government

CMS approves $10 billion Medicaid expansion in California

NEWS IN BRIEF — Posted Nov. 15, 2010

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

The Centers for Medicare & Medicaid Services on Nov. 2 approved a $10 billion, five-year Medicaid waiver that will allow California to expand its Medicaid program. By July 2011, about 500,000 adults who earn up to 200% of the federal poverty level -- about $21,600 for an individual -- will have access to the program.

Eligible adults will receive a medical home and standard benefits, including inpatient and outpatient services, prescription drugs, mental health services and other medically necessary care. The waiver, made possible in part through provisions in the national health reform law, will provide $3.9 billion to California for uncompensated care costs, $3.3 billion to help public hospitals provide care and $2.9 billion for coverage of low-income individuals. The federal law will expand Medicaid eligibility nationwide to 133% of poverty by 2014.

It took California more than a year to negotiate the waiver with CMS, California Gov. Arnold Schwarzenegger said in a statement. "We will be able to expand coverage, improve the delivery of care and build a strong bridge to federal health care reform with increased federal resources."

The waiver allows the California Dept. of Health Care Services to test up to four health care delivery models for children with special health care needs, enroll seniors and the disabled into managed care, and help safety net hospitals invest in technology and new care delivery models.

More information about the state's Medicaid waiver is available online (link).

Note: This item originally appeared at http://www.ama-assn.org/amednews/2010/11/15/gvbf1115.htm.

Back to top


ADVERTISEMENT

ADVERTISE HERE


Featured
Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story


Read story

Goodbye

American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story


Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story


Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story


Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story


Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story


Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story


Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn