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.
Ten Considerations for States in Linking Medicaid and the Health Benefit Exchanges
Center for Health Care Strategies – Carolyn Ingram, Suzanne Gore and Shannon McMahon
An estimated 27 million people will gain coverage through Medicaid or private qualified health plans via the new health insurance exchanges once the Affordable Care Act (ACA) is fully implemented in 2014. It is estimated that a significant percentage of those obtaining coverage will have income fluctuations that will change their eligibility status between public and private coverage options offered through the exchanges. This brief, authored by the Center for Health Care Strategies, analyzes opportunities for linkages between public and private coverage, explaining that linkages should seek to streamline administration across programs and facilitate seamless transitions between programs. Continuity of benefits, providers and health plans is critical to ensuring seamless affordable coverage for exchange consumers. This brief outline an approach for states and continuity issues that should be considered while implementing ACA’s exchange and Medicaid expansion requirements.