Medi-Cal Managed Care


Last Phase of Transition: Rural Californians Move to Medi-Cal Managed Care

(Ben Ramirez: Flickr)

(Ben Ramirez/Flickr)

By David Gorn, California Healthline

Rural Californians already have challenges accessing health care and changes to Medi-Cal, the state’s Medicaid program, could further complicate matters.

Rural areas have fewer physicians and facilities and services are spread out over greater distances than they are in urban and suburban areas. Rural areas also have a disproportionately high number of lower-income, Medi-Cal-eligible residents which creates a challenging situation for state health officials charged with providing medical coverage in rural settings.

“The rollout has gone relatively smoothly, but the access to providers — that’s a real question still.”

On Nov. 1, the state launched an ambitious plan to transition Medi-Cal beneficiaries in rural areas from fee-for-service care arrangements to managed care plans. The move shifts 28 rural counties to the financial model the state is using throughout the rest of the state.

Also on Nov. 1, the state launched the last phase of its Healthy Families transition — moving children in rural counties to Medi-Cal managed care. Healthy Families is California’s Children’s Health Insurance Program. Continue reading