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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 ...
California was one of the states to expand its Medicaid program. [6] As of 2018, about one-third of California was covered by Medi-Cal. It is administered by the California Department of Health Care Services, which operates it in accordance with California's Medicaid State Plan and Title XIX of the Social Security Act. [7]
Case management is a managed care technique within the health care coverage system of the United States. It involves an integrated system that manages the delivery of comprehensive healthcare services for enrolled patients. [ 1 ]
However, all these programs are subjected to an accreditation review by their respective organizations: The Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM in the US) [1] and the Canadian College of Health Information Management (CCHIM in Canada). [2]
Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.
DMHC can refer to: California Department of Managed Health Care State of California government agency, United States. Dickinson Mental Health Center in Pennsylvania , United States
The Biden administration is looking to make good on a multi-million dollar promise to address the nation's mental health care crisis, starting with young people. Monday in Delaware marked a call ...
Global Healthcare Accreditation (GHA) [5] Healthcare Facilities Accreditation Program (HFAP) Healthcare Quality Association on Accreditation (HQAA) Institute for Medical Quality (IMQ) Joint Commission (TJC) National Committee for Quality Assurance (NCQA) National Dialysis Accreditation Commission (NDAC) [6] The Compliance Team, "Exemplary ...
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