What's New

PROGRAM BUSINESS RULES
• Mathematica Policy Research Brief:
  Health-e-App Public Access: A New Online Path to Children’s Health Care Coverage in California ^NEW
• Healthy Families Program Business Rules
• Healthy Families Program Open Enrollment Business Rules
• AIM Business Rules
• HFP and AIM Acceptable Income Documents and Family Composition Business Rules

PRE-EXISTING CONDITION INSURANCE PLAN (PCIP)
• PCIP Spanish-Language Website Launched ^NEW
• No Changes to California's State Administered PCIP Program ^NEW
• California PCIP Tops Enrollment Nationwide
• California’s PCIP Receives Additional Federal Funding for 2012 Operations
• PCIP Hits 5,000 Enrollment Mark in One Year
• MRMIB Announces Broad PCIP Premium Reductions
• PCIP/MRMIP Application Update:
  
  The PCIP/MRMIP Application and Handbook is available at PCIP/MRMIP Application and HandbookMRMIP FAQ's
• PCIP Premium Decrease
• Pre-Existing Condition Insurance Plan Open for Business!
  GREAT NEWS! Coverage for Californians with pre-existing conditions began Monday, October 25th. Persons who have applied for PCIP and have been found to be eligible, will receive welcome calls from the plan advising them of their coverage start date and that their welcome packet is in the mail.
• Governor launches new website to help Californians navigate the new health care reforms
• Application Released Today for Federal Pre-existing Condition Insurance Plan
• PCIP Website Launched 9/2/10:
  . For more program information go to the new PCIP website at www.pcip.ca.gov
• California's Approved Application to Operate the PCIP
• To request an application for the PCIP, send name, address, telephone number & email address to PCIP@MAXIMUS.com
• PCIP Rates Published and Vendor Negotiations Announced for September Start Goal
• California PCIP Geographic Rating Regions
• Pre-Existing Condition Insurance Plan (PCIP) Update 7/7/10
• Pre-Existing Condition Insurance Plan (PCIP) Vendor Solicitation
• Vendor Solicitation Reference Documents
• a. Section 1101 of the Affordable Care Act (HR 3590);
• b. California enabling statutes, SB 227 (Alquist), Chapter 31 of 2010
  and AB 1887 (Villines), Chapter 32 of 2010);
• c. Federal Solicitation for State Proposals to Operate Qualified High Risk Pools;
• d. California's response to the Federal Solicitation to Operate Qualified High Risk Pool, and
• e. Federal model contract for states to operate a Qualified High Risk Pool.
• f. Questions and Responses from Vendor Solicitation
• California Governor's Response to PCIP Solicitation
• California's response to the Federal Solicitation to Operate Qualified High Risk Pool
• Read the Governor's Letter
• DHHS Fact Sheet - Temporary High Risk Pool Program
• Facts about California's High Risk Pool and the Federal High Risk Pool

HEALTHY FAMILIES PROGRAM
• Healthy Families Dental Plans Get High Marks ^NEW
• Health-e-App Attracts 50,000 Users in First Year ^NEW
• Mathematica Policy Research Brief:
  Health-e-App Public Access: A New Online Path to Children’s Health Care Coverage in California ^NEW
• MRMIB Chosen For National Oral Health Initiative
• Emergency Regulations eliminating the Dental Benefit Cap
• Emergency Regulations to Modify Vision Plan Benefits
• Revisions to the EQRO Solicitation and Contract
• Proposers' Conference Questions and Responses
• Proposers' Conference Agenda 6.6.11
• Proposers Conference oral questions received 6.6.11
• Proposers Conference additional oral questions 6.15.11
• External Quality Review Organization (EQRO) Solicitation
• Health-e-App Public Access Spanish Version Launched
  • News Release in English
  • News Release in Spanish
• HFP Advisory Panel Vacancies Notice
• Health-e-Application Public Access Launched on December 20, 2010
• 2011-12 Traditional & Safety Net Provider Listings and Appeals
• "We Make A Difference" Video
• Facebook and Twitter now available!
• 2010 Open Enrollment "Hot Topic" Update
• 2010-11 Traditional & Safety Net Provider Listings and Appeals
• New 2011 Federal Income Guidelines (FIGs) Effective April 1, 2011!
• Limiting Families' Dental Plan Choices Starting November 1, 2009
• Flu Shots Can Protect Your Children and You! (pdf)
• Healthy Families Program Monthly Premiums and Co-payments will Increase November 1, 2009
• The AB 1183 Trailer Bill to Increase Subscriber Premiums, Establish a Dental Benefit Cap, and Modify Vision Benefits
• School Based Outreach Materials (RFI, PIF, Step-By-Step Instructions)
• 2007 Quality Measurement (HEDIS) Report
• Federal Issues (SCHIP)
• CHIPRA Impacts and Implementation Mandates
• Funding California's CHIP Coverage: What Will it Cost? 2009, Harbage Consulting (pdf)
• CMS rescinds August 17, 2007 Directive (pdf)
• President Obama Signs SCHIP Reauthorization Bill (pdf)
• SCHIP Funding and Reauthorization
• Regulation Changes
• Notice of Proposed Rulemaking, ER-1-10, Modifying Mental Health Benefits, Clarifying Plan Responsibilities for Children with Severe Emotional Disturbance and California Children's Services Eligible Conditions, Modifying the Definition of Benefit Year and Prorating Benefits Related to the Modification of the Definition of Benefit Year
• HFP and Medi-Cal Families Income Guideline Chart, Effective 4/1/08 through 3/31/09 (pdf)

ACCESS FOR INFANTS & MOTHERS
• Facebook and Twitter now available!
• New 2011 Federal Income Guidelines Effective April 1, 2011!
• Emergency Regulations ER-5-09 Enrollment Limitation Relating to Insufficient Funding (pdf)
• Emergency Regulations, ER-3-09, Eliminate Durational Residence Requirement (pdf)
• Flu Shots Can Protect You During Your Pregnancy! (pdf)
• New Eligibility Requirements

MAJOR RISK MEDICAL INSURANCE PROGRAM
• New 2012 Major Risk Medical Insurance Program (MRMIP) Premium Rates Effective January 1, 2012 ^NEW
• PCIP/MRMIP Application Update:
  
  The PCIP/MRMIP Application and Handbook is available at PCIP/MRMIP Application and Handbook
• MRMIP FAQ's
• MRMIP - Emergency Regulations, ER-2-09, Guaranteed Issue Pilot Program Reconciliation
• Flu Shots Can Protect You and Your Family! (pdf)
• Status of MRMIP Wait List 05/14/12 (pdf)
• Unavailable at Any Price: Why Many Californians Can't Buy Health Insurance at Any Price and the Urgent Need to Reform California's High Risk Pool
• Health Care Financial Resources (pdf)
• MRMIP Presentation 6/26/08
• MRMIP Subscriber Stories
• Guarantee Issue Pilot Program (GIP) Status Report (pdf)
• MRMIP Benefit Design Review Report (pdf)