Reports & Policy Briefs
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.
Read MoreSubstance 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....
Read MorePolicy 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.
Read MoreCalAIM Data Update: Enhanced Care Management Enrollment by County and Health Plan – Q1 – 2025
Provides detailed analysis of Enhanced Care Management through March 2025.
Read MoreCalAIM Data Update: Community Supports Utilization by County and Health Plan – Q1 – 2025
Provides detailed analysis of Community Supports through March 2025.
Read MorePolicy 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...
Read MorePolicy 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...
Read MorePolicy 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...
Read MoreRecent 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...
Read MoreCalAIM 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.
Read MoreCalAIM Update: Enhanced Care Management Enrollment by Population of Focus, County and Medi-Cal Managed Care Plan January to December 2024
Report provides most recent publicly available ECM enrollment data and trend for 2024 by quarter. The report includes enrollment and penetration rates by managed care plan, county, and population of...
Read MorePolicy Brief: Medi-Cal Managed Care: 2023 Performance in Post Emergency Department Follow-up Care for Medi-Cal Beneficiaries with Substance Use
Provides HEDIS performance data on how many Medi-Cal beneficiaries receive any follow-up after an emergency department visit for overdose or major substance use disorder within 7 days and within 30...
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