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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]
Medi-Cal was created in 1965 by the California Medical Assistance Program a few months after the national legislation was passed. [2] Approximately 15.28 million people were enrolled in Medi-Cal as of September 2022, [3] or about 40% of California's population; in most counties, more than half of eligible residents were enrolled as of 2020. [4]
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 ...
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]
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 ...
As a result of the 2012–2013 budget deal, the HFP was discontinued [4] and Medi-Cal requirements were lowered so that HFP patients would qualify for Medi-Cal. Nearly 900,000 children were moved from the HFP into Medi-Cal beginning in 2013. [5] [6]
Partnership HealthPlan of California, is an independent, public/private organization serving over 950,000 Medi-Cal beneficiaries in 24 northern California counties: Butte County, Colusa County, Del Norte County, Humboldt County, Glenn County, Lake County, Lassen County, Marin County, Mendocino County, Modoc County, Napa County, Nevada County, Placer County, Plumas County, Shasta County, Sierra ...
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