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Healthy Families Program (HFP) Transition To Medi-Cal

Back to Medi-Cal Eligibility

Pursuant to Assembly Bill (AB) 1494, (Committee on Budget, Chapter 28, Statutes of 2012), all Healthy Families Program (HFP) enrollees have transitioned to Medi-Cal as targeted low-income Medicaid children, as allowed under federal law, beginning January 1, 2013. The transition of approximately 875,000 HFP enrollees was implemented in phases over the course of one year and in a manner that minimized disruption in services, maintained adequate provider networks, and ensured access to care. Each Phase required an implementation plan, including information on health and dental plan network adequacy, continuity of care, eligibility and enrollment requirements, consumer protections, and family notifications.

The transition of HFP enrollees to Medi-Cal has simplified eligibility and coverage for children and families while providing additional benefits and lowering costs for children at certain income levels. The State also gained administrative efficiencies, achieved General Fund savings, and provided a more consistent health plan contracting process while increasing plan accountability for providing high quality services to children.
The California Health and Human Services Agency, in collaboration with the Department of Health Care Services, the Managed Risk Medical Insurance Board, and the Department of Managed Health Care collaborated with the Legislature and stakeholder partners to ensure a successful plan was created to transition the children from HFP to Medi-Cal.

To submit your inquiries regarding the HFP transition, please contact us.

Last modified on: 8/11/2014 8:24 AM