Guest Commentary: Some CA community clinics are concerned that undermanned local agencies administering Medi-Cal are unprepared for major changes in eligibility and access, prompting fears about coverage disruptions and patients losing benefits.
Dr. Shura Alexis Moreno sees a patient at Gabriel Medical Center in East Los Angeles on Sept. 14, 2021. Jessica Pons for CalMattersSome community clinics in California are concerned that undermanned local agencies which administer Medi-Cal are unprepared for major changes in eligibility and access, prompting fears about coverage disruptions and patients losing their benefits.An error caused a Venice Family Clinic patient to lose the Medi-Cal coverage that paid for her HIV medications.
This frustrating process to correct a simple coding error illustrates how overwhelmed the county’s telephone system already is, and upcoming Medi-Cal changes promise to swamp this system if improvements aren’t made quickly. Beginning Saturday, L.A. County will start notifying approximately 300,000 people that they will lose their Medi-Cal coverage if they don’t go through the process to re-qualify.
And there’s even more enrollees on the way. By next January, California will expand Medi-Cal eligibility to adults with low incomes who are ages 26 to 49 regardless of their immigration status. In L.A. County, approximately 70,000 patients currently served through the My Health LA program will become newly eligible for Medi-Cal.
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