PPT-How To Use California’s Department Of Managed Health Care’s (DMHC)

Independent Medical Review IMR Process ALLIANCE FOR FERTILITY PRESERVATION INSURANCE ACCESS 2016 PURPOSE The primary barrier to fertility preservation services for cancer patients is the high cost of treatment and the concomitant lack of insurance coverage. Medi Cal m anaged care health plans help Medi Cal beneficiaries find doctors pharmacies and health education programs Managed care health plans also offer Care Coordination Ongoing referrals to specialists 24 hour Nurse Advice t elephone services Cu California HealthCare Foundation, “MediCal Facts and Figures: A Program Transforms”, May 2013. http://www.chcf.org/publications/2013/05/medicalfactsfigures Currently, the state contracts wit California Department of Health Care Services MEDI-CAL HOME UPKEEP ALLOWANCE FOR AN INDIVIDUAL TEMPORARILY RESIDING IN A NURSING HOME OR OTHER MEDICAL FACILITY If you are on Medi-Cal and you are livi Lessons, advice, and warnings from California. Vanessa Cajina, Legislative Advocate. Families USA, January 23, 2014. WESTERN CENTER . ON LAW & POVERTY. We made it! Happy January 2014!. First things first:. PA 574: Health Systems Organization. Session 6 – . May . 8, . 2013. History and Context. Recent history (last three plus decades) of health care reform have really been about organization (re-)structuring of the health care system. Care. NYS Care Management Coalition. 2015 Annual Training Conference. Andrew. Cleek, . PsyD. Dan Ferris, MPA. Learning Objectives. To Understand. :. The basic principles of Managed Care as a payment vehicle for health care services. Managed Care. June . 10 - 11. , 2013. California ICD-10 . Site Visit . Training segments to assist the . State of California with . ICD-10 Implementation. Background. Cost Containment. Managed Care as a Policy Instrument. MO HealthNet Oversight Committee . May 16, 2017. DSS Communication Efforts. 2. 3. DSS Communication Efforts. Consumer Advisory Committee (CAC). 4. CAC began in 1995 at the inception of Managed . Care. June . 10 - 11. , 2013. California ICD-10 . Site Visit . Training segments to assist the . State of California with . ICD-10 Implementation. Background. Cost Containment. Managed Care as a Policy Instrument. Medi-Cal Table of Contents Medi-Cal and Covered CaliforniaMedi-Cal ReւuirementsMedi-Cal Program Comparison Ways to ApplyApplication Processing Times Seeing a Doctorวee-for-Service Medi-CalShare of x0000x0000Page CMCS Informational Bulletinx0000x0000 x/MCIxD 0 x/MCIxD 0 Development of a WebBased Reporting Portal for the Collection of Required Managed Care ReportsThe May 2016 Medicaid and CHIP m Rev 9/15Health and Recovery Plans HARPsA new kind of Medicaid Managed Care plan called a Health and Recovery Plan HARPwill provide more services for people with serious mental health and substance use Sara Rosenbaum, JD. March 8, 2017. Background. With total Medicaid enrollment approaching 75 million, high interest in delivery and payment reform. Managed care serves as the principal means for health care organization, delivery, and payment within the Medicaid program, increasingly across all beneficiary populations. Frequently Asked Questions HCA 19-039 (11/19) What is Washington Apple Health managed care? Managed care is a term used to describe the health care organizations and plans that provide medical ser