{"id":64406,"date":"2024-05-02T10:55:08","date_gmt":"2024-05-02T17:55:08","guid":{"rendered":"https:\/\/lapost.us\/?p=64406"},"modified":"2024-05-02T10:55:08","modified_gmt":"2024-05-02T17:55:08","slug":"one-year-after-medi-cal-renewals-health-care-expanded-for-californians","status":"publish","type":"post","link":"https:\/\/lapost.us\/?p=64406","title":{"rendered":"One Year After Medi-Cal Renewals, Health Care Expanded for Californians"},"content":{"rendered":"<div class=\"td_block_wrap tdb_single_author tdi_59 td-pb-border-top td_block_template_1 tdb-post-meta\" data-td-block-uid=\"tdi_59\">\n<div class=\"tdb-block-inner td-fix-index\">\n<div class=\"tdb-author-name-wrap\"><span class=\"tdb-author-by\">By<\/span><a class=\"tdb-author-name\" href=\"https:\/\/ethnicmediaservices.org\/author\/selen-ozturk\/\">Selen Ozturk<\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_date tdi_60 td-pb-border-top td_block_template_1 tdb-post-meta\" data-td-block-uid=\"tdi_60\">\n<div class=\"tdb-block-inner td-fix-index\"><i class=\"tdb-date-icon tdc-font-fa tdc-font-fa-calendar\"><\/i><time class=\"entry-date updated td-module-date\" datetime=\"2024-04-23T10:00:00-07:00\">Apr 23, 2024<\/time><\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_subtitle tdi_61 td-pb-border-top td_block_template_1\" data-td-block-uid=\"tdi_61\">\n<div class=\"tdb-block-inner td-fix-index\">\n<p>A year ago, with the end of the federal COVID emergency, California started redetermining eligibility for the one out of three of its residents on Medi-Cal.<\/p>\n<\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_featured_image tdi_62 tdb-content-horiz-left td-pb-border-top td_block_template_1\" data-td-block-uid=\"tdi_62\">\n<div class=\"tdb-block-inner td-fix-index\"><img loading=\"lazy\" decoding=\"async\" class=\"entry-thumb\" title=\"health photo\" src=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo.png\" sizes=\"auto, (max-width: 2394px) 100vw, 2394px\" srcset=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo.png 2394w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo-300x162.png 300w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo-1024x553.png 1024w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo-768x415.png 768w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo-1536x830.png 1536w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo-2048x1107.png 2048w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo-150x81.png 150w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo-696x376.png 696w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo-1068x577.png 1068w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/04\/health-photo-1920x1038.png 1920w\" alt=\"\" width=\"2394\" height=\"1294\" \/><\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_content tdi_63 td-pb-border-top td_block_template_1 td-post-content tagdiv-type\" data-td-block-uid=\"tdi_63\">\n<div class=\"tdb-block-inner td-fix-index\">\n<p>A year ago, with the end of the federal COVID-19 emergency, California started redetermining eligibility for the one out of three of its residents on Medi-Cal, its version of Medicaid.<\/p>\n<p>At a time when many states are using this process to drop Medicaid members from the rolls en masse \u2014 Texas, for instance, has removed over two million members since the pandemic-era protections were lifted, while Florida has removed nearly one million \u2014 California is on the front line of efforts not only to retain but expand health coverage.<\/p>\n<p>At an Ethnic Media Services Briefing, a state Department of Health Care Services (DHCS) official, community health care enrollment workers and Medi-Cal enrollees shared how redetermination has impacted enrollment, efforts to keep eligible members enrolled and the importance of keeping Medi-Cal services.<\/p>\n<h2 class=\"wp-block-heading\">An overview of the unwinding<\/h2>\n<p>The nationwide redetermination of Medicaid, known as \u201cthe great\u00a0<a href=\"https:\/\/www.dhcs.ca.gov\/toolkits\/Pages\/Medi-Cal-Continuous-Coverage-Unwinding.aspx\">unwinding<\/a>,\u201d is \u201cone of the biggest healthcare events after the Affordable Care Act,\u201d said Yingjia Huang, DHCS Assistant Deputy Director of Health Care Benefits and Eligibility. \u201cIt ends next month, in May 2024. California was able to renew and is continuing to renew nearly 15 million Medi-Cal members \u2014 and we\u2019ve learned quite a bit.\u201d<\/p>\n<p>In November 2023, with 1 million Californians up for renewal that month, the state had a 21 percent disenrollment rate, whether due to ineligibility or errors with returning paperwork.<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"ghIbOBA-uNU\"><iframe loading=\"lazy\" id=\"widget2\" title=\"Medi-Cal Offers 90 Day Grace Period for Enrollees Who Miss Renewal Deadline\" src=\"https:\/\/www.youtube.com\/embed\/ghIbOBA-uNU?feature=oembed&amp;enablejsapi=1\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Yingjia Huang, Assistant Deputy Director, Health Care Benefits and Eligibility (HCBE), California Department of Health Care Services, discusses what to do if you miss the deadline for Medi-Cal\u2019s redetermination and become disenrolled.<\/em><\/figcaption><\/figure>\n<p>In December, however, DHCS automated much of the online enrollment process, \u201creducing that 21 percent disenrollment to about 9 percent,\u201d said Huang. \u201cOur January and February data shows that it continues to decrease, and those who are disenrolled for procedural reasons have 90 days to re-enroll with no gap in coverage.\u201d<\/p>\n<p>\u201cOne of the major obstacles was filling out that hefty redetermination packet. Many of our members came onto the program during the pandemic, and never did redetermination before, as the annual process was paused,\u201d she explained. \u201cAlongside automating the process to help members, we\u2019ve created how-to videos and outreach to enroll over the phone or online, translated into 19 languages.\u201d<\/p>\n<p>In January 2024, DHCS also\u00a0<a href=\"https:\/\/www.dhcs.ca.gov\/services\/medi-cal\/eligibility\/Pages\/Adult-Expansion.aspx\">expanded<\/a>\u00a0Medi-Cal to eligible undocumented individuals of all ages adding about 700,000 people to full-scope benefits, she continued. \u201cWe did all that as we were going through the unwinding, and we\u2019re very proud of where we are.\u201d<\/p>\n<p>\u201cNow that Medi-Cal has expanded to everyone regardless of citizenship and immigration status, it\u2019s ever-more vital for the health of the communities we serve and gets us closer to health care for all,\u201d said Vilma Champion, Director of Managed Care and Enrollment at Northeast Valley Health Corporation (NEVHC) in the San Fernando and Santa Clarita Valleys.<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"_OIdXVEXjec\"><iframe loading=\"lazy\" id=\"widget4\" title=\"As Medi-Cal Expands Access to Health Care, Experts Encourage Regular Health Screenings\" src=\"https:\/\/www.youtube.com\/embed\/_OIdXVEXjec?feature=oembed&amp;enablejsapi=1\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Vilma Champion, Director, Managed Care and Enrollment, Northeast Valley Health Corporation (NEVHC), says that Medi-Cal is integral to California\u2019s health care system and urges people to take full advantage of the regular health screenings and preventative care available to them.<\/em><\/figcaption><\/figure>\n<p>With the expansion, NEVHC expects to provide primary and preventive services to over 6,000 newly eligible patients. With the unwinding, its clinics have helped over 5,000 patients re-enroll, the bulk of whom were monolingual Spanish speakers from immigrant backgrounds.<\/p>\n<p>Champion suggested that, \u201cto meet our patients where they are with access to care before they need it when they\u2019re sick,\u201d DHCS have culturally-tailored outreach for those with public charge or immigration status concerns, and reintroduce Saturday hours to increase accessibility and reduce wait times for those with conflicting work schedules.<\/p>\n<h2 class=\"wp-block-heading\">Firsthand stories<\/h2>\n<p>\u201cAs the mother of three children, I\u2019m very thankful that the workers at my clinic in Sun Valley made re-enrollment so smooth,\u201d said Griselda, a Spanish-speaking NEVHC patient, through a translator. \u201cGood health ensures the future for our children. I hope Medi-Cal is always there for them.\u201d<\/p>\n<p>She said she was especially grateful to be able to take her children to yearly physicals, and have them access normally expensive dental care: \u201cMy 15 year old daughter had a problem where she couldn\u2019t close her teeth, and she was aware that kids who have this get bullied in school. She was very happy to get braces and prevent that from happening.\u201d<\/p>\n<p>\u201cLast August, near San Diego, my mother, from Yucatan, had her first seizure,\u201d said Dara M., daughter of a new enrollee. \u201cShe was undocumented and I didn\u2019t know much about Medi-Cal at the time; I thought she was dying. Even when I was calling the ambulance, in the back of my mind, I thought, \u2018How much will the bill be?\u2019 and when the EMTs came, we decided to take her in my dad\u2019s car. I wasn\u2019t feeling safe, but it felt like the only option.\u201d<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"As0FpjgOcjo\"><iframe loading=\"lazy\" id=\"widget6\" title=\"Expansion of Medi-Cal to Undocumented Adults Allows Woman to Seek Life-saving Care\" src=\"https:\/\/www.youtube.com\/embed\/As0FpjgOcjo?feature=oembed&amp;enablejsapi=1\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Dara M., whose undocumented mother is newly-enrolled in Medi-Cal, shares how the health coverage has allowed her mother to get the life-saving care she needs, without fearing that seeking treatment will get her deported.<\/em><\/figcaption><\/figure>\n<p>\u201cThat was last August,\u201d she continued. \u201cAs of January, Medi-Cal has now opened its arms to her and I\u2019m not scared of telling her to go to the emergency room whenever she feels bad, because I know we won\u2019t get a bill of thousands of dollars, or over $100 for each bottle of her monthly prescriptions. It\u2019s really nice not having to worry about that anymore.\u201d<\/p>\n<p>Although Medi-Cal is expanding and improving, some still fear accessibility gaps and stigma.<\/p>\n<p>\u201cWhen my daughter got pregnant, she didn\u2019t know how to navigate Medi-Cal. I helped get her enrolled, but we kept having to go to different clinics and doctors,\u201d said Fitzgerald Graves, an enrollee with the African American Network of Kern County. \u201cThere was no rapport or consistent diagnosis \u2026 it turned out the baby had encephalitis, but the doctor told us the heartbeat was fine, and actually cursed us.\u201d<\/p>\n<p>\u201cAt a second hospital, they told us there was no heartbeat. The baby had passed in the womb,\u201d he continued.<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"T5oy3DuEZaE\"><iframe loading=\"lazy\" id=\"widget8\" title=\"Does the Stigma of Being on Benefits Impact the Care Medi-Cal Patients Receive?\" src=\"https:\/\/www.youtube.com\/embed\/T5oy3DuEZaE?feature=oembed&amp;enablejsapi=1\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Fitzgerald Graves, Medi-Cal enrollee, African American Network of Kern County, says the stigma of receiving Medi-Cal benefits is often apparent in patient-practitioner interactions and that it\u2019s difficult for patients to tell \u2013 especially without second opinions \u2013 if they are getting quality care.<\/em><\/figcaption><\/figure>\n<p>\u201cI\u2019m happy to say that all of our family is now on Medi-Cal,\u201d Graves said. \u201cMy daughter and her fiancee are now expecting a little girl and I\u2019ve tried to get her to use this new enrollment as a tool to get therapy and advocate for herself in finding physicians \u2026 I\u2019m now scheduled for knee surgery due to a car accident. I\u2019m confident in my surgeon and relieved to have the coverage.\u201d<\/p>\n<p>\u201cWhat the state\u2019s doing to keep people on Medi-Cal is the right way to go, and it\u2019s only getting better,\u201d he added. \u201cMy hope for the future of health care in California is that people have support in navigating the benefits they now have access to.\u201d<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>BySelen Ozturk Apr 23, 2024 A&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,16],"tags":[],"class_list":["post-64406","post","type-post","status-publish","format-standard","hentry","category-ca-local","category-health"],"_links":{"self":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/64406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=64406"}],"version-history":[{"count":1,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/64406\/revisions"}],"predecessor-version":[{"id":64407,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/64406\/revisions\/64407"}],"wp:attachment":[{"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=64406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=64406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}