Dhcs Health Care Plan Requirements

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Medi-Cal Managed Care - California

(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 million Medi-Cal beneficiaries in all 58 counties receive their health care through five main …

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

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Department of Health Care Services - California

(3 days ago) WEBTO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS . SUBJECT: NETWORK CERTIFICATION REQUIREMENTS PURPOSE: The purpose of this All Plan Letter …

https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2023/APL23-001.pdf

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BH CalAIM Webpage - California

(2 days ago) WEBIn April 2022, DHCS published Behavioral Health Information Notice (BHIN) 22-019, which removed most client plan requirements from SMHS and most treatment plan …

https://www.dhcs.ca.gov/Pages/BH-CalAIM-Webpage.aspx

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Home Medi-Cal Managed Care Health Care Options

(4 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/en

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DHCS publishes Medi-Cal Managed Care Plan Transition …

(4 days ago) WEBAt the end of 2022, the California Department of Health Care Services (DHCS) reached an agreement with five commercial managed care plans (MCP) to deliver Medi-Cal …

https://www.cmadocs.org/newsroom/news/view/ArticleId/50228/DHCS-publishes-Medi-Cal-Managed-Care-Plan-Transition-Policy-Guide

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December 22, 2023 ALL MEDI-CAL MANAGED CARE …

(5 days ago) WEBThe Department of Health Care Services (DHCS) released its California Advancing and Innovating Medi-Cal (CalAIM) proposal on October 29, 2019, in anticipation of the The …

https://calhospital.org/wp-content/uploads/2024/01/APL-23-032.pdf

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Managed Care - Local Health Plans of California

(3 days ago) WEBManaged Care Requirements and Regulation. DHCS shares regulatory authority over the Medi-Cal health plans with the Department of Managed Health Care …

https://www.lhpc.org/managed-care

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Documentation Guide

(4 days ago) WEBin care while improving access to and coordination among the delivery systems responsible for providing care. DHCS aims to provide Californians with access to equitable, …

https://www.calmhsa.org/wp-content/uploads/2023/08/Calaim-Documentation-Guide-2023-LPHA-v1.pdf

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Department of Health Care Services

(1 days ago) WEBcare, early childhood prevention, chronic disease management, and behavioral health care.3 On January 17, 2019, DHCS issued APL 19-001: Medi-Cal …

http://www.partnershiphp.org/Providers/Medi-Cal/Documents/OnDemandTrainingWebinars/Prop%2056/APL%2020-014%20-%20Prop%2056%20VBP.pdf

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Department of Health Care Services

(5 days ago) WEBCalAIM Enhanced Care Management and Community Supports Frequently Asked Questions (FAQ) Introduction . California Advancing and Innovating Medi-Cal, or …

http://www.partnershiphp.org/Community/Documents/CalAIM%20Webpage/DHCS%20Documents/ECM-Community-Supports-Dec-FAQ_Dec2021.pdf

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California Department of Managed Health Care > …

(1 days ago) WEBCalifornia law requires health plans to provide timely access to care. This means that there are limits on how long you have to wait to get health care appointments and telephone advice. If you have a problem getting …

https://www.dmhc.ca.gov/HealthCareinCalifornia/YourHealthCareRights/TimelyAccesstoCare.aspx

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Enhanced Care Management Provider Reference Guide

(3 days ago) WEBEffective January 1, 2022, California Health & Wellness Plan (CHWP) will launch the Medi-Cal ECM benefit designed by DHCS and authorized by the Centers for Medicare and …

https://www.cahealthwellness.com/content/dam/centene/cahealthwellness/pdfs/provider/CalAIM/ECM-Provider-Guide-Final-CHW.pdf

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Enhanced Care Management Provider Reference Guide

(7 days ago) WEBEffective , California Health & Wellness Plan (CHWP) launched the Medi-Cal ECM benefit designed by DHCS and authorized by the Centers for Medicare and …

https://www.cahealthwellness.com/content/dam/centene/cahealthwellness/pdfs/provider/CalAIM/chw-ecm-provider-guide.pdf

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Documentation Guide

(7 days ago) WEBin care while improving access to and coordination among the delivery systems responsible for providing care. DHCS aims to provide Californians with access …

https://www.calmhsa.org/wp-content/uploads/2023/09/Calaim-Documentation-Guide-DMC-2023-AOD-v2.pdf

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CalAIM: Population Health Management (PHM) Policy Guide), …

(4 days ago) WEBThe California Advancing and Innovating Medi-Cal (CalAIM) PHM Program Guide is one of three key California Department of Health Care Services (DHCS) …

https://issuu.com/advanceoc/docs/2023-phm-policy-guide

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Transitional Care Services – new requirements - Provider News

(1 days ago) WEBOn November, 28 2022, the Department of Health Care Services (DHCS) released All Plan Letter (APL) 22-024, Population Health Management (PHM) Policy …

https://providernews.anthem.com/california/articles/transitional-care-services-new-requirements-14350

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Department of Health Care Services - California

(3 days ago) WEBThe purpose of this All Plan Letter (APL) is to provide guidance to Medi-Cal managed care health plans (MCPs) on using the Department of Health Care Services (DHCS) Priority …

https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2021/APL21-009.pdf

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California Department of Health Care Services Medi-Cal …

(3 days ago) WEB352 Health Net Comm Solutions HN Health Net Comm Solutions MO Molina Healthcare Partner. 304 L.A. Care Health Plan. BC Anthem Blue Cross Partnrshp. BL Blue Shield …

https://www.healthcareoptions.dhcs.ca.gov/content/dam/digital/united-states/california/ca-hco/download-forms-2024/2-2-24/english/LOS_ANGELES_0VM3451_ENG_2.2.24.pdf

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California’s new Medi-Cal managed care plan contracts take effect …

(Just Now) WEBPhysicians are reminded that the California Department of Health Care Services (DHCS) has contracted with five commercial managed care plans to deliver Medi-Cal services in …

https://www.cmadocs.org/newsroom/news/view/ArticleId/50372/California-s-new-Medi-Cal-managed-care-plan-contracts-take-effect-Jan-1

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CA DHCS Announces New MLR Requirements on Subcontractors, …

(Just Now) WEBThe industry standard is to have an 85% MLR target: at least 85% of the managed care plan’s premium should be spent on medical care. Since 2017, DHCS …

https://www.thehealthlawticker.com/ca-dhcs-announces-new-mlr-requirements-on-subcontractors-including-ipas-rbos-and-rkks

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Medi-Cal Documentation Requirements - SF

(8 days ago) WEB14184.100, et seq. DHCS has set standards through Behavioral Health Information Notice (BHIN) 22-019, until DHCS promulgates or amends regulations by …

https://www.sfdph.org/dph/files/CBHSPolProcMnl/3.10-14.pdf

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Department of Health Care Services - California

(3 days ago) WEBManaged Care Quality and Monitoring Division . 1501 Capitol Avenue, P.O. Box 997413, MS 4410 Sacramento, CA 95899-7413 Phone (916) 449-5000 Fax (916) 449-5005 . …

https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2021/APL21-011.pdf

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Managed Care APL & PL Subject Listing - California

(4 days ago) WEBAffordable Care Act (ACA) Section 1202 Final Rule on Increased Payments for Medi-Cal Primary Care Services APL 13-009 (PDF) Managed Care Compliance Plan for Section …

https://www.dhcs.ca.gov/formsandpubs/Pages/MgdCareAPLPLSubjectListing.aspx

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Job Posting - calcareers.ca.gov

(2 days ago) WEBThe Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. regulations, and other governing requirements. …

https://calcareers.ca.gov/CalHrPublic/Jobs/JobPostingPrint.aspx?SuppressAutoPrint=true&jcid=428182

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