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The California Medical Assistance Program ... 2.2 million people were enrolled in Medi-Cal fee-for-service, ... Toggle the table of contents.
With 13 million children and adults enrolled, Denti-Cal is the largest state-sponsored dental insurance program; Private contractor that administers Denti-Cal is Delta Dental. In 2016, the State of California awarded Delta Dental a new contract to provide administrative services for the Denti-Cal program, continuing the 42-year relationship [7]
The Medi-Cal Access Program (MCAP), formerly known as the Access for Infants and Mothers Program (AIM), is a California policy that grants access to Medi-Cal to pregnant and uninsured (or whose coverage contains a co-pay over $500) mothers who would otherwise not qualify due to exceeding income guidelines.
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The Department of Managed Health Care (DMHC) is a regulatory body governing managed health care plans, including Health Maintenance Organizations (HMOs) and most Medi-Cal managed care plans in California. The DMHC was created as the first state department in the country solely dedicated to regulating managed health care plans and assisting ...
For the record: 12:25 p.m. March 31, 2023: A previous version of this story stated that Medi-Cal enrollees would be mailed a four-page form to redetermine their eligibility, and it linked to a ...
During later open enrollment periods, as some individuals chose plans through the exchange, others become eligible for Medi-Cal coverage or received coverage through an employer. [30] A 2014 analysis estimated that "between 1.1 and 1.3 million people will be enrolled in Covered California with subsidies at any point in time" due to the churn rate.
For example, the general 2006-2007 FMAP rate for California was 50% meaning that for every dollar that California contributed to an eligible social or medical program between 2006 and 2007, the federal government also contributed one dollar. [4] Within Medicaid, the FMAP can vary.