Ley del Cuidado de Salud a Bajo Precio
Under the Affordable Care Act (ACA), states were authorized to expand Medicaid, effective January 1, 2014, to many low-income individuals under age 65 who were previously ineligible for coverage. The ACA established a new income eligibility limit of 138 percent of the federal poverty level, increasing the number of Californians eligible. As of March 2016, more than 4.7 million Californians have begun receiving comprehensive health care benefits provided by Medi-Cal since the ACA was implemented.
The Department of Health Care Services’ (DHCS) vision is to preserve and improve the physical and mental health of all Californians, and the department’s mission is to provide Californians with access to affordable, high-quality health care, including medical, dental, mental health, substance use treatment services, and long-term care. The ACA’s expansion of Medi-Cal allows California to make significant strides toward supporting a healthier, more productive state. Medi-Cal also assists the most vulnerable among us, whose circumstances may prevent them from accessing health coverage or vital health care services. Below are various programs and services members are benefitting from as a result of the ACA.
Individuos
Elegibilidad presunta del hospital Program
The Hospital Presumptive Eligibility (PE) program, effective January 1, 2014, provides individuals with temporary, no-cost Medi-Cal benefits for up to two months.
Medi-Cal Eligibility and Covered California
DHCS has partnered with Covered California to create an online “one-stop shop” for health coverage.
Medi-Cal Eligibility and Covered California FAQs
DHCS has developed frequently asked questions for current and potential Medi-Cal coverage recipients to help them access the care they need.
Participantes
Proyecto de Ley de la Asamblea (AB) 85
La redirección de la Realineación de Salud Estatal de 1991 incluye la ACA.
Consejo de Planificación de Salud Mental de California (CMHPC)
El Consejo de Planificación de Salud Mental de California tiene el mandato de abogar por los niños con trastornos emocionales graves y los adultos y adultos mayores con enfermedades mentales graves. El consejo supervisa y rinde cuentas del sistema público de salud mental, asesora a la Administración y a la Legislatura sobre cuestiones prioritarias y participa en la planificación estatal.
Medi-Cal’s Implementation of New Programs
Medi-Cal ha implementado nuevos programas como parte de la promulgación de la ACA.
Proveedores
Guía de Medi-Cal sobre cómo informar sobre afecciones prevenibles por el proveedor
A partir del 1de julio de 2012, todos los proveedores están obligados a informar sobre las condiciones prevenibles por el proveedor que ocurran durante el tratamiento de los pacientes de Medi-Cal.
Requisitos de evaluación de proveedores
Los Centros de Servicios de Medicare y Medicaid publicaron una regla final el 2de febrero de 2011en el Registro Federal (42 CFR Partes 405, 424, 447 et al.) con disposiciones que se implementarán en relación con Medicare, Medicaid y los programas de seguro médico para niños para la evaluación de proveedores y la prevención de fraude y abuso de proveedores. Esta norma implementó las disposiciones de la ACA.