On January 26, 2023, the Centers for Medicare & Medicaid Services approved California’s request to amend the California Advancing and Innovating Medi-Cal Section 1115 demonstration. This expert perspective describes the amendment, a centerpiece of which is approval for California Medicaid to provide a targeted set of Medicaid services to youth and adults in state prisons, county jails, and youth correctional facilities for up to 90 days prior to release. By providing re-entry services to Medicaid-enrolled individuals who are incarcerated, California aims to build a bridge to community-based care for justice-involved enrollees, offering them services to stabilize their physical and behavioral health conditions and establishing, prior to release, a re-entry plan for their community-based care.
Laying the IT Foundation for 2014: Developing Infrastructure for Improved Eligibility and Enrollment Systems
National Academy for State Health Policy- Lynn Dierker; HealthTech Solutions – Sandeep Kapoor
One of the biggest challenges – and opportunities – for states as they strive to implement the Affordable Care Act’s (ACA) coverage expansions is the size and scope of technology solutions required to support exchanges in making eligibility determinations and enrolling consumers in coverage. This webinar provided insight into the latest federal guidance on information technology (IT) systems development and the impact it has on developing state IT infrastructure capable of meeting the high expectations and demand of seamless, real-time eligibility and enrollment under the ACA. The slides consider a number of key implementation issues, including the intersection of business and IT processes, the ability of new systems to integrate with existing legacy systems (e.g., Medicaid management information systems), governance, enterprise architecture and system financing.