Medi-Cal 2020: Continuing Transformation and New Initiatives to Improve Health Outcomes

Prepared with support from The California Endowment

January 2016 – On December 30, 2015, the California Department of Health Care Services (DHCS) received federal approval from the Centers for Medicare & Medicaid Services (CMS) for a renewal of its Medicaid section 1115 waiver. The new demonstration (waiver), entitled “Medi-Cal 2020,” builds upon the Bridge to Reform (BTR) waiver that was approved in 2010. In addition to preserving many of the existing elements of BTR, Medi-Cal 2020 includes several new and ambitious initiatives aimed at continuing the delivery system improvements that began five years ago. The waiver provides opportunities for innovation through “Whole Person Care” pilots, expanded care opportunities for California’s remaining uninsured, and a Dental Transformation initiative. The waiver represents a shared commitment between California and CMS to provide 13 million Medi-Cal beneficiaries with efficient, high-quality care that will ultimately improve health outcomes and reduce costs.