Medi-Cal Managed Care Presented to: Family Voices of California March 14, 2016

Over 5.5 million children in Medi-Cal Over Half of all California Kids in Medi-Cal; Nearly All in Managed Care Over 5.5 million children in Medi-Cal

Accountability Mechanisms Medi-Cal Children’s Health Dashboard Latest: http://www.dhcs.ca.gov/services/Documents/January_2016_DHCS_Pediatric_Dashboard.pdf Medi-Cal Managed Care Program Quality Strategy Annual Assessment Timely access reports – not broken out for children Corrective action plans, performance improvement projects

Oversight Bodies Medi-Cal Children’s Health Advisory Panel Includes representatives from provider, business, education, family/consumer, and other areas Office of the Patient Advocate HMO quality report cards Department of Health Care Services Plan contracting and oversight Department of Managed Health Care 1-888-466-2219 (California Help Center) www.healthhelp.ca.gov Tiny percentage of potential consumer complaints reach these avenues

Concerns from Healthy Families Transition List all concerns…