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CA AB1338
Bill
Status
2/1/2024
Primary Sponsor
Cottie Petrie-Norris
Click for details
AI Summary
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Adds fitness, physical activity, or recreational sports programs, activities, or memberships to the list of approved community supports that Medi-Cal managed care plans may cover as cost-effective and medically appropriate alternatives to standard Medi-Cal services.
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Allows these community supports to be offered only to beneficiaries enrolled in Medi-Cal managed care plans with comprehensive risk contracts, and participation is voluntary for enrollees.
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Requires the State Department of Health Care Services to publicly post which community supports each Medi-Cal managed care plan offers and to annually publish utilization data stratified by age, sex, race, ethnicity, and languages spoken.
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Mandates that Medi-Cal managed care plans inform members about available community supports through member handbooks and plan websites, including any limitations on those supports.
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Requires the department to conduct independent evaluation of community supports effectiveness and account for actual costs when developing capitation rates.
Legislative Description
Medi-Cal: community supports.
Last Action
From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.
2/1/2024