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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.
Medi-Cal Dental paid to the doctors only 30% of what commercial insurers paid for the same procedures per October 2017 report; even though DHCS must annually review reimbursement levels for Medi-Cal dental services to ensure “reasonable access” for Medi-Cal beneficiaries pursuant to Welfare & Institutions Code §14079 [8]
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 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.
In 2013, the Healthy Families Program was folded into Medi-Cal as part of the Affordable Care Act. 2005-2016 Healthy Kids. Partnership HealthPlan also offered a health insurance product called Healthy Kids to low income children not otherwise eligible for Medi-Cal. [ 8 ] In 2016, the Healthy Kids Program was folded into Medi-Cal under ...
Gold Coast Health Plan and three other local health systems will pay $70.7 million in a settlement over allegations of false Medi-Cal claims. Local health systems to pay more than $70 million in ...
By 2006, L.A. Care had established its own direct line of business in Medi-Cal. [3] [4] In 2008, L.A. Care launched the Medicare Advantage Special Needs Plan (SNP) for those dually-eligible for both Medi-Cal and Medicare. Starting in 2015, dually-eligible members were given the option to join the L.A. Care Cal MediConnect plan, offering members ...
Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC) is a hospital affiliated with and operated by the United States Department of Veterans Affairs in the Texas Medical Center in Houston, Texas. [1] It is one of the department's largest hospitals, serving Harris County, Texas and 27 surrounding counties. [2]