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Medi-Cal. 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.
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 ...
The California Health and Human Services Agency ( CHHS) is the state agency tasked with administration and oversight of "state and federal programs for health care, social services, public assistance and rehabilitation" in the U.S. state of California. The agency is headed by the Secretary of the California Health and Human Services Agency ...
The Medi-Cal Access Program ( MCAP ), formerly known as the Access for Infants and Mothers Program ( AIM ), is a California policy that grants access to Medi-Cal to pregnant and uninsured (or whose coverage contains a co-pay over $500) mothers who would otherwise not qualify due to exceeding income guidelines.
A total of 6,487,954 residents of California are enrolled in Medicare. The average Medicare Advantage monthly premium decreased in California compared to last year — from $19.69 in 2021 to $18. ...
History. In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose ...
Health insurance. As of 2018, most insured Californians were in plans regulated by the California Department of Managed Health Care (DMHC) with about 60% regulated by either DMHC or the California Department of Insurance (CDI). [1] This dual regulation arose due for historical reasons, and when the DMHC was created in 2000, [2] the California ...
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. It was formerly known as the California ...