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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]
A building occupied by the California Department of Health Care Services. A December 2014 audit of the DHCS's Medi-Cal dental care program (Denti-Cal) by the California State Auditor reported that: "Information shortcomings and ineffective actions" by DHCS are putting child beneficiaries at higher risk of dental disease.
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 ...
By doing so, the model can project future enrollment numbers in California health programs. According to this model, at some point in time, an estimated 1.1 to 1.3 million Californians will be enrolled in Covered California. Simultaneously, Medi-Cal enrollment is anticipated to reach an unprecedented high, ranging from 7.4 to 7.8 million ...
The bill would direct GAO to study the processes used by the Relative Value Scale Update Committee (RUC) to make recommendations to the Secretary regarding relative values for specific services under the Medicare physician fee schedule. [6] The bill would make Metropolitan Statistical Areas in California fee schedule areas for Medicare payments ...
In long-awaited guidelines for SB 478, the state's ban on 'drip pricing,' Atty. Gen. Rob Bonta makes it clear that restaurants will have to include surcharges and fees in the prices on their menus.
For California to change the way it delivers Medi-Cal services, the federal government must grant permission in the form of a waiver. A 1115 Waiver approved in November 2010 affects children eligible to receive CCS health care needs through demonstration pilots. [ 10 ]
Health Services ran the free health care programs Healthy Way LA and My Health LA from 2007 until 2024, when eligibility and access to California's health care program, Medi-Cal, was expanded. [4] In Fiscal Year 2015–16, Health Services provided healthcare services to over 643,856 unique patients during 2,457,174 patient visits. [5]