Improve Access to Care in Medi-Cal

More than half of California’s children (approximately 5 million children) have health coverage through Medi-Cal. Ensuring children have timely access to care in Medi-Cal is critical to the future of California and the health and well-being of California’s children. California must take action to ensure that all children in Medi-Cal are able to see a quality, culturally competent health provider when they need one.

Improving Reimbursement Rates

CDF-CA advocates for additional investments additional investments in Medi-Cal to improve children’s access to care. California’s Medi-Cal reimbursement rates for providers are among the lowest in the nation, creating a deterrent for providers to serve Medi-Cal patients and undermining access to care for children. Medi-Cal payments to providers are only 43 percent of the Medicare payment rate for primary care services, on average. In addition, due to provider reimbursement cuts in California and the expiration of a temporary Federal primary care payment bump, provider reimbursement rates for California’s primary care providers fell by an additional 59 percent on January 1, 2015. As a result of these low rates, California ranks 49th in the nation in per-child Medicaid spending.

Learn more: Protect Children’s Access to Care by Reversing Medi-Cal Payment Cuts