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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]
The Board is part of the California Department of Consumer Affairs and has headquarters in Sacramento. [1] It has an annual budget of $65.277 million. The MBC is the oldest component of DCA, dating back to the 1878 revision of the Medical Practice Act of 1876. MBC is a member of the Federation of State Medical Boards. [2]
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 Statewide Automated Welfare System (SAWS) is the county-managed public assistance eligibility and enrollment system, e.g., the case management system for county eligibility staff providing CalWORKs, Welfare to Work, CalFresh, Medi-Cal, Foster Care, Refugee Assistance, County Medical Services Program, and General Assistance/General Relief. [17]
The California Department of Public Health (CDPH) is the state department responsible for public health in California. It is a subdivision of the California Health and Human Services Agency . It enforces some of the laws in the California Health and Safety Codes , notably the licensing of some types of healthcare facilities.
Alameda Health System (AHS), formerly Alameda County Medical Center (ACMC), is an integrated public health care system [1] organized as a public hospital authority. [ 2 ] Formerly operated by Alameda County , California , it now has an independent board of trustees appointed by the Alameda County Board of Supervisors .
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Unwarranted variations in medical practice refer to the differences in care that cannot be explained by the illness/medical need or by patient preferences. The term “unwarranted variations” was first coined by Dr. John Wennberg when he observed small area (geographic) and practice style variations, which were not based on clinical rationale. [5]