WebDHCS, or suspension. The Plan will validate the subcontractor status monthly by confirming the status on the DHCS portal. The Plan will monitor subcontractors with pending applications monthly to ensure they do not drive Medi-Cal members after 120 days. The Plan will require immediate corrective action for any deficiencies identified. of services. WebMar 2, 2024 · Department of Health Care Services (DHCS), Audits and Investigations Division. conducted an on-site Medical Audit of Kern Health System, a Managed Care Plan (MCP), from September 13, 2024 through September 24, 2024. The audit covered the period of August 1, 2024 through July 31, 2024. All items have been . evaluated
Request for Temporary Medical Exemption from Plan …
WebState Consumer Assistance Consumer Assistance at the Department of Health Care Services The California Department of Health Care Services (DHCS) administers Medi-Cal and other programs that provide medical and other services and support to Californians with a low income or disability. Consumer Assistance for Medi-Cal WebApr 10, 2024 · DHCS is planning to submit a State Plan Amendment to the Centers for Medicare & Medicaid Services in late 2024 to seek approval to implement the FQHC APM, with a proposed implementation date of Jan. 1, 2024. In order to incentivize enhanced healthcare quality for impacted Medi-Cal members, the new APM methodology will be … therapeutic goal of using synthetic colloids
Medi-Cal Managed Care Capitation Rates – Two-Plan Model
WebAug 9, 2024 · California State Plan A description of California's State Medicaid Program, containing the following sections: Single State Agency, Coverage and Eligibility, Services, Administration, Personnel Administration, Financial Administration, … The CHIP State Plan provides a description of California's CHIP program, authorized … Back to California's Medicaid State Plan Main Page Proposed SPAs which would … Pending State Plan Amendments Back to California's Medicaid State Plan Main … California State Plan. Back to California's Medicaid State Plan Main Page A … Approved State Plan Amendments. Back to California's Medicaid State Plan Main … WebWelcome to the Medi-Cal Dental Program The Medi-Cal Program currently offers dental services as one of the program's many benefits. Under the guidance of the California Department of Health Care Services, the Medi-Cal Dental Program aims to provide Medi-Cal members with access to high-quality dental care. Explore Find-A-Dentist WebOn May 23, 2011, the Centers for Medicare & Medicaid Services approved State Plan Amendments excluding Medi-Cal coverage for the nine optional Medi-Cal benefits, effective July 1, 2009. Accordingly, DHCS will no longer reimburse FQHCs or RHCs for adult dental, chiropractic or podiatric services. therapeutic glucose continuous monitor system