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As a federal program, it was administered by the U.S. Department of Health and Human Services (HHS), and California Managed Risk Medical Insurance Board (MRMIB) at the state level. As a result of the 2012–2013 budget deal, nearly 900,000 children will be moved from the HFP into Medi-Cal beginning in 2013. [2]
As of 2015, about 14.1 million people were insured privately, including in self-funded plans; 1.3 million were in plans regulated by the CDI and 12.7 million were in plans regulated by the DHMC. [9] Kaiser Permanente had about 50% of the market, followed by Blue Shield of California , Anthem Blue Cross , and Health Net (a subsidiary of Centene ).
The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
However, not all health plans operating in California are under the jurisdiction of the DMHC; for example, some preferred provider organizations are regulated by the California Department of Insurance (CDI). Two state-based health insurance regulators is unusual in the United States, and has led to various additional work to synchronize laws. [3]
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The Healthy Families Program (HFP) was the California implementation of the federal Children's Health Insurance Program (CHIP) that provided low-cost insurance that provides health, dental, and vision coverage to children who do not have insurance and do not qualify for no-cost Medi-Cal.
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