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Overview of the Managed Care Two-Plan Model

WEBEffective April 1, 2021, the Department of Health Care Services (DHCS) is transitioning all Medi-Cal Pharmacy services to the Fee for Service (FFS) delivery system – Medi-Cal …

Actived: 9 days ago

URL: https://stgenssa.sccgov.org/debs/program_handbooks/medi-cal/assets/13MCPHCOOHC/Overview_Managed_Care_Two-Plan_Model.htm

Health Alliance (HA) Overview

WEBHealth Alliance (HA) Overview. The CalWORKs Community HA is a partnership between Santa Clara County Social Services Agency and the Santa Clara Valley Health and …

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CHDP Gateway Program

WEBIf the child meets the income criteria and is under 19 years of age, the provider submits a “Child Health and Disability Prevention (CHDP) Program Pre-Enrollment Application” …

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Medi-Cal Special Treatment Programs

WEBThe Medi-Cal Special Treatment Programs (MSTPs) provide health care benefits to individuals who are in need of: Dialysis, or. Parenteral hyperalimentation (also known as …

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Children's Health Care Initiative

WEBChildren's Health Initiative. The Santa Clara County CHI is a local effort to make sure access to no cost or low cost comprehensive health, dental and vision coverage to all …

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Every Woman Counts (EWC) Program

WEBThe Department of Health Care Services (DHCS), Every Woman Counts (EWC) Program, provides eligible women with free breast and cervical cancer screening services, such …

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Eligibility Criteria for Minor Consent Services

WEBA new MC 4026 (except for outpatient mental health services) is completed and eligibility redetermined. Note: For outpatient Minor Consent mental health services, the minor …

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What you need to know when you apply for and …

WEBState of California Health and Human Services Agency Department of Health Care Services State of California Health and Human Services Agency Department of Health …

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Home Visiting Program

WEBHome Visiting Program. The CalWORKs HVP is a voluntary program designed to pair new parents with a Public Health nurse who makes regular visits in the client’s home to …

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Medi-Cal Update 2024-2

WEBCalSAWS and CalHEERS were updated with the 2024 FPL amounts in February 2024. The Department of Health Care Services (DHCS) will send notices to …

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Waivers/Programs

WEBEligible individuals are provided skilled nursing at home, home health aid services, therapy, etc., in lieu of inpatient services. A second vehicle is exempt if the vehicle has been …

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Application Requirements for Minor Consent Services

WEBA Minor Consent application is valid for one month only. The child must reapply and complete a new MC 4026 (except for outpatient mental health services) and a MC210 …

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SANTA CLARA COUNTY COMMUNITY RESOURCE GUIDE …

WEBGilroy Neighborhood Health Clinic Go Kids Head Start and Early Head Start Health Benefits Resources Center at O‘Connor Hospital Healthier Kids Foundation Hope …

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TB Application Process

WEBTB Application (MC 274TB) The TB application form is the “Medi-Cal Tuberculosis Program Application” (MC 274TB). It is a three part form consisting of: Part A — Application. This …

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Inquiries and Resources

WEBFor Enrollment or Disenrollment Problems, clients may also call: Health Care Options (HCO) Phone: 1-800-430-4263. State of California Department of Health Services Med …

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37. Continuous Coverage Unwinding Period Guidance

WEBThe following guidance is to be used for the Continuous Coverage Unwinding (CCU) period- June 2023 through May 31, 2024. Department of Health Care Services (DHCS) requires …

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Inter County Transfers

WEBAn Inter County Transfer (ICT) is the transfer of Medi-Cal (MC) benefits from one county to another to ensure no interruption or overlap of MC benefits when a client permanently …

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Application Forms

WEBThe “Application for CalFresh, Cash Aid, and/or Medi-Cal/Health Care Programs” (SAWS 2 Plus) is a joint application for CalWORKs, CalFresh, and Medi-Cal. The SAWS 2 Plus …

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Standard Deduction

WEBThe actual cost of transportation to health care appointments, trips to a pharmacy, or other location to fill prescriptions, fittings for dentures, hearing aids, or glasses, as well as trips …

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Estate Recovery FAQs

WEBWhat laws govern the Estate Recovery Program? Answer: The rights and responsibilities of DHCS, health care providers, Medi-Cal beneficiaries and their representatives are …

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Income and Deduction Types

WEBIncome and deductions may be counted differently between Modified Adjusted Gross Income (MAGI) Medi-Cal (MC) and Advanced Premium Tax Credit (APTC). The tables …

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The medical information found on the MediWells website is designed to support, not to replace the relationship between patient and physician and the medical advice they may provide.