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The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
A building occupied by the California Department of Health Care Services. A December 2014 audit of the DHCS's Medi-Cal dental care program (Denti-Cal) by the California State Auditor reported that: "Information shortcomings and ineffective actions" by DHCS are putting child beneficiaries at higher risk of dental disease.
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 ...
The X12 834 EDI Enrollment Implementation Format is a standard file format in the United States for electronically exchanging health plan enrollment data between employers and health insurance carriers. The Health Insurance Portability and Accountability Act (HIPAA) requires that all health plans or health insurance carriers accept a standard ...
Ghaly earned his doctorate of medicine degree from Harvard Medical School and a master of public health degree from the Harvard T.H. Chan School of Public Health. [2] CHHS was created from a reorganization of other California agencies, including the California Health and Welfare Agency which included the California Department of Health Services.
Covered California is the health insurance marketplace in the U.S. state of California established under the federal Patient Protection and Affordable Care Act (ACA). The exchange enables eligible individuals and small businesses to purchase private health insurance coverage at federally subsidized rates.
Health Services ran the free health care programs Healthy Way LA and My Health LA from 2007 until 2024, when eligibility and access to California's health care program, Medi-Cal, was expanded. [4] In Fiscal Year 2015–16, Health Services provided healthcare services to over 643,856 unique patients during 2,457,174 patient visits. [5]
For a county CCS program the funding source is a combination of appropriations from the county, state general funds and the federal government. [1] California is required to spend 30% of funds from its Title V Maternal and Child Health Block Grant on children with special health care needs, thus a portion of these federal funds go to the CCS program.
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