A Comprehensive Sect. 1115 Waiver to Replace Current Medi-Cal Hosp/Uninsured Demo Project

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Description:
This document presents the State of California’s concept of potential components for a section 1115 waiver, to be effective September 1, 2010. This new waiver reflects the need to achieve the structural reforms as adopted as part of the State’s 2009-10 budget and to prepare for possible national health care reform. Under the terms of the waiver, and consistent with recent legislation passed by the California Legislature and signed by the Governor (ABx4 61), California will create more accountable, coordinated systems of care, strengthen the health care safety net, reward health care quality and improvoutcomes, slow the long-term expenditure growth rate of Medi-Cal (California’s Medicaid program), and expand coverage to uninsured Californians.