Cal AIM Medi Cal Board & Care
- Cal Aim
- Covered CA SEP
- Medi Cal change HMO
- Medi Cal members can change HMO ANY TIME, ANY Reason! Learn More >>> Health Care Options DHCS
- Medicare SEP
- Medi Cal Info
- Private Tutoring & Research
- Connections / Home Care Consultations – Care Home Finders
- IHSS – In Home Supportive Services
- Medi Cal Long Term Care?
- Benefits Cal
- California Advancing and Innovating Medi-Cal CAL-AIM Diversions,
- it’s a new program that funds a portion of board and care housing for elderly low-income people on Medi-Cal.
- The level of assisted housing is called ‘board and care’ which is a lower level of medical care than skilled nursing.
- Licensed board and care provide 24/7 non-skilled nursing support for a max of 6 clients in each home.
- The issue is that Kaiser Medi-Cal has a technical internal snag that’s delaying funding, whereas HealthNet Medi-Cal has no issue funding this program.
- Cal Aim Explained for Assisted Living Community Operators pdf CHCF
- Enhanced Care Management ECM
- Community Supports
- Assisted Living Waiver
- Social Determinates of Health
- Hospice?
- Monthly changes – Medi Cal matching MAPD Medi Cal HMO
2025 Possible Increases or decreases in Funding and Coverage
- How Trump Administration Cuts Could Hurt Medi-Cal
Federal funds cover more than 60% of California’s low-income health insurance plan. Losing even part of that money could result in cutbacks on care for kids or state tax hikes. Read more * - California OKs $2.8B to close Medicaid funding gap after expanding immigrant coverage Read More *
- A fifth of Americans are on Medicaid. Some of them have no idea.
Programs with consumer-friendly names and private insurance company involvement add to the confusion. Read More * - Defending Medi Cal in 2025 CHCF *
- Medi-Cal Waivers and State Plan Amendments Chcf *
IHSS Cal AIM Waivers
- This series of short explainers outlines the overlaps and gaps between three Medi-Cal Home and Community-Based Services programs and CalAIM Community Supports. The three explainers focus on:
- Assisted Living Waiver
Home and Community-Based Alternatives Waiver
California Community Transitions Read More *
- Assisted Living Waiver
Resources & Background
#My Medi-Cal
How to get the Health Care
You Need
24 pages
Smart Phones - try turning sideways to view pdf better
How does Medicare pay for #SkilledNursing Homes - 10153 11359
Our Introductory You Tube VIDEO based on this manual
- Your costs for Skilled Nursing in Original Medicare You pay:
-
Days 1–20: $0 for each benefit period .
- Days 21–100: $194.50 coinsurance per day of each benefit period.
-
Days 101 and beyond: All costs. Medicare.gov *
-
- Clinical Guidelines explain the coverage so much better and in logical order!
- The two-midnight rule and Medicare Advantage: 7 updates Beckers Payer.com 2/2024
- Medi Cal Payments Fall Far Short of Covering Care Costs at Nursing Homes Skilled Nursing News.com 11/2024
- Medicare's VIDEO Nursing Home / Long-Term Care
- Planning for Discharge from a Health Care Setting VIDEO
- Long Term #Acute Care Publication # 11347
- Long-Term Acute Care Hospital (LTACH) Clinical Guidelines - Oscar
- Differences between Skilled Nursing, Long Term Acute Care & Inpatient Rehabilitation Facility
- Our FAQ on Sub Acute Care
- Find & compare nursing homes, hospitals & other providers near you Medicare.Gov
- Learn more about providers
- Calculate Cost of Long Term Care in your Area Genworth
- "Hospital at Home" Programs Improve Outcomes, Lower Costs But Face Resistance from Providers and Payers
- Pro Seniors Medicare & Skilled Nursing
- Medicare doesn't pay for:
- Our Webpagse on Long Term Care