What is Dhcs Medi-Cal?

What is Dhcs Medi-Cal?

Medi-Cal Managed Care contracts for health care services through established networks of organized systems of care, which emphasize primary and preventive care. Managed care plans are a cost-effective use of health care resources that improve health care access and assure quality of care.

What is a PE unit in hospital?

What is the Hospital PE Program? The Hospital PE Program provides temporary no share-of-cost Medi-Cal benefits during a presumptive period to individuals determined eligible by a qualified hospital, on the basis of preliminary information.

Is Dhcs the same as Medi-Cal?

​​​​About the Department of Health Care Services Our vision is to preserve and improve the overall health and well-being of all Californians. DHCS funds health care services for about 14 million Medi-Cal beneficiaries.

Is Dhcs Medi-Cal?

California Advancing and Innovating Medi-Cal CalAIM is a DHCS initiative to reform the Medi-Cal program and, in turn, improve the quality of life and health outcomes of Medi-Cal members.

What is presumptive eligibility coverage?

Hospital presumptive eligibility (PE) is a policy option that allows hospitals to provide temporary Medicaid coverage to individuals likely to qualify for Medicaid. Previously, presumptive eligibility was an option limited to children or pregnant women and available only in states that selected this option.

What is the difference between CalOptima and Medi-Cal?

Medi-Cal — also known as Medicaid — is a public health insurance program for low-income people offered by the state. CalOptima provides health care coverage for Orange County residents who are eligible for full Medi-Cal.

Is Molina Healthcare Medi-Cal?

Molina Healthcare is a health plan for people who have Medi-Cal. Molina Healthcare works with the State of California to help you get the health care you need.

How to apply for hospital PE in California?

​​​​​​​​​Hospital Presumptive Eligibility Program 1 Have income below the monthly limit for household size. 2 Be a California resident. 3 Not already have Medi-Cal. 4 If not pregnant, have not received PE Enrollment benefits from any Medi-Cal PE Program up to the maximum limitation allowed within the past 12 months of applying.

What are the rules for HPE in California?

To qualify for HPE, individuals must meet the rules below. Have income below the monthly limit for household size. Be a California resident. Not already have Medi-Cal. If not pregnant, have not received PE Enrollment benefits from any Medi-Cal PE Program up to the maximum limitation allowed within the past 12 months of applying.

What does DHCS stand for in Medi Cal?

California Advancing and Innovating Medi-Cal CalAIM is a DHCS initiative to reform the Medi-Cal program and, in turn, improve the quality of life and health outcomes of Medi-Cal members. We will implement broad delivery system, program and payment reform across the Medi-Cal system, building upon the successful outcomes of various pilots.

Who is eligible for the pe4pw program in California?

The PE4PW program is designed for low-income California residents who believe they are pregnant and who do not have Medi-Cal coverage for prenatal care. For information on the PE4PW program, please visit the PE4PW Information Page.