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John Baackes, CEO of L.A. Care Health Plan, the state’s largest Medi-Cal plan with nearly 2.6 million members, said roughly 20,000 members have lost their Medicaid coverage during the review ...
California’s decision to throw out Medi-Cal contract awards and compromise with health plans has consumer advocates questioning whether state officials will be able to enforce improvements.
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 ...
Since the COVID-19 pandemic began in earnest, low-income Californians who enrolled in Medi-Cal — California's version of the government-funded Medicaid health insurance program — have been ...
With 13 million children and adults enrolled, Denti-Cal is the largest state-sponsored dental insurance program; Private contractor that administers Denti-Cal is Delta Dental. In 2016, the State of California awarded Delta Dental a new contract to provide administrative services for the Denti-Cal program, continuing the 42-year relationship [7]
The Division of Medi-Cal Fraud & Elder Abuse (DMFEA) protects California's most vulnerable citizens and helps to safeguard the state's Medi-Cal program. The Division of Medi-Cal Fraud and Elder Abuse works aggressively to investigate and prosecute those who rob taxpayers of millions of dollars each year and divert scarce health care resources ...
The no-bid statewide Medi-Cal contract for HMO giant Kaiser Permanente is controversial. No-Bid Medi-Cal contract for Kaiser Permanente is now law, but key details are missing Skip to main content