平价医疗法案
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.
个人
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.
利益相关者
1991 年州卫生改革的重新定位包括了 ACA。
加州心理健康规划委员会受联邦和州法律的授权，负责为患有严重情绪障碍的儿童以及患有严重精神疾病的成年人和老年人提供帮助。 该委员会负责监督和问责公共精神卫生系统，就优先事项向政府和立法机关提供建议，并参与全州规划。
Medi-Cal’s Implementation of New Programs
作为 ACA 颁布的一部分，Medi-Cal 已经实施了新的计划。
提供者
Medi-Cal 关于报告医疗服务提供者可预防疾病的指导
自1年 7 月2012日起，所有医疗服务提供者均须报告在 Medi-Cal 患者治疗期间发生的医疗服务提供者可预防的状况。
联邦医疗保险和医疗补助服务中心于2年2011月在《联邦公报》（42 CFR 第 405、424、447 等部分）上发布了一项最终规定，其中包含与联邦医疗保险、医疗补助和儿童健康保险计划相关的条款，旨在筛选提供商并防止提供商欺诈和滥用。这条规则实施了 ACA 的规定。