California Managed Health Care Providers

Listing Websites about California Managed Health Care Providers

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Medi-Cal Managed Care Health Plan Directory - DHCS

(4 days ago) WEBProviders & Partners Medi-Cal Managed Care Health Plan Directory . When you first qualify for Medi-Cal, you are covered under Medi-Cal Fee-for-Service. Depending on the county where you live, you may have to choose a health plan within …

https://www.dhcs.ca.gov/individuals/Pages/MMCDHealthPlanDir.aspx

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Medi-Cal Managed Care - DHCS

(3 days ago) WEBManaged care plans are a cost-effective use of health care resources that improve health care access and assure quality of care. Today, approximately 15.2 …

https://www.dhcs.ca.gov/services/Pages/Medi-CalManagedCare.aspx

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California - Home Medi-Cal Managed Care Health Care Options

(2 days ago) WEBMedi-Cal covers vital health care services for you and your family, including doctors visits, prescriptions, vaccinations, hospital visits, mental health care, and more. As COVID-19 …

https://www.healthcareoptions.dhcs.ca.gov/

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California Department of Managed Health Care > Home

(5 days ago) WEBThe health plan dashboard features health plan contact information, enrollment data, complaint and IMR data, enforcement actions, and financial data. Select a health plan …

https://www.dmhc.ca.gov/?popUp=true

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Types of Plans - California Department of Managed Health Care

(4 days ago) WEBThe Department of Managed Health Care (DMHC) oversees all HMOs in California and some other kinds of health plans. An HMO is a kind of health insurance that has a list of …

https://www.dmhc.ca.gov/HealthCareinCalifornia/TypesofPlans.aspx

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MCP: Code Directory (mcp code dir)

(5 days ago) WEBMCP Code Directory Table. ‹‹Health Net Community Solutions, Inc 21281 Burbank Boulevard. Woodland Hills, CA 91367 1-800-675-6110. ‹‹Partnership Health Plan of …

https://mcweb.apps.prd.cammis.medi-cal.ca.gov/file/manual?fn=mcpcodedir.pdf

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Spotlight on Medi-Cal Managed Care - California Association …

(6 days ago) WEBMedi-Cal managed care plans. Managed care is available in all 58 counties including rural areas, and most seniors and persons with disabilities (SPDs) are enrolled in managed …

https://www.calhealthplans.org/wp-content/uploads/2019/10/fact-sheet-spotlight-on-medi-cal-managed-care-01-09-19.pdf

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The 6 Medi-Cal Managed Care Models in California

(Just Now) WEBIn November 2010, the Department of Health Care Services (DHCS), California’s Medicaid agency, expanded the state’s managed care to seniors and people with disabilities …

https://icaliforniamedical.com/medi-cal-managed-care-models/

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Medi-Cal Managed Care Plans by County - California Medi-Cal Help

(9 days ago) WEBBelow is the list of California Medi-Cal Managed Care Plans by County, including a link to their website and phone number. The list is in alphabetical order. Scroll down to locate …

https://icaliforniamedical.com/medi-cal-managed-care-plans-by-county/

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Medi-Cal Managed Care: An Overview and Key Issues - KFF

(6 days ago) WEBIn the short time from 2011 to 2015, California expanded managed care to 28 rural counties, transitioned or enrolled almost 5 million beneficiaries into managed care, …

https://www.kff.org/report-section/medi-cal-managed-care-an-overview-and-key-issues-issue-brief/

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Medi-Cal Explained: 2024 Medi-Cal Managed Care Plans by County

(5 days ago) WEBMedi-Cal managed care plans are becoming an even more critical part of the Medi-Cal landscape, with increasing responsibility for new services and for management of new …

https://www.chcf.org/publication/medi-cal-explained-2024-medi-cal-managed-care-plans-by-county/

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IEHP - Understanding Insurance : Managed Care Explained

(6 days ago) WEBManaged care refers to a group of activities that helps lower the cost of offering for-profit healthcare services and health insurance while boosting the quality of healthcare …

https://www.iehp.org/en/learning-center/understanding-insurance/managed-care-explained

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Medi-Cal Explained - California Health Care Foundation

(1 days ago) WEBMedi-Cal Explained. Medi-Cal is the foundation of California’s health care safety net and a major component of the state’s budget. The Medi-Cal Explained series provides an …

https://www.chcf.org/collection/medi-cal-explained/

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Managed Care Plan Directory - DHCS

(7 days ago) WEBFor members who need help with their Dental Health Plan, please call the Department of Managed Care Help Center. Managed Care Help Center: (888) 466-2219. For …

https://www.dhcs.ca.gov/mcp

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Managed care organizations in California Cause IQ

(3 days ago) WEBLarge organizations like Kaiser Foundation Health Plan (KFHP), Kaiser Foundation Health Plan of Washington, Sutter Bay Medical Foundation (PAMF), Sutter Medical Foundation …

https://www.causeiq.com/directory/managed-care-organizations-list/california-state/

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California Department of Managed Health Care

(5 days ago) WEBCalifornia Governor. Visit His Website. Mark Ghaly. Secretary, Health & Human Services Agency. View Mark's profile. Mary Watanabe. Director, Department of Managed Health …

http://www.hmohelp.ca.gov/Home.aspx

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California Made Capitation Payments for Enrollees Who Were …

(7 days ago) WEBOur audit covered August 2021 Medicaid managed care capitation payments totaling $36.4 million made by California on behalf of 108,800 enrollees who were concurrently …

https://oig.hhs.gov/reports-and-publications/all-reports-and-publications/california-made-capitation-payments-for-enrollees-who-were-concurrently-enrolled-in-a-medicaid-managed-care-program-in-another-state/

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Provider Connection home page Blue Shield of CA Provider

(Just Now) WEBThe BlueCard® Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. When an out-of …

https://www.blueshieldca.com/en/provider

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About the DMHC - California Department of Managed Health Care

(7 days ago) WEBThe California Department of Managed Health Care protects consumers' health care rights and ensures a stable health care delivery system. provider networks, mental health …

https://www.dmhc.ca.gov/AbouttheDMHC/LawsRegulations.aspx

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Coordinating your care Medicare

(1 days ago) WEBIf you don’t want Medicare to share information with your health care providers for care coordination, call 1-800-MEDICARE (1-800-633-4227). Medicare may still share …

https://www.medicare.gov/providers-services/coordinating-care

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Preventive health guidelines Blue Shield of CA Provider

(2 days ago) WEBFind out about Blue Shield of California's health management programs available to eligible members with certain chronic conditions. Learn about our programs for Blue Shield of …

https://www.blueshieldca.com/en/provider/guidelines-resources/patient-care-resources/preventive-health

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Medi-Cal Fosters Collaboration in Homeless Care - California …

(6 days ago) WEBMedi-Cal Fosters Collaboration of Health Care, Homeless Service Providers. July 25, 2024 I served as a medical director attending to population health strategies for a Medi-Cal …

https://www.chcf.org/blog/medi-cal-fosters-collaboration-health-care-homeless-service-providers/

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A California Medical Group Treats Only Homeless Patients — And …

(3 days ago) WEBHealthcare in Action, a California medical group that exclusively serves homeless people, has tapped into growing demand and funding for street medicine services. Three years …

https://kffhealthnews.org/news/article/california-homeless-medical-care-healthcare-in-action/

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Providers Managed Care Plan Transition DHCS

(9 days ago) WEBMedi-Cal Managed Care Plan Transition. California is transforming Medi-Cal to ensure members can access the care they need to live healthier lives. Beginning in 2024, Medi …

https://www.dhcs.ca.gov/MCP-Transition/Pages/Providers.aspx

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Claims mailing addresses Blue Shield of CA Provider

(5 days ago) WEBBlue Shield Life & Health Insurance Company P.O. Box 9000 London, KY 40742 Phone:(866) 510-8778. Blue Shield Medicare Advantage Blue Shield Medicare …

https://www.blueshieldca.com/en/provider/claims/mailing-addresses

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November 5, 2024, General Election Voter Information Guide …

(2 days ago) WEBHealth Care Entities Must Be Licensed. Health care entities must be licensed to provide services in the state. Several departments license health care entities, such as the …

https://elections.cdn.sos.ca.gov/statewide-elections/public-display/prop-34-leg-analysis.pdf

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Current Dengue Outbreak Dengue CDC

(2 days ago) WEBIn the United States, public health authorities in Puerto Rico declared an outbreak in March 2024. Local transmission of dengue has also been reported in 2024 in the US Virgin …

https://www.cdc.gov/dengue/outbreaks/2024/index.html

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California Department of Managed Health Care > Health Care in

(4 days ago) WEBSee an OB-GYN in your health plan's network for pregnancy or routine gynecological (female) care. More Information About Prior Approval. If your health plan does not …

https://www.dmhc.ca.gov/healthcareincalifornia/yourhealthcarerights/referralsandapprovals.aspx

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Table of Contents

(1 days ago) WEBMedicaid managed care programs and congressional lawmakers have introduced multiple bills that would prohibit spread pricing. 120. The Congressional Budget Office (CBO) …

https://oversight.house.gov/wp-content/uploads/2024/07/PBM-Report-FINAL-with-Redactions.pdf

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Managed Care Plans and Behavioral Health Plans/Counties - DHCS

(3 days ago) WEBManaged Care Plans and Behavioral Health Plans/Counties California's Data Exchange Framework CalHHS AB 133 is a law that was passed in July 2021 and changed …

https://www.dhcs.ca.gov/dataandstats/Pages/Managed-Care-Plans-and-Behavioral-Health-Plans-Counties.aspx

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Ascension to sell 13 facilities to Prime Healthcare

(3 days ago) WEBOntario, California-based Prime Healthcare had been looking to enter the Illinois market to increase its Midwestern presence, a spokesperson said. The health system operates 44 …

https://www.modernhealthcare.com/providers/ascension-prime-healthcare-deal-illinois

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How to File a Complaint - California Department of Managed …

(3 days ago) WEBSTEP 2: File an IMR/Complaint with the DMHC. Once you have participated in the 30-day process with your health plan, if the issue has not been resolved or you are not satisfied …

https://www.dmhc.ca.gov/FileaComplaint.aspx

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Mass IT Outage: List of Companies and Operations Affected

(4 days ago) WEBHospitals and doctors' surgeries. Several hospitals and doctors' practices appear to have been affected by the outage. In the UK, the NHS' EMIS system, which doctors use to …

https://www.businessinsider.com/mass-it-outage-companies-operations-airlines-affected-microsoft-crowdstrike-2024-7

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