1. The Healthy Families Program Transition into Medi-Cal
Overview and Children’s Advocates’ Response
Christine Sebastian
Health Program Associate
The Children’s Partnership
ITUP Inland Empire Regional Meeting
October 19, 2012

2. Budget Decision
The Governor’s budget for FY 2012/13 eliminated the Healthy Families Program (HFP) and will transfer all HFP enrollees to Medi-Cal beginning no sooner than January 1, 2013.

3. Basics of the Transition
Transfer nearly 900,000 HFP children to Medi-Cal no sooner than January 1, 2013, over 4 phases
Strategic plan
Stakeholder engagement with DHCS and DMHC
Legislative oversight
Consultation with CMS
MRMIB board meetings

4. Phases of the Transition
Phase 1 (No sooner than January 1, 2013)
Broken into 2 sub-phases
Phase 2 (No sooner than April 1, 2013)
Phase 3 (No sooner than August 1, 2013)
Phase 4 (No sooner than September 1, 2013)

5. County-by-County Numbers on the Transition
Number of children who will transition per phase for Imperial, Riverside, and San Bernardino counties
County
Phase 1
Phase 2
Phase 3
Phase 4
Imperial
4,373
Riverside
37,414
24,194
13,535
San Bernardino
29,742
21,603
9,939

6. Pre-requisites for an Effective, Responsible Transition
Implementation timeline must be flexible
Implementation plan must be submitted and reviewed
Performance and monitoring standards must be created

7. Pre-requisites for an Effective, Responsible Transition
Provider network adequacy report must be submitted
Federal approvals and guidance must be confirmed
Outreach and communication must be coordinated and comprehensive

8. Concerns Readiness Federal approval Lack of an implementation plan
Network adequacy/access

9. What Families Should Expect
General notice
60 and 30 day notices for Phase 1
90, 60, and 30 day notices for Phases 2-4
Medi-Cal welcome packet
Benefit Identification Card (BIC)
Packet from managed care plan (and dental managed care plan, where relevant)

10. Next Steps Continue to monitor transition implementation
Ensure that pre-requisites for an effective, responsible transition are met

11. Key Upcoming dates
Network adequacy assessment targeted to be released by November 1
Upcoming Stakeholder Webinars:
October 23, 2-4pm
December 7, 1-3pm
Upcoming Legislative Oversight Hearings:
Assembly Health hearing on HFP transition and other issues, October 25, 1:30-4:30pm
Assembly Budget hearing on Denti-Cal in Los Angeles, November 9

12. Key Websites on the Transition
MRMIB
tion.html
DHCS
lthyFamiliesTransition.aspx

13. For More Information TCP’s Website: Contact me:
Contact me:
Christine Sebastian
Health Program Associate
The Children’s Partnership