http://www.lahealthaction.org/index.php/library/index en vcalderon@lahealthaction.org Copyright 2012 2012-05-16T22:04:34-08:00 http://lahealthaction.org/index.php/library/full_entry/2510/ Policy brief on the Children’s Health Insurance Reauthorization Act (CHIPRA) and the reduction of the detrimental effects of a Medicaid citizenship documentation requirement enacted in 2006 that has caused many eligible citizens to lose or be denied health coverage. The CHIPRA provision gives states the option of meeting this requirement by conducting a data match with the Social Security Administration’s (SSA) database to verify an applicant’s U.S. citizenship. States that have taken up this option, which became available on January 1, report that it eases the paperwork burden on families applying for coverage, simplifies enrollment procedures, and produces significant administrative savings. The new health reform law requires states to use this data-matching system to verify citizenship for people who seek coverage in the new health insurance “exchanges” that will be established. The early success of this system suggests that it will work well when individuals apply for subsidies and health coverage through the exchanges. This system also can help states coordinate the eligibility determinations they will conduct for Medicaid, CHIP and the new health reform subsidies. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2010-04-20T21:20:09-08:00 http://lahealthaction.org/index.php/library/full_entry/2321/ Report providing an overview of people lacking health insurance in California. Over the course of two decades, California has seen an increase in the percentage of people who are uninsured as the proportion with employer-sponsored coverage has contracted. Between 1987 and 2008, the segment of the non-elderly population covered by insurance provided through an employer shrank by 9 percent. Although increases in Medicaid coverage partially offset the decline, more than 20 percent of Californians remain uninsured. Though the problem is national, California has both a lower percentage of individuals with employer-sponsored coverage and a higher proportion of uninsured. California also has the largest number of people without insurance — 6.6 million — of any U.S. state. Health Insurance and Coverage Programs, Employment-based Health Insurance, Public Health Insurance Coverage Programs, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2009-12-10T21:32:38-08:00 http://lahealthaction.org/index.php/library/full_entry/1910/ This memorandum details the Governor's recommendations to address the State's estimated revenue shortfall of $11.2 billion in FY 2008-2009. Specific health care cuts include reductions and changes in the: Federal Safety Net Care Pool Payments, Medi-Cal 1931(b) Program, Medi-Cal Monthly Reporting Requirement for Undocumented Immigrants, Medi-Cal Eligibility for Legal Immigrants and Medi-Cal Share of Cost. Additionally, payment amounts for SSI/SSP, In-Home Supportive Services (IHSS) and CalWorks would be reduced and the Cash Assistance Program for Immigrants (CAPI) would be eliminated. Many of these cuts were introduced in the FY 2008-2009 May Revision but were rejected by the legislature. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement 2008-11-17T18:22:37-08:00 http://lahealthaction.org/index.php/library/full_entry/1839/ Letter outlining federal health policy issues impacting the Los Angeles health safety net that LA Health Collaborative Leadership Team members are encouraging a new administration to address upon taking office. The priorities include: repeal of the restrictive rules issued by the Centers for Medicare and Medicaid Services (CMS), federal flexibility in negotiating the next waiver, additional funding for workforce development and federal investment in prevention and chronic disease management. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Delivery Systems, Health Professionals, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Medi-Cal Redesign 2008-09-20T00:00:37-08:00 http://lahealthaction.org/index.php/library/full_entry/1833/ From the experiences of San Diego County, primary goals and themes, advocacy efforts, county/consortia preparation, implementation, results monitoring, and next steps are covered in this presentation on DRA implementation in California. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2008-09-15T19:10:32-08:00 http://lahealthaction.org/index.php/library/full_entry/1832/ This document presents information on how California has managed the DRA of 2005 Citizenship & Identity. It covers the history of implementation and current strategies, stakeholder participation, electronic birth record matches, outreach, automation strategies, monitoring and tracking, and steps for moving forward. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2008-09-15T18:56:50-08:00 http://lahealthaction.org/index.php/library/full_entry/1831/ This presentation on the state of Oklahoma identifies ways that they had simplified access to Medicaid that have now been reversed by citizenship and identity requirements. It also includes statistics on Medicaid terminations by age and race, and examples of patients in need that have lost their access to health care. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2008-09-15T18:46:27-08:00 http://lahealthaction.org/index.php/library/full_entry/1830/ Selected data on the impacts of the Proof of Citizenship Requirement from Wisconsin, Kansas, Ohio, Alabama, and Virginia. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2008-09-15T18:33:43-08:00 http://lahealthaction.org/index.php/library/full_entry/1829/ Impacts of citizenship and identity requirements upon children in Virginia are presented and include: decrease in enrollment; SCHIP increase; delayed applications; increases in administrative time to facilitate processing changes; increase in ER usage; and serious effects on access to care while waiting for the approval of applications. Immediate responses from the Governor in September 2006 to mitigate the crisis are also included. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2008-09-14T01:52:59-08:00 http://lahealthaction.org/index.php/library/full_entry/1828/ This presentation reports that Medicaid represents 37% of all health center operating revenues, and is their largest single source of funding. It goes on to offer impact results from a survey of 300 health centers nationwide, with 90% reporting enrollment difficulties; many also reporting longer application processes, increased staff time to assist with applications, and delays in their ability to arrange for specialty care. It estimates that the impact of citizenship verification will eliminate Medicaid coverage for 2.2 - 6.7% of all Medicaid enrolled patients (approximately 212,400 children and 107,100 adults). Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2008-09-14T01:19:28-08:00 http://lahealthaction.org/index.php/library/full_entry/1827/ This presentation offers information on the impact that citizenship requirements has had on other states, and what California can learn from them. It reports that Medicaid enrollment is down, administration costs are up, and that there has been a significant loss of coverage for eligible citizens. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2008-09-14T00:49:07-08:00 http://lahealthaction.org/index.php/library/full_entry/1826/ PowerPoint presentation on the basic citizenship requirements for Medicaid and how these delays can impact access to care and increase administrative costs. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2008-09-11T00:46:59-08:00 http://lahealthaction.org/index.php/library/full_entry/1641/ An overview of the effects of the State Health Budget Cuts on LA County including: cuts to Health Care Providers, cuts to the County Health system, elimination of important Medi-Cal benefits, cuts to Community Clinics, and cuts to programs serving the Elderly and Disabled. State Budget, Health Insurance and Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Medi-Cal Redesign, Children's Health and Coverage 2008-05-23T19:55:36-08:00 http://lahealthaction.org/index.php/library/full_entry/1630/ In an effort to ensure that all Californians have continued access to vital health care services, a coalition of health care providers today filed a lawsuit against the state of California to prevent a planned 10 percent cut in Medi-Cal and Denti-Cal payments from taking effect on July 1. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Medi-Cal Redesign, Children's Health and Coverage 2008-05-05T17:47:27-08:00 http://lahealthaction.org/index.php/library/full_entry/1631/ Frequently asked questions and answers about the Medi-Cal Lawsuit State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care, Medicaid Citizenship Documentation Requirement, Medi-Cal Redesign, Children's Health and Coverage 2008-05-05T16:05:17-08:00 http://lahealthaction.org/index.php/library/full_entry/1632/ California's Medi-Cal program provides essential health care services to the poorest and most vulnerable Californians. Through Medi-Cal, physicians, dentists, pharmacists, adult day health care providers, clinics, and hospitals offer health care services to low-income seniors, families, children, and people with disabilities. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Medi-Cal Redesign, Children's Health and Coverage 2008-05-05T16:03:28-08:00 http://lahealthaction.org/index.php/library/full_entry/1629/ Class Action Lawsuit filed by prominent healthcare providers against the State of California Department of Health Care Services protesting the proposed 10% Medi-Cal cut. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Medi-Cal Redesign, Children's Health and Coverage 2008-05-05T16:00:41-08:00 http://lahealthaction.org/index.php/library/full_entry/1248/ Fact sheet outlining the negative impacts on health coverage in California and Los Angeles County as a result of the DRA Citizenship Documentation Requirement for Medicaid applicants and beneficiaries. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2007-09-27T00:05:43-08:00 http://lahealthaction.org/index.php/library/full_entry/1222/ Description and side-by-side comparison of current law and the changes that would be made to Medicaid and State Children's Health Insurance Program (SCHIP) proposals pending in Congress. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Delivery Systems, Health Status and Issues, Vulnerable Populations and Health Disparities, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2007-09-02T02:47:08-08:00 http://lahealthaction.org/index.php/library/full_entry/1149/ Report which finds the Medicaid citizenship documentation requirements have cost significantly more to implement than they have saved in expenditures by excluding undocumented immigrants. For every $100 spent by federal taxpayers to implement the new requirements in six states, only 14 cents in Medicaid savings can be documented. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Medicaid Citizenship Documentation Requirement, Children's Health and Coverage 2007-07-24T21:23:21-08:00