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Showing posts from December, 2011

California PCIP Receives Additional Funds

California PCIP has received additional federal funds to expand the enrollment cap. Projections from November minutes of the MRMIB indicated that the PCIP would have to lower the cap on subscribers from the estimated 23,100 down to 6,800.

The additional federal funds in conjunction with the rollover of 2011 funds will be used by MRMIB to increase the number of slots for enrollment in CA PCIP above the 6,800 cap. Final enrollment cap is not provided at this time by MRMIB.

This is good news for those with high risk health conditions who may have been denied enrollment in CA PCIP due to enrollment cap.

Letter from MRMIB


California PCIP Substantially Lowering Enrollment Numbers

California PCIP has lowered the number of available slots due to excessive utilization of benefits. The CA PCIP will cap enrollments at 6,800 down from the originally projected 24,100 by 72%.

CA PCIP was granted funding in 2010 to establish the risk program run by the MRMIB (Major Risk Medical Insurance Board) which also runs the MRMIP -- California's state risk program.

The funding was intended to provide health insurance coverage for those who were uninsurable and had not had coverage in more than six months prior to applying. Original utilization projections were between $1000 and $1,100 Per Month Per Member. Actual utilization has been determined at $3,100 Per Month Per Member, over three times the projected usage. (see MRMIB November PCIP Agenda Item)

CA PCIP is currently seeking an additional $500,000,000 of funding to increase the available member slots to 11,247, still over 50% below the original projection of 24,100 member slots. If such additional funding is not recei…