SMMC Nurse and Patient

Medi-Cal 2020 is a five year renewal of California’s Section 1115 Medicaid Waiver, which could provide California with more than $6.2 billion in new federal funding through programs that will shift the focus away from hospital-based and inpatient care, towards outpatient, primary and preventative care – in other words, from volume to value.

SNI is helping members succeed under the waiver’s four aligned programmatic elements, all of which aim to improve care for the state’s Medi-Cal and remaining uninsured patients:

  • Public Hospital Redesign and Incentives in Medi-Cal (PRIME), a pay-for-performance delivery system transformation and alignment program
  • Global Payment Program, an innovative payment reform program for services to the uninsured in California’s public health care systems
  • Whole Person Care, a pilot program to provide more integrated care to the highest-risk and most vulnerable patients
  • Dental Transformation Initiative, an incentive program to increase the frequency and quality of dental care provided to children

To learn more about the Medi-Cal 2020 waiver, download our issue brief.

For members: To learn more about SNI’s program-specific technical assistance efforts, register for SNI Link.