Case Studies
Medi-Cal 2020, California’s 1115 Waiver Case Study | Harbage Consulting

Since January 2015, Harbage Consulting has been working closely with the California Department of Health Care Services to provide policy analysis, technical assistance, strategic guidance and stakeholder engagement support on its Medicaid section 1115 waiver. The state’s most recent waiver renewal – known as Medi-Cal 2020 – was approved on December 30, 2015. Harbage Consulting is supporting the state in implementing two of the main components of the waiver – the Public Hospital Redesign and Incentives for Medi-Cal (PRIME) program and the Whole Person Care pilots.

Building on experience working on delivery system reform in both California and New York as well as experience working in the federal Centers for Medicare & Medicaid Services, Harbage Consulting is supporting the state by:


  • Providing strategic and policy advice on federal priorities related to the development, review and negotiation of Medicaid section 1115 waivers;
  • Drafting policy memos and presentations on delivery system reform and waiver implementation;
  • Designing the applications for hospital participation in the PRIME program and the application for the Whole Person Care pilots;
  • Developing review criteria for the applications and assisting the state in the review process;
  • Planning for stakeholder engagement activities; and
  • Assisting the state in planning and executing the PRIME and Whole Person Care Learning Collaboratives.


In addition, Harbage Consulting developed a comprehensive summary of the approved Medi-Cal 2020 waiver, the PRIME program and the Whole Person Care Pilots as well as a fact sheet providing an overview of the third key element of the waiver renewal – the Global Payment Program.


California is one of the leading states in the nation in implementing Medicaid delivery system transformation. The state has utilized the infusion of federal support for DSRIP over the past several years to advance strategies for achieving the goals of the Triple Aim and to change the way care is delivered and financed.

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