Medi-Cal Archives - Page 2 of 2 - Health Consumer Alliance (HCA)

Fact Sheet

EPSDT Medical Necessity Standard for Children Under 21 (SB 1287 Implementation)

In 2018, the federal Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) standards for Medi-Cal services applied to children under age 21 to ensure the correct medical necessity standard is used for children.

Fact Sheet

Counting Census (and Other Temporary) Income for Medi-Cal Eligibility

Hiring temporary workers for the 2020 Census has already begun. Read on for details on helpful income-counting rules for census income, which also apply to both MAGI and Non-MAGI Medi-Cal programs.

Fact Sheet

Accessing Health Care After Surviving a Disaster

After disasters in California, survivors may need extra assistance to access health care. Read on for
special rights and remedies available to survivors who need assistance.

Advocate Brief

Internal and External Review in Medi-Cal Managed Care Plans

Fact Sheet

Monitoring Plan’s Provision of Mental Health services to Medi-Cal Beneficiaries

This is an advocate fact sheet that discusses monitoring plan provisions of mental health services to Medi-Cal beneficiaries.

Fact Sheet

Prior Year FPL Income Charts 2016-2022

Income Levels for California’s Health Programs

Fact Sheet

Cómo satisfacer su costo compartido (Share of Cost Spanish Version)

Su costo compartido es la cantidad de dinero que debe pagar u obligarse a pagar cada mes por los productos y servicios médicos antes de que Medi-Cal empiece a pagar.

Consumer Brochure Fact Sheet

How to Address Quality of Care Concerns?

Use this link to access the reference guide for consumers seeking to raise concerns about the quality of their care whether the problem is caused by a provider, plan or facility. Translation: Español/Spanish.

Consumer Brochure

Sample Letter to a Medi-Cal Provider About a Bill

This is a sample letter consumers can use when they go to a Medi-Cal provider for a Medi-Cal covered service and are incorrectly billed for the service.

Consumer Brochure

Medi-Cal Share of Cost

This consumer brochure explains a Medi-Cal Share of Cost and how you can "meet your share of cost."

Consumer Brochure

What is Public Charge?

The Department of Homeland Security recently finalized new changes to the public charge rule. The changes will take effect on October 15, 2019 and may impact some immigrants. Read on to learn more.

Consumer Brochure

Medi-Cal and Managed Care

This consumer brochure addresses how to access care through your Medi-Cal managed care plan and your rights if you are not getting the health care you need.

Fact Sheet

HCA EPSDT Fact Sheet

This HCA factsheet address the Early and Periodic Screening, Diagnostic, and Treatment (ESPDT) program and how children access EPSDT services. The fact sheet also addresses other Medi-Cal programs that provide special services to children under 21.

Fact Sheet

NHeLP’s Protect Medicaid Funding Series

In an updated series of fact sheets called Protect Medicaid Funding, NHeLP provides succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of low-income individuals who depend on the Medicaid guarantee every year.

Consumer Brochure Fact Sheet

What is the Health Consumer Alliance?

The Health Consumer Alliance is a partnership of consumer assistance programs operated by community-based legal services organizations across California. Learn more about what we do and how we can help you.

Consumer Brochure

What if Medi-Cal says no?

Has Medi-Cal told you No? You have options! Use the link above to access a valuable resource presented by the Health Consumer Alliance and learn how to make them say Yes!

Advocate Brief

Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights

The National Health Law Program's (NHeLP) experts cover a number of issues impacting access to and the quality of care for low-income and underserved people and families. This issue brief analyzes the legal requirements that require County Medical Health Plans (MHPs) to ensure Medi-Cal beneficiaries’ access to Specialty Mental Health Services (SMHS) and maintain adequate provider networks. It also discusses the different types of enforcement and monitoring tools to hold MHPs accountable.

Advocate Brief

Western Center’s Health Care Eligibility Guide

Western Center’s Getting and Keeping Health Care Coverage for Low-Income Californians: A Guide for Advocates provides California advocates with the relevant statutes, regulations, and guidance needed to help their clients access health care coverage.

Advocate Brief

Medi-Cal Delivery System Changes in 2023 and 2024

California is making major changes to the delivery of Medi-Cal services over the next two years. NHeLP has created a fact sheet briefly outlining some of these upcoming changes to Medi-Cal services in 2023-2024 and discusses important consumer protections that are designed to ensure that beneficiaries maintain access to needed care during these major programmatic transitions. (Jun. 2023)

Advocate Brief

Managed Care in California Series: Network Adequacy Rules for Medi-Cal Managed Care Plans

The updated federal Medicaid regulations require states to develop and publish network adequacy standards, including specific time and distance, for certain types of providers, effective July 1, 2018.

Know Your Rights: Consumer Health Coverage Info

Fact Sheet

EPSDT Medical Necessity Standard for Children Under 21 (SB 1287 Implementation)

Join Our Mailing List

Search HCA's Consumer Health Insurance Info

Fact Sheet

Counting Census (and Other Temporary) Income for Medi-Cal Eligibility

Fact Sheet

Accessing Health Care After Surviving a Disaster

Advocate Brief

Internal and External Review in Medi-Cal Managed Care Plans

Fact Sheet

Monitoring Plan’s Provision of Mental Health services to Medi-Cal Beneficiaries

Fact Sheet

Prior Year FPL Income Charts 2016-2022

Fact Sheet

Cómo satisfacer su costo compartido (Share of Cost Spanish Version)

Consumer Brochure Fact Sheet

How to Address Quality of Care Concerns?

Consumer Brochure

Sample Letter to a Medi-Cal Provider About a Bill

Consumer Brochure

Medi-Cal Share of Cost

Consumer Brochure

What is Public Charge?

Consumer Brochure

Medi-Cal and Managed Care

Fact Sheet

HCA EPSDT Fact Sheet

Fact Sheet

NHeLP’s Protect Medicaid Funding Series

Consumer Brochure Fact Sheet

What is the Health Consumer Alliance?

Consumer Brochure

What if Medi-Cal says no?

Advocate Brief

Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights

Advocate Brief

Western Center’s Health Care Eligibility Guide

Advocate Brief

Medi-Cal Delivery System Changes in 2023 and 2024

Advocate Brief

Managed Care in California Series: Network Adequacy Rules for Medi-Cal Managed Care Plans