Medi-Cal

Latest California Healthline Stories

Next Political Battle Brewing on Medicaid Messaging

Democrats have seized on Republicans’ planned reforms to Medicare, using the issue to frame their deficit reduction talks and as a starting point for political campaigns. While the GOP’s Medicaid proposal has drawn less scrutiny, advocates are expected to focus on threats to the program’s funding in the coming weeks.

Round One Goes to Services for Developmental Disabilities

California facilities for residents with developmental disabilities have been squeezed by state budget cuts — including a Medi-Cal freeze on some reimbursement rates. But just because California is low on cash, that doesn’t give the state the right to freeze those rates, U.S. District Court judge Christina Snyder said. She issued a preliminary injunction on Friday that halted some budget-cutting measures that don’t follow the law.

“Judge Snyder’s ruling is that the rate freeze was applied unlawfully,” Mark Reagan, attorney for the California Association of Health Facilities, said.

“This is just one round,” Reagan said, adding, “There will certainly be more rounds to come. But at least this piece has been achieved.”

Intermediate Care Facilities Catch a Break

A U.S. District Court judge this week issued a ruling that temporarily prohibits California from freezing Medi-Cal reimbursement rates for intermediate care facilities that care for residents with developmental disabilities. Medi-Cal is California’s Medicaid program.

A permanent ruling is expected soon, possibly by the end of the week. However, even the temporary stay is a big victory for developmental services providers and their patients, according to Deborah Pacyna of the California Association of Health Facilities.

“These providers are required to provide quality care 24 hours a day, and yet they’re having to pay out of their own pockets to do that, to the point of possibly closing,” Pacyna said, adding, “They’re paying for patient assessments, staffing, fuel, food, in spite of being faced with this rate freeze, so we hope the judge recognizes this financial hardship.”

President’s First Major Reform to Reform Law May Be DOA

President Obama now backs an effort to let states opt out of significant elements of the health reform law sooner than currently allowed. However, the president’s decision to concede an aspect of his overhaul may not be much of a concession, as the legislation is unlikely to pass.