負擔得起的護理法
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.
個人
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.
利害關係人
1991 年州衛生重新調整的重新導向包括 ACA。
加州心理健康計劃委員會被聯邦和州法律授權為患有嚴重情緒障礙的兒童以及患有嚴重心理疾病的成年人和老年人倡導。 理事會為公共心理健康系統提供監督和責任，就優先事項向政府和立法機關提供建議，並參與全州規劃。
Medi-Cal’s Implementation of New Programs
Medi-Cal 已實施了新計劃作為 ACA 的制定的一部分。
供應商
自 2012 年 7 月 1 日起，所有提供者都必須報告 Medi-Cal 患者治療期間發生的供應商可預防的疾病。
聯邦醫療保險 & 醫療補助服務中心於 2 月 2、2011 在聯邦登記冊中發布了最終規則（42 CFR 第 405、424、447 等），其中包括與聯邦醫療保險、醫療保險和兒童健康保險計劃有關的規定，以進行提供者篩選和預防提供者欺詐和濫用。該規則實施了 ACA 的條文。