PPT-1 1/27/2017 Drug Medi -Cal Organized Delivery System Pilot Program Beneficiary Protections

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Presentation to Counties March 10 2016 Updated August 2016 2 1272017 Managed Care Implications Federal Managed Care Requirements Regulations Enrollee Rights and

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1 1/27/2017 Drug Medi -Cal Organized Delivery System Pilot Program Beneficiary Protections: Transcript

Presentation to Counties March 10 2016 Updated August 2016 2 1272017 Managed Care Implications Federal Managed Care Requirements Regulations Enrollee Rights and Protections County Responsibilities Under DMCODS Pilot Program. 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 February 25, 2014. County Welfare Directors Association of California. Meg Sheldon. CDSS State Hearings Division. Clare Maudsley, ALJ. Contra Costa County. Yrma Villarreal. OVERVIEW OF TRAINING. Background to the Affordable Care Act (ACA).. Section IV. CHDP Program Eligibility. 1. 7/1/2010. Eligibility Categories. 2. 7/1/2010. 2. 3. Two Categories of CHDP Eligibility. Full-scope, no Share of Cost Medi-Cal. CHDP is a well child program for children on. . under. Health Care reform. October 22, 2013. County Welfare Directors Association of California. Cathy Senderling-McDonald. Los Angeles County. Isabelle Maggio. California Pan-Ethnic Health Network. February 25, 2014. County Welfare Directors Association of California. Meg Sheldon. CDSS State Hearings Division. Clare Maudsley, ALJ. Contra Costa County. Yrma Villarreal. OVERVIEW OF TRAINING. Background to the Affordable Care Act (ACA).. Joel Diringer, JD, . MPH. February 2016. 1. Funded by: . Definitions. “Lawfully present” immigrants. On road to citizenship – e.g. Legal Permanent Resident . (. LPR). Permission to stay indefinitely in US without pathway to citizenship. John Baackes. Chief Executive Officer. October 5, 2016. What is L.A. Care?. Medi. -Cal Managed Care Plan serving L.A. County since 1997. Created by California State enabling legislation and L.A. County resolution. DHCS Stakeholder Webinar. October 22, 2015. 1. Overview of Presentation. Impact of Substance Use. Federal . Landscape. Goals and Objectives of the Pilot. Stakeholder Process. Waiver Authority. Critical Elements. Summer 2014. The purpose of the . Medi-Cal Essentials for . Agents. course is to:. Inform Agents of the. changes to Medi-Cal with . the Affordable Care Act . (ACA). Review the new, simplified . Eligibility requirements. 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 Medi-Cal Page 1-1 order. Eligibility should be determined in the following order:. Medi - December 31 , 2020 What is Medi - Cal Rx and When Does it Happen? Medi - Cal Rx is the transition of all administrative services related to Medi - Cal pharmacy benefits billed on pharmacy clai Cal for People with Medicare E-002 p 2 of 4 Contact the Health Insurance Counseling and Advocacy Program HICAP at 1-800-434-0222 05-04-16 California Health Advocates cahealthadvocatesorg plans netw Number 85Continued on next page California Central Coast Chapter1528 Chapala St 204Santa Barbara CA 93101Tel 8058924259120 E Jones St 113Santa Maria CA 93454Tel 805636643224-Hour Helpline 8002723900al

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