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.
State Options for Responding to Federal Changes to the Individual Market
Georgetown’s Center on Health Insurance Reform and Manatt Health
State Health and Value Strategies hosted a webinar the first week of January to outline state considerations and options to address federal policy changes that could impact individual market stability. Technical experts from Georgetown’s Center on Health Insurance Reform, Manatt Health, and others discussed the implications of individual mandate repeal in the tax bill and opportunities for state action, including reinsurance and state-level policies to incentivize enrollment. In addition, experts discuss potential changes to short-term policies that could also impact enrollment and premiums in the individual market. The webinar also explores potential budget impacts of the tax legislation on other health programs, including Medicaid.