PPT-The County Based Medi-Cal Administrative Activities (CMAA)

B ackcasting Invoice Training Starting in Fiscal Year FY 1011 the CMAA Program operated under an I nterim C laiming M ethodology The guidelines for the Interim Claiming can be found in Policy and Procedure Letter PPL number 11011. 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 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. Connecting Health and Housing. | Presented by: Sabra Matovsky. June 11 2015. A Health Plan Perspective. Molina Healthcare – Founded in 1980. 2. Molina Healthcare, Inc.. Footprint includes 4 of the 5 biggest Medicaid Markets. . 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. 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. Health Care reform. County Welfare Directors Association of California. Version 5. September 9, 2013. OVERVIEW OF TRAINING. Health Care Reform Coverage Requirement. Eligibility Programs Under Health Care Reform. Elissa Gershon, Senior Attorney. Disability Rights California. June 5, 2013. HCBS Waivers in California being discussed today:. Medi-Cal Home and Community Based Services Developmental Disabilities Waiver (DD Waiver). Integrated Systems of . Care Division. Department of Health Care Services. Medi. -Cal Home and Community Based SERVICES Waivers. 2. Medi-Cal Waivers. 1915(c) Home and Community Based Services Waivers. on . Medi. -Cal and California?. Ken Jacobs. UC Berkeley Center for Labor Research and Education. February 2013. California Simulation of Insurance Markets (CalSIM). Developed by UC Berkeley Center for Labor Research and Education and UCLA Center for Health Policy Research with support from The California Endowment . BHS AOA/CYF Providers’ Monthly Meeting held in . April/May . 2016. Presented by BHS Billing Unit. EGI Process Flow. ***. It is very important to have . SDMC Aid Code Master List . be available side-by-side to determine Medi-Cal eligibility.. 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. B. ackcasting Invoice Training. Starting in Fiscal Year (FY) 10/11 the CMAA Program operated under an . I. nterim . C. laiming . M. ethodology . The guidelines for the Interim Claiming can be found in Policy and Procedure Letter (PPL) number 11-011. 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:.