Medi-Cal Access Program
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Medi-Cal Access Program
The Medi-Cal Access Program (MCAP), formerly known as the Access for Infants and Mothers Program (AIM), is a California policy that grants access to Medi-Cal to pregnant and uninsured (or whose coverage contains a co-pay over $500) mothers who would otherwise not qualify due to exceeding income guidelines. The program covers mothers that make from 200 to 300% of the federal poverty level. In addition, all infants born from mothers enrolled in this program are qualified for the Medi-Cal Access Infant Program. The program is administered by the California Department of Health Care Services, and is paid for by the state of California and the federal government. History and impact AIM was first introduced in 1992, and provided for 3,000-4,000 women annually initially. It is difficult to assess the impact of AIM as it was introduced alongside many other maternal healthcare improvement policies including increasing the eligibility limit for Medi-Cal from 110% to 200% of the federal pover ...
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California
California is a U.S. state, state in the Western United States, located along the West Coast of the United States, Pacific Coast. With nearly 39.2million residents across a total area of approximately , it is the List of states and territories of the United States by population, most populous U.S. state and the List of U.S. states and territories by area, 3rd largest by area. It is also the most populated Administrative division, subnational entity in North America and the 34th most populous in the world. The Greater Los Angeles area and the San Francisco Bay Area are the nation's second and fifth most populous Statistical area (United States), urban regions respectively, with the former having more than 18.7million residents and the latter having over 9.6million. Sacramento, California, Sacramento is the state's capital, while Los Angeles is the List of largest California cities by population, most populous city in the state and the List of United States cities by population, ...
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Medi-Cal
The California Medical Assistance Program (Medi-Cal or MediCal) is California's Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level. Benefits include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder treatment, dental (Denti-Cal), vision, and long-term care and supports. Approximately 13.3 million people were enrolled in Medi-Cal as of January 2018, or about one-third of California's population; in Tulare County and Merced County, more than 50% of county residents were enrolled as of September 2015. Eligibility Medi-Cal provides health coverage for people with low income and limited ability to pay for health coverage, including the aged, blind, disabled, young adults and children, pregnant women, persons in a skilled nursing or intermediat ...
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Co-pay
A copayment or copay (called a gap in Australian English) is a fixed amount for a covered service, paid by a patient to the provider of service before receiving the service. It may be defined in an insurance policy and paid by an insured person each time a medical service is accessed. It is technically a form of coinsurance, but is defined differently in health insurance where a coinsurance is a percentage payment after the deductible up to a certain limit. It must be paid before any policy benefit is payable by an insurance company. Copayments do not usually contribute towards any policy out-of-pocket maximum, whereas coinsurance payments do. Insurance companies use copayments to share health care costs to prevent moral hazard. It may be a small portion of the actual cost of the medical service but is meant to deter people from seeking medical care that may not be necessary, e.g., an infection by the common cold. In health systems with prices below the market clearing level in whi ...
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Federal Poverty Level
In the United States, poverty has both social and political implications. In 2020, there were 37.2 million people in poverty. Some of the many causes include income inequality, inflation, unemployment, debt traps and poor education.Western, B. & Pettit, B., (2010)Incarceration and social inequality.Daedalus, 139(3), 8-19 The vast majority of people living in poverty are less educated and end up in a state of unemployment;Census.gov, (September, 2017) Income and Poverty in the United States: 2016. Retrieved from https://www.census.gov/content/dam/Census/library/publications/2017/demo/P60-259.pdf higher incarceration rates have also been observed. Although the US is a relatively wealthy country by international standards, poverty has consistently been present throughout the United States, along with efforts to alleviate it, from New Deal-era legislation during the Great Depression, to the national war on poverty in the 1960s and poverty alleviation efforts during the 2008 Great R ...
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California Department Of Health Care Services
The California Department of Health Care Services (DHCS) is a department within the California Health and Human Services Agency that finances and administers a number of individual health care service delivery programs, including Medi-Cal, which provides health care services to low-income people. It was formerly known as the California Department of Health Services, which was reorganized into the DHCS and the California Department of Public Health. On September 10, 2019, DHCS Director Jennifer Kent announced her resignation, effective September 30, 2019. On September 25, 2019, Governor Gavin Newsom appointed Richard Figueroa, Jr. as Acting Director. Will Lightbourne was appointed by Governor Gavin Newsom and began serving as Director on June 16, 2020. Subsequently, Michelle Baass was appointed Director of DHCS by Governor Gavin Newsom on September 10, 2021, replacing the outgoing Will Lightbourne. Operations A December 2014 audit of the DHCS's Medi-Cal dental care program (Denti-Ca ...
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Welfare In California
Welfare in California consists of federal welfare programs—which are often at least partially administered by state and county agencies—and several independent programs, which are usually administered by the counties. The largest California-specific programs are: * MediCal, the California Medicaid program * CalFresh, the California Supplemental Nutrition Assistance Program (SNAP / Food Stamp program) * CalWORKs, the California Temporary Assistance for Needy Families (TANF) program Overall Reductions in Poverty Rate While the long-term effect of these programs on California as a whole is multi-faceted and complex, the immediate effect on those receiving aid is somewhat easier to quantify. The resources available to each Californian (i.e. their income, accounting for taxes and benefits such as medical care) can be compared to an estimate of the resources required to meet their basic needs (a poverty threshold varying based on factors such as family size and local cost-of-l ...
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Healthcare In California
This article summarizes healthcare in California. California State Department of Health Care Services The California Department of Health manages state government projects in California. Health insurance As of 2018, most of the insured in California were in plans regulated by the California Department of Managed Health Care (DMHC) with about 60% regulated by either DMHC or the California Department of Insurance (CDI). This dual regulation arose due for historical reasons, and when the DMHC was created in 2000, the California legislature requested a report on merging the health insurer responsibilities with the CDI. Dual regulation has also raised questions around the applicability of premium tax to the DHMC-regulated entities, which have historically not paid premium taxes while CDI-regulated entities have. Value-based pay for performance managed care plans where providers take on risk have arisen, and in 2019 the DHMC announced plans to regulate these "risk-bearing entities". ...
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