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California Policy Briefing

Medi-Cal Redetermination: Trends and Opportunities

Recorded Wednesday, February 7, 2024

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Join us for a California Policy Briefing on Medi-Cal Redetermination: Trends and Opportunities

Recorded Wednesday, February 7, 2024

Annual eligibility review resumed this year for the 15 million Californians who receive their health care coverage from Medi-Cal. This includes half the state’s children. Get the latest on how Kaiser Permanente and community advocates are helping keep Californians covered, and the initial impact of the “great unwinding” on the state’s most vulnerable residents.

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Meet the Speakers

Yvette Radford, Regional Vice President For External And Community Affairs At Kaiser Permanente In Northern California

Yvette Radford

Vice President, External and Community Affairs, Kaiser Permanente

Mayra E. Alvarez

President, The Children's Partnership
John Szczech, Director Of Medicaid Program Management And Strategy Execution, Kaiser Permanente Mid-Atlantic

John Szczech

Director, Medicaid Program Management and Strategy Execution, Kaiser Permanente
Jean Nudelman, MPH, Senior Director Of Community Health For Kaiser Permanente, Northern California

Jean Nudelman

Senior Director, Community Health, Kaiser Permanente

California Policy Briefing
Medi-Cal Redetermination: Trends and Opportunities
Recorded Wednesday, February 7, 2024

Welcome

Yvette Radford

Vice President, External and Community Affairs, Kaiser Permanente Northern California

Discussion

Mayra E. Alvarez
Executive Director, The Children’s Partnership 

John Szczech

Director of Medicaid Program Management and Strategy Execution, Kaiser Permanente
Senior Director, Community Health, Kaiser Permanente

Wrap Up

Jean Nudelman

Senior Director, Community Health, Kaiser Permanente

Resources

Kaiser Permanente Renewal Resources

Medicaid renewal guide or call our Medicaid Assistance Center:
1-800-557-4515 (TTY 711) or
Español: 1-­800-545-7263 (TTY 711)

State (DHCS) Resources

KeepMedicalcoverage.org provides updated information in English, Spanish, and 18 additional languages.

Application Navigators can help individuals with renewal paperwork. Find Navigators near you

Medi-Cal Continuous Coverage Unwinding Toolkit

Resources Produced by Community Partners

ALL IN to Keep Kids Covered a multilingual toolkit from The Children’s Partnership  focused on keeping children covered

Impact of Gaps in Medi-Cal Coverage: Family Focus Group Findings

The Latino Coalition for a Healthy California created a toolkit with social media templates, videos, and fact sheets.

Fast Facts

More than 928,000
people had their Medi-Cal terminated

between June and October, according to state data.

Close to 90% lost
Medi-Cal coverage because of so-called “procedural reasons,”

often meaning problems with paperwork.

California has
the fourth worst rate of terminations

linked to procedural issues in the nation.

15% were kicked off for paperwork problems

2% no longer qualified and 35% are still under review

Additional Resources

Californians surprised by loss of Medi-Cal health insurance – CalMatters

The federal government suspended an annual Medicaid renewal requirement during COVID-19. Now that it has resumed, many Californians are losing coverage for “procedural reasons.”

Medi-Cal and the End of the Federal Continuous Coverage Requirement 

This collection highlights recommendations and tools to help the state and key partners navigate the unwinding period while minimizing disruptions to Californians’ access to care and coverage.

Source: California Health Care Foundation

Medi-Cal-COVID-19-PHE-Unwinding-Plan.pdf

A comprehensive view of the plan to unwind the flexibilities implemented over the course of the public health emergency, including programmatic changes in many of Medi-Cal’s delivery systems (Part I), and the resumption of normal Medi-Cal eligibility operations (Part II).

Source: KFF Health News

Medicaid Enrollment and Spending Growth Amid the Unwinding of the Continuous

As state Medicaid agencies continue to unwind pandemic-related continuous enrollment protections, states expect national Medicaid enrollment will decline by 8.6% in state fiscal year 2024. Get the latest data here.

Source: California Department of Health Care Services

Medicaid Enrollment and Unwinding Tracker

This tracker presents the most recent data on monthly Medicaid disenrollments, renewals, overall enrollment and other key indicators reported by states during the unwinding of the Medicaid continuous enrollment provision.

Source: KFF Health News

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