What company is Medi-Cal under?
Asked by: Shane Ruecker | Last update: November 7, 2023Score: 4.5/5 (62 votes)
Medi-Cal is California's Medicaid program that provides medical services to low-income people at little or no cost. It is administered by the Centers for Medicare and Medicaid Services (CMS) and the California Department of Health Care Services (DHCS).
Who is in charge of Medi-Cal?
Under the guidance of the California Department of Health Care Services, the Medi-Cal program aims to provide health care services to about 13 million Medi-Cal beneficiaries.
Is Medi-Cal a state agency?
Medi-Cal is California's Medicaid program. This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources.
What type of insurance is Medi-Cal considered?
Medi-Cal, California's Medicaid program, is a public insurance health care program which provides health care services for low-income individuals and families who meet defined eligibility requirements.
What is the new name for Medi-Cal?
On January 1, 2023, Cal MediConnect plans transitioned to Medicare Medi-Cal plans (MMPs or Medi-Medi plans) provided by the same companies that provided Cal MediConnect plans.
What Is Medi-Cal? (Part 1)
What is another name for 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 ...
Is Medi-Cal same as Medi Care?
No. Medicare and Medi-Cal are two separate programs for health care coverage. Medicare is available nationally to cover seniors and people under the age of 65 with certain disabilities. Medi-Cal is California's Medicaid program, covering low-income individuals and families in California.
What government agencies regulate Medi-Cal treatment in California?
The DMHC regulates the majority of health care coverage in California including 96% of commercial and public enrollment in state-regulated health plans.
Is Medi-Cal managed Medicaid?
California was the first state to pilot managed care in Medicaid, beginning in the early 1970s, and the Medi-Cal managed care program has a unique structure that grew out of the different health care delivery and financing systems in different counties of the state.
Where does Medi-Cal get its funding?
Federal Matching Rates
For every dollar California spends on Medi-Cal, the federal government contributes 50 cents. The federal matching rate takes into account a state's resources to fund Medicaid (per capita income), but not a state's need (percent of population below poverty).
How does Medi-Cal get funded?
For every dollar that the state expends on allowable Medicaid costs, the federal government matches those funds at the applicable FMAP. The state share of Medi-Cal funding is drawn from multiple sources, including the state General Fund (GF), local matching funds, provider fees, and health plan taxes.
Is Medi-Cal better than Medicaid?
Medi-Cal is what we call the joint Federal-State Medicaid program in California (just like Covered California is what we call Obamacare in California). Medi-Cal and Medicaid are essentially the same thing.
Is Kaiser Medi-Cal managed care?
You may be able to become a Medi-Cal Managed Care member with Kaiser Permanente. You must qualify for Medi-Cal and live in a county where Kaiser Permanente has a contract to provide Medi-Cal Managed Care services.
What is managed Medi-Cal in California?
Medi-Cal is health care for people with low or no incomes. Some people who have Medi-Cal are in a Medi-Cal Managed Care plan. These plans have networks of providers, including doctors, pharmacies, clinics, labs, and hospitals.
What is changing in Medi-Cal in 2024?
Improvements to Medi-Cal Managed Care Plans in 2024
DHCS is changing how it contracts with MCPs. These changes will improve how members experience care and include: New commercial MCP contracts: On December 30, 2022, DHCS announced an agreement with five commercial MCPs to serve Medi-Cal members in 21 counties.
Is Medi-Cal government sponsored?
Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. Medi-Cal is supported by federal and state taxes.
Who governs Medi-Cal clinics in California?
Consumers Overview
The Medical Board of California (Board) has the primary responsibility of licensing and regulating physicians and surgeons and certain allied health care professionals.
How many Medi-Cal providers are in California?
The Medi-Cal program has participation from over 400 hospitals and approx 130,000 physicians, pharmacists, dentists and other health care providers in California.
What happens to my Medi-Cal when I turn 65?
If you qualify for Supplemental Security Income (SSI), you automatically qualify for full Medi-Cal coverage. To qualify for SSI, you must be age 65 or older, blind or disabled.
Can you have both Medi-Cal and Medicare?
Some people qualify for both Medicare and Medi-Cal and are “dual eligible” or Medi Medi beneficiaries. When an individual has both Medicare Parts A and B, Medicare is the primary insurance and pays for most medical care.
Is Blue Cross the same as Medi-Cal?
Medi-Cal Managed Care (Medi-Cal)
are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County.
What's the difference between Covered California and Medi-Cal?
What is the difference in coverage between Medi-Cal and Covered California? Medi-Cal is health coverage, just like the coverage offered through Covered California. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family.
Is California health and Wellness the same as Medi-Cal?
California Health & Wellness provides the same benefits as Medi-Cal, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services California Health & Wellness offers. Need help understanding these benefits and services?
Can I go to Kaiser if I have Medi-Cal?
At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage. Get care from a doctor or specialist – including appointments, exams, and treatment.