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San Francisco prepares to implement expanded Drug Medi‑Cal services under federal 1115 waiver
Summary
City health officials briefed the Health Commission on recent 1115 waiver amendments that add prenatal/postpartum coverage and a substance‑use organized delivery system to Medi‑Cal; staff said San Francisco will opt into the phase‑1 Bay Area implementation but warned of provider certification and startup financing challenges.
San Francisco public health officials told the Health Commission they are moving ahead with implementation of newly amended components of the federal Section 1115 Medicaid demonstration waiver that expand prenatal/postpartum coverage and add an organized delivery system for substance‑use disorder services.
Colleen Chella, a health department staffer, said the waiver amendments extend full‑scope Medi‑Cal prenatal and postpartum coverage above 109 percent of the federal poverty level and add a substance‑use disorder managed care framework to Drug Medi‑Cal. The current 1115 waiver is scheduled to expire October 30; Chella said these elements are expected to be carried into the…
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