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Health Department outlines Medi‑Cal 2020 waiver: $6.2B federal funds, tighter metrics and revenue risks
Summary
Deputy director Colleen Chawla briefed the commission on the Medi‑Cal 2020 waiver (effective Jan. 1, 2016–Dec. 31, 2020). She described core components (PRIME, Global Payment Program, Whole Person Care, Dental Transformation), noted a smaller federal pool than the prior waiver and flagged implementation and measurement challenges that could reduce local drawdown of federal funds.
Colleen Chawla, deputy director for policy and planning at the San Francisco Department of Public Health, provided the commission with an extensive overview of California’s Medi‑Cal 2020 demonstration waiver and its implications for San Francisco’s safety‑net health system.
Chawla said Medi‑Cal 2020 began retroactively on January 1, 2016, and runs through December 31, 2020. She said the state estimates roughly $6.2 billion in federal funding in the waiver (about $12 billion when state matches are included) and explained the waiver’s major components: PRIME (Public Hospital Redesign and Incentives in Medi‑Cal), a Global Payment…
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