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. In Fall 2019, the Department of Health Care Services (DHCS) will begin a stakeholder engagement process for the development of the next 1115 and 1915(b) waiver renewal applications and program elements.
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The Public Hospital Redesign and Incentives in Medi-Cal (PRIME) Pool builds upon the Bridge to Reform Waiver’s Delivery System Reform Incentive Payments (DSRIP) program to improve the quality and value of care provided by California’s safety net hospitals and hospital systems.
Program Inbox: PRIME@dhcs.ca.gov
The Dental Transformation Initiative (DTI) provides direct incentives to providers through program domains that promote overall children’s utilization of preventive services and oral health disease management, expand prevention and risk assessment models, and increase dental continuity of care.
Program Inbox: DTI@dhcs.ca.gov
DTI Mailing List: Subscribe
The Whole Person Care (WPC) regional pilots focus on the coordination of health, behavioral health, and social services, as applicable, in a patient-centered manner with the goals of improved beneficiary health and well-being through more efficient and effective use of resources.
Program Inbox: 1115WholePersonCare@dhcs.ca.gov
The Drug Medi-Cal Organized Delivery System (DMC-ODS) will demonstrate how organized substance use disorder care increases the success of DMC beneficiaries while decreasing other system health care costs. Critical elements of the DMC-ODS Pilot include providing a continuum of care modeled after the American Society of Addiction Medicine (ASAM) Criteria for substance use disorder treatment services.
Program Inbox: DMCODSWaiver@dhcs.ca.gov