Cal. Welf. & Inst. Code §§ 14088 through 14088.25: Primary Care Provider Case Management – California
Status: Enacted Year Enacted: 1982
The department or a county which has contracted for the provision of services pursuant to this article may, within service areas designated by the department, enter into contracts with primary care providers. The contracts shall …
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Cal. Welf. & Inst. Code §§ 14089 through 14089.8: Geographic Managed Care Pilot Program – California
Status: Enacted Year Enacted: 1982
The purpose of this article is to provide a comprehensive program of managed health care plan services to Medi-Cal recipients residing in clearly defined geographical areas. It is, further, the purpose of this article to …
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Cal. Welf. & Inst. Code §§ 14131 through 14138: The Medi-Cal Benefits Program – California
Status: Enacted Year Enacted: 1974
Any increase in the amount charged to the Medi-Cal program for patient care or treatment that is directly related to an identifiable provider-preventable condition is excluded from reimbursement under Medi-Cal.
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Cal. Welf. & Inst. Code §§ 14139.05 through 14139.62: Long-Term Care Integration Pilot Program – California
Status: Enacted Year Enacted: 1995
The Legislature finds and declares that: the office of the Legislative Analyst and others have pointed out that California’s systems of service delivery in a number of areas are dysfunctional, due to the fragmentation of …
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Cal. Welf. & Inst. Code §§ 14149.8 & 14149.9: Medi-Cal Programs – California
Status: Enacted Year Enacted: 2016
The department shall explore additional opportunities to improve the Medi-Cal Dental Program, in consultation with stakeholders and as deemed appropriate by the department and to the extent permitted by federal law, including, but not limited …
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Cal. Welf. & Inst. Code §§ 14165 through 14165.11: California Medical Assistance Commission – California
Status: Enacted Year Enacted: 1982
California Medical Assistance Commission dissolved on June 30, 2012 (Cal. Welf. & Inst. Code § 14165). The Director of Health Care Services has taken upon all powers, duties, and responsibilities of the commission. The commission …
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Cal. Welf. & Inst. Code §§ 14180 through 14182.45: Health Care Coordination; Improvement, and Long-Term Cost Commitment Waiver or Demonstration Project – California
Status: Enacted Year Enacted: 2009
The department shall submit an application to the federal Centers for Medicare and Medicaid Services for a waiver or a demonstration project to implement all of the following: (1) Strengthen California’s health care safety net, …
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Cal. Welf. & Inst. Code §§ 14200 through 14206: Waxman-Duffy Prepaid Health Plan Act – California
Status: Enacted Year Enacted: 1972
The department may contract with one or more children’s hospitals on an exclusive basis for a specified population in a specified geographic area. Contracts entered into pursuant to this chapter may be awarded on a …
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Cal. Welf. & Inst. Code §§ 14490 through 14499.6: Prepaid Plans — Pilot Programs – California
Status: Enacted Year Enacted: 1977
In carrying out the intent of this article, the director shall contract for the operation of one local pilot program. Special consideration shall be given to approving a program contracted through county government in Santa …
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Cal. Welf. & Inst. Code §§ 14499.7 through 14499.77: Prepaid Plans — Medi-Cal At-Risk Fiscal Intermediaries – California
Status: Enacted Year Enacted: 1985
In carrying out the intent of this article, the director shall contract for the operation of one local pilot program. Special consideration shall be given to approving a program contracted through county government in Santa …
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Cal. Welf. & Inst. Code §§ 14570 through 14577: Adult Day Health Care Programs — Administration – California
Status: Enacted Year Enacted: 2001
In carrying out the intent of this article, the director shall contract for the operation of one local pilot program. Special consideration shall be given to approving a program contracted through county government in Santa …
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Cal. Welf. & Inst. Code §§ 22000 through 22010: California Partnership for Long-Term Care – California
Status: Enacted Year Enacted: 1990
The purpose of the program is to link private long-term care insurance and health care service plan contracts that cover long-term care with the In-Home Supportive Services program (Article 7 (commencing with Section 12300) of …
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Colo. Rev. Stat. § 25.5-8-110. Participation by managed care plans: Children’s Basic Health Plan Act – Colorado
Status: Enacted Year Enacted: 2006
Allows managed care plans to participate in the Children’s Health Insurance Plan, as long as they offer an adequate provider network.
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Conn. Gen. Stat. § 17b-28b. Competitive bidding for Medicaid managed care plans: Department of Social Services—General Provisions – Connecticut
Status: Enacted Year Enacted: 1996
The Department of Social Services may award, on the basis of a competitive bidding procedure, contracts for Medicaid managed care health plans.
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D.C. Code § 31-3171.01. Definitions: Health Benefit Exchanges – District of Columbia
Status: Enacted Year Enacted: 2012
Definitions of relevant network provider and asepects of benefit design in D.C. health care system.
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D.C. Code § 31-3171.16. Implementation and reports: Health Benefit Exchange – District of Columbia
Status: Enacted Year Enacted: 2012
A list of reports that the executive board of the Health Benefit Exchange shall conduct. This includes selective contracting, consideration of the ACA, and more.
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