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Many low-income Californians were happy to get free health care under the ACA. But for some it came with a booby trap: the Medi-Cal estate recovery program.
The California Department of Health Care Services unit in charge of handling Medi-Cal complaints has not released a quarterly report in nearly 12 months...
Last week, California lawmakers passed a bill (AB 2051) that would speed up Medi-Cal provider approvals for primary care clinics seeking approval to....
What is Cal MediConnect? The state Medi-Cal program and the federal Medicare program have partnered to create a new program in California called Cal Medi...
“Dual Eligibles,” “Duals,” and “Medi-Medis” are all phrases that are used to describe a class of beneficiaries who qualify for coverage under two separate governmental health care programs: Medicare and Medicaid (or Medi-Cal as it is known in California). Medicare is a program funded and managed by the federal government. Medicaid is a state-driven program… Continue reading New Coordinated Care Programs for Dual Eligible Beneficiaries in California
Nearly 2 million Californians have gained coverage with the expansion of the Medi-Cal program. But roughly 800,000 more applications are still pending.
Stakeholders have expressed concern about the California Dual Eligibles project, noting participants could be forced to seek a new managed care plan.
Concerns persist about California's dual eligibles transition project, one of 15 state pilots approved by CMS providing new approaches for coordinated care.
In 2014, Covered California drove national enrollment in Obamacare. Nearly 20% of all 8 million national ACA sign-ups went through the insurance exchange.
Shield HealthCare specializes in third-party insurance billing for medical supplies on the customer’s behalf. Contracted providers include Medicare, state Medi-Cal program, HMOs and private insurance plans. We verify customer insurance eligibility and obtain all necessary documentation to ensure compliance with insurance carrier guidelines. We provide direct billing for the following contracted insurance plans in California:
