Policy Brief: New CMS Guidance on Medicaid for Non-Citizens: Medicaid Manage Care Payments and Emergency Medicaid
January 2026 – Analysis on CMS September 2025 guidance on how medicaid funds can be used for non-citizens. Significant implications for Medi-Cal managed care plans and emergency Medi-Cal reimbursement.
Substance Use Disorders (SUD) in California Hospital-Based Encounters: Emergency Department and Inpatient Trends (2020–2022)
January 2026 – This data brief examines California hospital utilization related to substance use from 2020–2022, drawing on encounter-level data reported by the Department of Health Care Access and Information. (HCAI). The analysis highlights trends in encounter volume, patient demographics, substance types, and payer mix across emergency department (ED) and inpatient settings
Policy Brief : Access to Medication Assisted Substance Use Treatment by Medi-Cal Beneficiaries
January 2026 This paper estimates the share of Medi-Cal adults in each county who were at risk of opioid misuse in 2022 and compares that with counts of adults receiving forms of MAT prescribed for their condition.
CalAIM Data Update: Enhanced Care Management Enrollment by County and Health Plan – Q1 – 2025
Provides detailed analysis of Enhanced Care Management through March 2025.
CalAIM Data Update: Community Supports Utilization by County and Health Plan – Q1 – 2025
Provides detailed analysis of Community Supports through March 2025.
Policy Brief: Are Medi-Cal Children Receiving Vision Care They Need? A 2022-24 Update
New analysis finds that only 16% of school-age children on Medi-Cal received primary care eye services between July 2022 and June 2024. This is a decline from the 19% served in 2016-2016.
Policy Brief: Requiring Access to Quality Report Rating and Information for Long Term Care
About 3 million Californians are discharged from hospitals annually, and many need post-acute and long-term care services after discharge. Hospital discharge plans often include placement options in skilled nursing facilities (SNFs) or other rehabilitation alternatives. Quality reports on long-term care providers are available from several sources. However, there are no requirements that patients receive information […]
Policy Brief: Promoting Health Equity for People with Disabilities Through United Efforts
There are 7.6 million Californians who live with a disability and experience significant health disparities. This policy brief analyzes how key state departments – Department of Health Care Services, Department of Managed Health Care, Department of Public Health and the Department of Health Care Access and Information – define and measure disability.
Recent Results for HEDIS Scores for Follow-Up After Emergency Department Visit for Substance Use for Medi-Cal, Commercial and Medicare Health Plans
Key findings – overall performance is poor. Average performance for Medi-Cal and Commercial plans for follow-up care is less than 1 in 3 within 30 days of visiting an emergency department in 2023.
CalAIM Update: Community Supports Utilization by county and Medi-Cal Managed Care Plan – January to December 2024
Report provides most recent CalAIM Community Supports utilization data and trend for 2024 by quarter. Analysis for all fourteen community supports includes data by county and Medi-Cal managed care plan.