News & Analysis as of

California Medi-Cal

Nossaman LLP

CA DHCS Announces New MLR Requirements on Subcontractors, Including IPAs, RBOs and RKKs

Nossaman LLP on

California’s Department of Health Care Services (DHCS) is in the final stages of establishing new Medical Loss Ratio (MLR) requirements in Medi-Cal Managed Care. Most significantly, the guidelines specify that the MLR...more

Manatt, Phelps & Phillips, LLP

Telehealth Monitoring, Research and Evaluation: Issues for State Medicaid Agencies to Consider

Background - The use of telehealth increased exponentially in 2020 and 2021 as health care providers and patients responded to the COVID-19 pandemic. The Government Accountability Office (GAO) estimated that the use of...more

Foley & Lardner LLP

California Moves to Transform the Behavioral Health Delivery System – are Payers and Providers Ready?

Foley & Lardner LLP on

This is the first article in a series addressing key changes to the California health care marketplace, focused on changes to California’s behavioral health delivery systems. Forthcoming articles in the series will address...more

ArentFox Schiff

The California Data Exchange Framework: New Requirements for Sharing Health Information Between Hospitals, Physicians, and Other...

ArentFox Schiff on

The recently unveiled California Health and Human Services Data Exchange Framework (the Framework) creates a new regulatory and governance structure to promote the exchange of health information between health care providers...more

Foley & Lardner LLP

California: Health Care Providers Must Join Statewide Data Sharing Agreement by 2024

Foley & Lardner LLP on

Many California health care providers, including hospitals and physician groups, will soon be required to sign on to California’s first-ever statewide data sharing agreement governing the exchange of health and social...more

King & Spalding

CMS Approves CalAIM proposal to transform California’s Medi-Cal

King & Spalding on

On December 29, 2021, the California Department of Health Care Services (DHCS) announced CMS’s approval of its California Advancing and Innovating Medi-Cal (CalAIM) proposal. CalAIM’s launch on January 1, 2022 is part of a...more

Manatt, Phelps & Phillips, LLP

California’s 2021–2022 State Budget: Focus on Health Care

California’s New Budget Commits the State to Record Health Care Spending - California Governor Gavin Newsom and the state Legislature enacted a $196 billion spending plan for FY2021–22, including authorizing a 29% increase...more

Manatt, Phelps & Phillips, LLP

California’s History-Making 2021–2022 State Budget: An Overview

California Governor Gavin Newsom and the state Legislature enacted a $196 billion spending plan for FY 2021–22, the largest budget in state history. Buoyed by a record budget surplus estimated at $85 billion, including $26…...more

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