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  2. California Department of Managed Health Care - Wikipedia

    en.wikipedia.org/wiki/California_Department_of...

    The DMHC Help Center provides direct assistance in all languages to health care consumers through the Department’s website, www.HealthHelp.ca.gov, and a toll-free phone number, 1-888-466-2219. Mary Watanabe is currently the director of the DMHC. The DMHC is part of the California Health and Human Services Agency. It was established in 2000 ...

  3. Community Health Accreditation Program - Wikipedia

    en.wikipedia.org/wiki/Community_Health...

    This is part of the move towards promoting common standards among health departments both on the state and national levels. [4] Today, the CHAP accreditation is recognized as the standard when determining the level of excellence in home care. Meeting CHAP's requirements is the same as satisfying the CMS standards.

  4. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]

  5. Fast Healthcare Interoperability Resources - Wikipedia

    en.wikipedia.org/wiki/Fast_Healthcare...

    In 2020, the U.S. Centers for Medicare & Medicaid Services (CMS) issued their Interoperability and Patient Access final rule, (CMS-9115-F), based on the 21st Century Cures Act. The rule requires the use of FHIR by a variety of CMS-regulated payers, including Medicare Advantage organizations, state Medicaid programs, and qualified health plans ...

  6. Healthcare in California - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_California

    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]

  7. California Health and Safety Code - Wikipedia

    en.wikipedia.org/wiki/California_Health_and...

    In Division 2, the Knox-Keene Health Care Service Plan Act of 1975 in Division 2. Chapter 2.2., 1340 - 1399.864, [13] which is enforced by the California Department of Managed Health Care and regulates most health insurance in California, although some plans are regulated by the California Department of Insurance (CDI) with sometimes similar "companion" statutes in the California Insurance ...

  8. Operational data store - Wikipedia

    en.wikipedia.org/wiki/Operational_data_store

    An operational data store (ODS) is used for operational reporting and as a source of data for the enterprise data warehouse (EDW). It is a complementary element to an EDW in a decision support environment, and is used for operational reporting, controls, and decision making, as opposed to the EDW, which is used for tactical and strategic decision support.

  9. California Department of Health Care Services - Wikipedia

    en.wikipedia.org/wiki/California_Department_of...

    The California Department of Health Care Services (DHCS) is a department within the California Health and Human Services Agency that finances and administers a number of individual health care service delivery programs, including Medi-Cal, which provides health care services to low-income people.

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