Community
After a Pandemic Pause, the State Will Restart Checking Medi-Cal Eligibility
California will soon restart its annual eligibility review for people enrolled in Medi-Cal, a process that has been suspended since the onset of the COVID-19 pandemic. This means that starting in mid-April, residents enrolled in Medi-Cal, the state’s insurance program for low-income people, will start to receive renewal notices in the mail. The process will be spread over 14 months.
By Ana B. Ibarra
CalMatters
California will soon restart its annual eligibility review for people enrolled in Medi-Cal, a process that has been suspended since the onset of the COVID-19 pandemic.
This means that starting in mid-April, residents enrolled in Medi-Cal, the state’s insurance program for low-income people, will start to receive renewal notices in the mail. The process will be spread over 14 months. Some people may be automatically re-enrolled, but most people will have to fill out a renewal packet with information about their income and household size. People who no longer qualify or who fail to fill out the paperwork will lose their free or low-cost coverage.
State officials estimate that between 2 million and 3 million people could lose their Medi-Cal coverage. Ideally, people who no longer qualify for Medi-Cal will transition to a plan in the state’s insurance marketplace, Covered California, or to a job-sponsored health plan. Still, health advocates worry that many people could fall through the cracks or get caught in administrative hurdles and become uninsured, leaving them more likely to delay or forgo care altogether.
Currently, 15.4 million people — more than a third of the state’s population — are enrolled in Medi-Cal, the most ever, according to the California Department of Health Care Services. That’s partly a result of the increased need during the pandemic: As people lost jobs and wages, many also lost their medical insurance. From March 2020 to February 2023, Medi-Cal enrollment increased 16%, according to the department.
And as thousands of people became newly eligible for Medi-Cal, far fewer were coming off. Federal rules prohibited states from dropping people from government-sponsored insurance during the pandemic as a way to protect access to care. Now those federal rules are lapsing.
California’s renewal process will restart on April 1 and should be completed around June 2024, meaning people can receive their renewal notices and paperwork anytime during this time period. Those who in the past have renewed in the month of June will get their paperwork first, said Yingjia Huang, assistant deputy director for health care benefits and eligibility at the Department of Health Care Services. This phased-in approach will help spread the caseload for county offices in charge of the review, Huang said, and also allow enrollees who have renewed in the past to keep a similar timeline.
To qualify for Medi-Cal, people can earn up to 138% of the federal poverty level — that’s $20,121 a year for an individual or $41,400 for a family of four. Some Californians, such as pregnant women and people with disabilities, may qualify with slightly higher incomes.
People who were eligible for Medi-Cal at some point during the pandemic, but who may no longer qualify because their income has increased, will be automatically transitioned into a similar plan through Covered California, Huang said.
“The system automatically will review their eligibility for Covered California and Covered California will send out the enrollment notice to the member, informing them of their options and to pay the plan premium. So there’s no administrative burden on a member,” Huang said. “We’re trying to make sure that process is seamless and streamlined.”
Whether people successfully make the switch will largely depend on their ability to pay their new monthly premium.
Most people who buy from the marketplace receive generous subsidies, and some people don’t have a premium cost at all. Nearly half of the people enrolled in coverage through Covered California pay less than $50 a month, according to the agency. Still, even a $5 premium, along with the accompanying deductibles and copays, can discourage people from buying a health plan, said John Baackes, CEO of L.A Care, which offers Medi-Cal and Covered California plans to Los Angeles residents.
This auto-transition into Covered California will be a new test for the state. In the past, when people disenrolled from Medi-Cal, they were likely to go without coverage at least temporarily. Between 2016 and 2019, roughly 65% of people who dropped off Medi-Cal (Medicaid in other states) had a period of uninsurance, according to national research from the Kaiser Family Foundation.
To help avoid unnecessary loss in coverage, state officials are asking enrollees to verify their contact information. The Department of Health Care Services estimates that about 12% of enrollees may have moved during the pandemic and are at risk of not receiving their renewal packets. People who have moved during the pandemic should update their address via the state’s KeepMediCalCoverage.org website or by contacting their local county office.
Health advocates are concerned that people won’t be able to access timely help, given the influx of calls and visits county offices may receive. The increased volumes compounded by workforce shortages can prove to be a barrier, said Tiffany Huyenh-Cho, a senior staff attorney with Justice in Aging, a legal aid organization that advocates on behalf of seniors.
“We need these county offices to be appropriately staffed because that is the first place people go with a question about eligibility,” Huyenh-Cho said. “We already hear reports of long wait times in general.”
Awareness that the renewal process is restarting is also key, advocates say. State and county officials have known that the Medi-Cal renewal process would restart at some point, even though the timeline was pushed back multiple times. The general public may be less aware. One national survey found that as of December, 64% of enrollees had not heard of the return to regular eligibility checks, though education efforts have been ramping up as the April 1 date gets closer.
“I wonder how many of these 15 million people even know they still have Medi-Cal coverage?” said Shannon McConville, a research fellow at the Public Policy Institute of California, noting that many people, especially if healthy, distanced themselves from routine care during the pandemic.
Baackes at L.A. Care said the onus of spreading the word about the renewal period also falls on the health insurance plans. L.A. Care, he said, has been beefing up its staff to prepare for the anticipated volume of calls and requests. It will also have 14 locations where people can go and get help filling out the hefty packet.
“The packet is 20 pages. It should be one page: ‘Where do you live? How much do you make? Thank you,’ but it’s 20 pages. So one of the things we’ll be doing is we’ll have these community resource centers spread across the county,” Baackes said.
Among his concerns is that the Medi-Cal renewal process will be taking place at a time when California is preparing for some key expansions and changes. Starting in 2024, more people will qualify for full-scope Medi-Cal benefits as the state opens enrollment to income-eligible undocumented people ages 26 to 49, the last remaining age group. About 700,000 people are expected to gain benefits through that expansion.
At the same time, the state will also commence new Medi-Cal contracts with insurers, which could result in health plan changes for some enrollees. That’s a separate process, Huang at the state department said, and will not require any action from enrollees.
But these different moving parts happening at the same time will create more traffic in county social services offices, Baackes said.
“It’s just unfathomable to me,” he said, “that the state thinks that this is all going to happen without huge confusion on the part of the people we’re trying to serve.”
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AnaBIbarra/CalMatters2352p03/03/23
Activism
Oakland Post: Week of June 12-18, 2024
The printed Weekly Edition of the Oakland Post: Week of June 12-18, 2024
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Antonio Ray Harvey
More Segregated Than Deep South: ACLU Releases Report on Calif. Public Schools
The 2024 State of Black Education: Report Card was recently published by the American Civil Liberties Union California Action (ACLU California Action). It states that California is the third most segregated state for Black students. Co-author of the report, policy counsel Amir Whitaker from ACLU Southern California explained the criteria the ACLU use to rank California during the commemoration of the 70th anniversary of the landmark 1954 U.S. Supreme Court decision Brown vs. Board of Education held at the State Capitol the day after the Memorial Day holiday.
By Antonio Ray Harvey, California Black Media
The 2024 State of Black Education: Report Card was recently published by the American Civil Liberties Union California Action (ACLU California Action).
It states that California is the third most segregated state for Black students.
Co-author of the report, policy counsel Amir Whitaker from ACLU Southern California explained the criteria the ACLU use to rank California during the commemoration of the 70th anniversary of the landmark 1954 U.S. Supreme Court decision Brown vs. Board of Education held at the State Capitol the day after the Memorial Day holiday.
“For every state in the Deep South, California (schools) are more segregated,” Whittaker said. “People often think that California is not segregated or unequal as Deep South states and others. The inequalities here (in California) are actually wider.”
New York and Illinois are ahead of California regarding the racial diversity of their student bodies. According to a report May 2022 report by Stanford Graduate School of Education, the Los Angeles, Philadelphia, and New York City school districts are in the top 10 most racially segregated districts for White-Black, White-Hispanic, and White-Asian segregation based on the average levels from 1991-2020.
In bigger school districts, segregation between low-income (students who are eligible for free lunch) and non-low-income students increased by 47% since 1991, according to the Stanford Graduate School’s report.
“That’s why it’s important to look at this data,” Whitaker said. “When you have millions of people living in places like Los Angeles, Chicago, and New York, the urban areas are a lot more segregated than the south. That’s a big part of it.
A number of factors contribute to the segregation of schools in California such as parents sending their children to private schools, others optioning for homeschooling, and other reasons, Whitaker said.
The Brown v. Board of Education case declared that separating children in public schools based on race was unconstitutional. However, Whitaker pointed to cases after the landmark decision that circumvented that federal law.
According to a 2014 report by the Civil Rights Project, in the 1990s, decisions by the U.S. Supreme Court decision ended federal desegregation orders in San Francisco and San Jose. In addition, court decisions in the state that ordered desegregation in the 1970s were overturned by the 1990s. Legally, California has no school integration policy to adhere to.
“This is why we did this report. There needs to be a report just on this issue (of school segregation),” Whitaker told California Black Media. “Right now, there’s no task force or anything addressing it. I have never seen the California Department of Education talk about it. This is a pandemic (and) a crisis.”
ACLU Northern California hosted an overview of the report and panel discussion at the State Capitol on May 29. California Black Legislative Caucus member Assemblymember Mia Bonta (D-Alameda) and Sen. Steven Bradford were the guest speakers. Parents, students, educators, and Black education advocates from all over the state attended the 90-minute presentation at the State Capitol.
School segregation is the No. 1 issue listed in among the report’s “24 areas of documented inequality,” along with problematic trends of racial harassment, a continuous decline of Black student enrollment, school closures, connection with school staff, chronic absenteeism, low Black teacher representation, and parent participation.
Art
Mayor Breed, Actor Morris Chestnut Attend S.F.’s Indie Night Film Festival
On June 1, the acclaimed Los Angeles-based Indie Night Film Festival arrived at the Kabuki Theater in San Francisco. San Francisco native Dave Brown, Founder and CEO of the Indie Night Film Festival, has a vision for the film industry that is squarely focused on promoting the many talented producers, actors, and designers contributing to this billion-dollar industry. The festival has been running for 12 years and it’s only up from here, he says.
By Y’Anad Burrell
On June 1, the acclaimed Los Angeles-based Indie Night Film Festival arrived at the Kabuki Theater in San Francisco.
San Francisco native Dave Brown, Founder and CEO of the Indie Night Film Festival, has a vision for the film industry that is squarely focused on promoting the many talented producers, actors, and designers contributing to this billion-dollar industry. The festival has been running for 12 years and it’s only up from here, he says.
A weekly celebration of cinematic artistry designed to elevate emerging talent while providing a platform for networking and collaboration, entrepreneur Dave Brown created Indie Night to bridge gaps within the filmmaking community by fostering connections between like-minded individuals worldwide. The Indie Film Festival currently has over 450 film submissions worldwide, and its cinematic vault only continues to grow.
The festival showcased over 10 short films and trailers, and featured Faces of the “City: Fighting for the Soul of America,” produced by veteran actor Tisha Campbell. This film is about the vibrancy and legacy of San Francisco. The festival also previewed “When It Reigns,” a trailer by Oakland’s burgeoning filmmaker Jamaica René.
Indie films have not just challenged traditional cinematic norms; they’ve shattered them. These films offer unique storytelling perspectives and push creative boundaries in truly inspiring ways. With their smaller budgets and independent spirit, they often tackle unconventional subjects and portray diverse characters, providing a refreshing alternative to mainstream cinema. As a result, indie films have resonated with audiences seeking an escape from formulaic blockbusters and are increasingly celebrated for their authenticity and originality.
Organizers say the mission of Indie Night is to elevate the craft of independent artists and creators. It also provides a venue for them to showcase their work, network, and exchange information with new and established creatives. It creates a community that values and supports independent art.
For more about the Indie Night Film Festival, visit www.indienightfilmfestival.com.
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