Health and Human Services
Department of Health Care Services


FUNDING PROVIDED TO COUNTIES FOR MEDI-CAL ELIGIBILITY ACTIVITIES
 The Budget reflects savings of $107.2 million ($53.4 million General Fund) in funding for counties to determine eligibility for Medi-Cal services. County eligibility workers perform intake and re-determination work with beneficiaries applying for services.


HOSPITAL COST CONTAINMENT MEASURES
 The Budget seeks to create incentives for hospitals to contract with the Medi-Cal program and with Medi-Cal managed care plans. To this end it limits fee-for-service Medi-Cal payments for inpatient care at hospitals that do not contract with Medi-Cal through the California Medical Assistance Commission (CMAC). Similarly, it limits the amount that participating plans must pay hospitals that are out of the plan's network for emergency services and for post-stabilization services provided to Medi-Cal beneficiaries. The limit would not apply to rural hospitals and hospitals in areas historically excluded from contracting and that have fewer than three general acute care hospitals. This change will generate $17.5 million in General Fund savings.


MEDI-CAL SPECIALTY PHARMACY AND REBATE
 The Budget includes savings of $250,000 by authorizing the Department of Health Care Services (DHCS) to contract for specialty pharmacy products, including blood factor products, blood derivatives, immunizations, and other specialized drugs. The DHCS would also establish a process to collect rebates from drug manufacturers for these specialty pharmacy products.
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CHAPTER HIGHLIGHTS for Health and Human Services Back to Top

image of black pointing arrowDepartment of Health Care Services
 Department of Developmental Services
 Department of Mental Health
 Department of Child Support Services
 Department of Social Services
PRINTABLE BUDGET DOCUMENTS Back to Top
Enacted Budget Summary - Health and Human Services (pdf * - 171K) -
Provides the entire Health and Human Services Chapter in pdf format.
ADDITIONAL INFORMATION Back to Top
Enacted Budget Detail - Health and Human Services
Displays Enacted Budget Detail information for Health and Human Services.