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 §§ 14184 through 14184.90: Medi-Cal 2020 Demonstration Project Act – California
Status: Enacted Year Enacted: 2016
California’s “Medi-Cal 2020” Medicaid demonstration project, No. 11-W-00193/9, focuses on expanded health care system capacity, better coordinated care, and aligned incentives within the Medi-Cal program in order to improve health outcomes for Medi-Cal beneficiaries, while …
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Cal. Welf. & Inst. Code §§ 14300 through 14316: Medi-Cal Prepaid Plans — Administration – California
Status: Enacted Year Enacted: 1974
The department shall determine, by actuarial methods, prospective per capita rates of payment for services provided under this chapter for Medi-Cal beneficiaries enrolled in a prepaid health plan.
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Cal. Welf. & Inst. Code §§ 14400 through 14413: Prepaid Plans — Enrollment and Disenrollment – California
Status: Enacted Year Enacted: 1974
A contractor that has entered into a contract with the department under this chapter, or under another Medi-Cal managed care contracting authority, may offer nonmonetary incentives to promote good health practices by its existing Medi-Cal …
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Cal. Welf. & Inst. Code §§ 14450 through 14464: Prepaid Plans — Standards for Prepaid Health Plans – California
Status: Enacted Year Enacted: 1991
The department shall establish a list of performance measures to ensure dental health plans meet quality criteria required by the department.
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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 §§ 14610 through 14620: Medi-Cal Management: Alternative Methods — Negotiated Hospital Rates – California
Status: Enacted Year Enacted: 1981
The definitions in this statute controls this article (Negotiated Hospital Rates).
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Cal. Welf. & Inst. Code §§ 14680 through 14685.1: Mental Health Managed Care – California
Status: Enacted Year Enacted: 1994
The Legislature finds and declares that there is a need to establish a standard set of guidelines that governs the provision of managed Medi-Cal specialty mental health services at the local level, consistent with federal …
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Colo. Rev. Stat. § 25.5-1-205. Providing for the efficient provision of health care through state-supervised cooperative action–rules: Department of Health Care Policy and Financing – Programs to be Administered by the Department – Colorado
Status: Enacted Year Enacted: 2012
Cooperation among health care payors, including both private sector entities and federal and state-administered health care programs, has the potential to eliminate needless and costly complexity in the administration of the programs and to benefit …
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Colo. Rev. Stat. § 25.5-4-423. Targets for investments in primary care: Colorado Medical Assistance Act – Providers–Reimbursement – Colorado
Status: Enacted Year Enacted: 2019
The state department shall adopt appropriate targets for investments in primary care to support value-based health care delivery in alignment with the affordability standards developed in accordance with section 10-16-107(3.5). The state department shall consider …
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Colo. Rev. Stat. § 25.5-5-316. Legislative declaration–state department–disease management programs authorization–report: Colorado Medical Assistance Act – Services with Special State Provisions – Colorado
Status: Enacted Year Enacted: 2006
The state department, in consultation with the department of public health and environment, is authorized to develop and implement disease management programs, for fee-for-service and primary care physician program recipients, that are designed to address …
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Colo. Rev. Stat. § 25.5-5-412. Program of all-inclusive care for the elderly – legislative declaration – services – eligibility – rules – definitions – repeal: Colorado Medical Assistance Act – Colorado
Status: Enacted Year Enacted: 2006
It is the intent of this section to replicate San Francisco’s ON LOK program. The goal is coordinate a variety of patient services so that patients’ needs can often be met by visiting an outpatient …
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Colo. Rev. Stat. § 25.5-5-419. Accountable care collaborative-reporting-rules: Statewide Managed Care System – Colorado
Status: Enacted Year Enacted: 2017
States the creation of the accountable care collaborative, developed to improve member helath and reduce costs for Medicaid beneficiaries. Describes the core components of accountable care collaborative, such as establishing primary care medical homes, providing …
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Colo. Rev. Stat. §§ 25-1-501 through 25-1-503: Public Health – General – Colorado
Status: Enacted Year Enacted: 2008
The general assembly finds and declares that the public health system reduces health care costs by preventing disease and injury, promoting healthy behavior, and reducing the incidents of chronic diseases and conditions. Thus, the public …
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