Fact Sheet

The California Department of Health Care Services (DHCS) and California Department of Aging (CDA) published a provider-facing fact sheet that describes: Medicare covered behavioral health services; how providers can enroll to be a Medicare provider; and how providers can help Medicare beneficiaries access behavioral health services. This fact sheet was created with support from The SCAN Foundation through our broader DHCS Office of Medicare Innovation and Integration (OMII) initiative. It was published January 2024. VIEW FACT SHEET

This fact sheet covers: (1) Behavioral health services covered by Medicare, including treatment for mental health conditions (e.g., depression or anxiety), significant mental health needs (e.g.,
schizophrenia or bipolar disorder), and substance use disorders (e.g., alcohol or
opioid dependence); (2) How to enroll as a Medicare provider and participate in Medicare; (3) How providers can help Medicare beneficiaries access care; and (4) 2024 changes in Medicare for behavioral health. VIEW FACT SHEET

Jointly prepared by ATI Advisory and the California Department of Health Care Services. This factsheet explains Medicare Advantage supplemental benefits and how these benefits may be similar to Medi-Cal benefits available to Californians dually eligible for Medicare and Medi-Cal. VIEW FACT SHEET

Jointly prepared by ATI Advisory and the California Department of Health Care Services. This factsheet explains Medicare Advantage supplemental benefits and how these benefits may be similar to Medi-Cal benefits available to Californians dually eligible for Medicare and Medi-Cal. VIEW FACT SHEET

This fact sheet, updated for 2023, describes opportunities open to states to better integrate care for dually eligible individuals, including efforts already underway in states across the nation.

Caring for a loved one impacts the health and financial well-being of many older Californians. View this fact sheet produced by The SCAN Foundation and NORC at the University of Chicago. VIEW FACT SHEET

Lower-income older Californians report higher levels of social isolation and symptoms of depression. View this fact sheet produced by The SCAN Foundation and NORC at the University of Chicago. VIEW FACT SHEET

Californians’ personal health experience and difficulty paying for care are impacted by income disparities. View this fact sheet produced by The SCAN Foundation and NORC at the University of Chicago.
VIEW FACT SHEET

Few older Californians have care managers to coordinate their care. View this fact sheet produced by The SCAN Foundation and NORC at the University of Chicago. VIEW FACT SHEET

Profile of the California Medicare Population details key characteristics of the state’s Medicare beneficiaries to help inform the future efforts. VIEW REPORT

On January 10, 2022, Governor Gavin Newsom released the 2022-23 proposed budget. The proposal includes several program changes that impact services for older adults and people with disabilities.

Enacted on July 12, 2021, California’s 2021-22 budget addresses longstanding system challenges related to health care, long-term services and supports, workforce, and housing for older adults, people with disabilities, and their caregivers. It reflects the recommendations of the governor’s Master Plan for Aging issued earlier in 2021, and includes $4.6 billion to enhance access to home- and community-based services (HCBS), as outlined in California’s proposed HCBS Spending Plan.

As of January 2020, more than one-third of states operate Medicare-Medicaid integrated care models based on demonstrations under the federal Financial Alignment Initiative or through Dual Eligible Special Needs Plans that are aligned with Medicaid managed care plans. Although enrollment in integrated care models has increased nearly five-fold in the past decade, fewer than 10 percent of the 12 million Americans who are dually eligible for Medicare and Medicaid are currently enrolled in an integrated program. To serve more dually eligible individuals, more states will need to develop integrated care programs, and existing programs will need to increase in scope. This brief, made possible with support from The SCAN Foundation, examines the progress of states that were early implementers of integrated care models. It identifies key factors that drove the successful implementation of these programs and highlights opportunities for other states interested in creating or enhancing integrated care programs. VIEW BRIEFING

This brief, made possible with support from The SCAN Foundation, examines the progress of states that were early implementers of integrated care models. It identifies key factors that drove the successful implementation of these programs and highlights opportunities for other states interested in creating or enhancing integrated care programs. VIEW BRIEFING

On June 10, 2019, California Governor Gavin Newsom issued Executive Order N-14-19, calling for a California Master Plan for Aging. This brief provides a high-level overview of the Executive Order.