Medi-Cal 2020 Demonstration
Return to Section 1115 Medicaid Waiver Resources Webpage
California’s Section 1115(a) Medicaid Waiver, entitled Medi-Cal 2020, was approved by the Centers for Medicare & Medicaid Services (CMS) on December 30, 2015, and is effective through December 31, 2020. The Medi-Cal 2020 Demonstration aims to transform and improve the quality of care, access, and efficiency of health care services for over 13 million Medi-Cal members.
Following the end of the waiver period, DHCS intended to implement California Advancing and Innovating Medi-Cal (CalAIM), a multi-year initiative to initiate overarching policy changes across all Medi-Cal delivery systems. As part of CalAIM, DHCS intended to transition all existing managed care authorities into one consolidated 1915(b) California managed care waiver, and propose an 1115 waiver with other program authorities. In 2019 and early 2020 DHCS conducted extensive stakeholder engagement for both CalAIM and the 1115 and 1915(b) waiver renewals. While the goals and objectives of CalAIM continue to be a high priority, DHCS announced the delay of CalAIM in May 2020, due to the impact of COVID-19. For more information about the CalAIM initiative and stakeholder engagement process, please visit the CalAIM webpage.
Because of the delay of CalAIM, DHCS will submit a 12-month extension
request to CMS for the Medi-Cal 2020 waiver, to ensure continuation of important programs prior to their eventual
transitions under CalAIM. DHCS will also
submit a 12-month extension request to CMS for the state’s 1915(b) specialty mental health waiver.
General Waiver Resources
if you wish to be added to the DHCS stakeholder email service.