3.5 million Americans—including 420,000 Californians—have lost their employment and their employer-based coverage in the two weeks after March 12th. With the number of Unemployment Insurance claims in California doubling since then, the number may have risen to over 800,000 already, if not more. Projections by Health Management Associates suggest the number might reach into the millions as the pandemic continues. If the unemployment rate continues to rise, projections estimate a huge increase in the number of Californians that will end up relying on coverage programs […] Read More