Medi-Cal: CalAIM Access Report for Multiple Lines of Business.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services, either through a fee-for-service or managed care delivery system. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.

Existing law requires the department to seek federal approval for and create a multiyear initiative, the California Advancing and Innovating Medi-Cal (CalAIM) initiative, to build upon the outcomes of various Medi-Cal pilots and demonstration projects, including the Medi-Cal 2020 Demonstration Project Act. Existing law requires that the CalAIM initiative be implemented only to the extent that federal approvals are obtained and federal financial participation is not jeopardized. Federal approval of CalAIM is subject to Special Terms and Conditions that require a Medi-Cal Managed Care Plan Access Report for Multiple Lines of Business to be sent to the Centers for Medicare and Medicaid Services.

This bill would require that report also be sent to specified committees in the Senate and Assembly.