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

2. 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

3. Accountability Mechanisms
Medi-Cal Children’s Health Dashboard
Latest:
Medi-Cal Managed Care Program Quality Strategy Annual Assessment
Timely access reports – not broken out for children
Corrective action plans, performance improvement projects

4. 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
(California Help Center)
Tiny percentage of potential consumer complaints reach these avenues

5. Concerns from Healthy Families Transition
List all concerns…