Social service providers in California, like Bhalla, face challenges in working with the 23 private health insurers covering Medicaid recipients. Each insurer has different requirements, causing administrative burdens and delays. California's Medicaid overhaul, CalAIM, aims to integrate social services into healthcare, but insurers struggle with their new role. State officials have responded with reforms to address issues, including a payment boost and streamlining operations. Click here for article.
Social service providers in California struggle to work with the 23 private health insurers covering Medicaid recipients, each with its own requirements and paperwork quirks.
California's Medicaid overhaul, CalAIM, aims to integrate social services into healthcare, but insurers find it challenging to adapt to their new role.
State Medicaid officials have issued reforms to address issues with CalAIM, including a 50% payment boost to providers and streamlining operations for insurers.
Despite challenges, CalAIM has provided services to 26% of homeless Californians, prompting state officials to seek permission for additional support, emphasizing the importance of improving the program to help more people in need.
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