Category: Faces of Medi-Cal

Medi-Cal’s Dental Care Gap: Getting a Tooth Pulled Is Easy — Much Harder To Get an Implant

California is among a growing number of states that offer dental benefits to low-income residents, but some lawmakers want the state to go further by covering more cleanings and costlier implants. Dentists and health experts worry the approach doesn’t address the root of the problem: Many providers don’t accept Medicaid.

‘I Try To Stay Strong’: Mom Struggles To Get Diagnosis for Son’s Developmental Problems

An Alameda County mother has spent 10 months seeking help for her 4-year-old son’s speech and behavior issues from his school district and her Medicaid health insurer. She still doesn’t have an answer.

California Pays Meth Users To Get Sober

California’s Medicaid program is testing a novel approach for people addicted to methamphetamine, cocaine, and other stimulants. For every clean urine test, they can earn money — up to $599 a year.

Amid Mental Health Staffing Crunch, Medi-Cal Patients Help One Another

Peer leaders can help ease the shortage of mental health providers and build trust through shared experiences, state health officials say. In 2022, California started allowing counties to use Medicaid dollars to pay them for their work.

New Doula Benefit ‘Life-Changing’ for California Mom

Doulas, independent workers who act as advocates for birthing parents, have been shown to help prevent pregnancy complications and improve the health of both mothers and babies. California’s Medicaid program started covering their services this year, but some doulas say bureaucratic obstacles and inadequate pay prevent their effective use.

Beyond Insulin: Medi-Cal Expands Patient Access to Diabetes Supplies

California’s Medicaid program is making it easier for people with diabetes to obtain the supplies and equipment they need to manage their blood sugar, partly by relaxing preauthorization requirements that can cause life-threatening delays.

‘I’m So Burned Out’: Fighting to See a Specialist Amplified Pain for Riverside County Woman

Teresa Johnson has been in extreme pain for more than a year after what she believes was a severe allergic reaction to iodine. Her Medi-Cal plan approved her referral to a specialist, but it took her numerous phone calls, multiple complaints, and several months to book an appointment.

Medi-Cal Covers Gender-Transition Treatment, but Getting It Isn’t Easy

Pasha Wrangell has faced delays getting gender-affirming care because of red tape and limited providers. Over more than two years, Wrangell has received only about half the total electrolysis sessions recommended. Wrangell’s insurer through Medi-Cal, California’s Medicaid program, acknowledges the shortage of practitioners.

Medi-Cal’s Fragmented System Can Make Moving a Nightmare

When Medi-Cal beneficiary Lloyd Tennison moved last year from Contra Costa County to San Joaquin County, he was bumped off his managed care plan without notice before his new coverage took effect. His case highlights a chronic issue in California’s fragmented Medicaid program.

On the Brink of Homelessness, San Diego Woman Wins the Medi-Cal Lottery

Annie Malloy, of San Diego, is among the first to receive a new housing move-in benefit from Medi-Cal, California’s Medicaid program. It’s an effort to help homeless and near-homeless people who might otherwise rack up huge medical bills.