Affordable Care Act
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.
Mga indibidwal
Programa sa Pagiging Karapat-dapat sa Hospital
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.
Mga stakeholder
Kasama sa pag-redirect ng 1991 State Health Realignment ang ACA.
California Mental Health Planning Council (CMHPC)
Ang California Mental Health Planning Council ay ipinag-uutos ng batas ng pederal at estado na itaguyod ang mga batang may malubhang emosyonal na kaguluhan at mga nasa hustong gulang at matatandang may malubhang sakit sa isip. Ang konseho ay nagbibigay ng pangangasiwa at pananagutan para sa pampublikong sistema ng kalusugan ng isip, nagpapayo sa Administrasyon at Lehislatura sa mga priyoridad na isyu, at nakikilahok sa pagpaplano sa buong estado.
Medi-Cal’s Implementation of New Programs
Nagpatupad ang Medi-Cal ng mga bagong programa bilang bahagi ng pagsasabatas ng ACA.
Mga tagapagbigay
Gabay ng Medi-Cal sa Pag-uulat ng Mga Kondisyong Maiiwasan ng Provider
Epektibo sa Hulyo 1, 2012, ang lahat ng provider ay kinakailangang mag-ulat ng mga kondisyong maiiwasan ng provider na nangyayari sa panahon ng paggamot sa mga pasyente ng Medi-Cal.
Mga Kinakailangan sa Pagsusuri ng Provider
Ang Centers for Medicare & Medicaid Services ay nag-publish ng pangwakas na panuntunan noong Pebrero 2, 2011, sa Federal Register (42 CFR Parts 405, 424, 447 et al.) na may mga probisyon na ipapatupad habang nauugnay ang mga ito sa Medicare, Medicaid, at Children's Health Insurance Programs para sa screening ng provider at pag-iwas sa pandaraya at pang-aabuso ng provider. Ipinatupad ng panuntunang ito ang mga probisyon ng ACA.