Get the free Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013 - dhcs ca

This document contains the application requirements, certifications, and attachments necessary for firms applying for participation in the Medi-Cal Managed Care program.

How to fill out medi-cal managed care regional

How to fill out Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013

1. Read the RFA document carefully to understand the requirements.
2. Gather necessary data and documentation as outlined in the RFA.
3. Complete all sections of the application form as specified.
4. Ensure that all required signatures and certifications are included.
5. Review the application for accuracy and completeness.
6. Submit the application by the designated deadline, following submission guidelines.

Who needs Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013?

1. Healthcare providers looking to expand services in the Medi-Cal network.
2. Organizations that aim to improve healthcare access for low-income populations.
3. Local health departments and community health organizations seeking funding.
4. Entities interested in enhancing managed care capabilities in California.

People Also Ask about

What is the difference between Medi-Cal and Medicaid?

Managed care contracts restructure how reimbursement occurs between payors and providers. Whereas under a fee-for-service-based arrangement, reimbursement occurs for each service provided to a covered individual. Under a managed-care contract, reimbursement is tied to health outcomes and the quality of care provided.

What is the difference between managed care Medicaid and regular Medicaid?

Traditional Medicaid is administered directly by your state government. The state pays healthcare providers for each service they provide to you. With Managed Medicaid, your state contracts with private insurance companies called Managed Care Organizations (MCOs).

What is the highest income to qualify for Medi-Cal?

Expanded Medi-Cal provides medical coverage to adults ages 19-64. Individuals may qualify for Expanded Medi-Cal if their Modified Adjusted Gross Income (MAGI) is less than 138% of the Federal Poverty Level (FPL).

Who is eligible for Medi-Cal expansion?

Starting January 1, 2024, a new law in California will give full Medi-Cal to more people ages 26 through 49 who qualify for Medi-Cal. Unlike before, immigration status does not matter.

How do you qualify for Medicaid expansion?

In states that have expanded Medicaid coverage: You can qualify based on your income alone. If your household income is below 133% of the federal poverty level, you qualify. (Because of the way this is calculated, it turns out to be 138% of the federal poverty level. A few states use a different income limit.)

Is California expanding Medi-Cal to all eligible adults 50 years of age and older?

Starting on May 1, Medi-Cal, California's health coverage program for low-income individuals and families, is extending eligibility for full coverage to more than 185,000 individuals who are 50 years of age or older, regardless of immigration status.

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What is Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013?

Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013 is a Request for Applications that aims to expand the Medi-Cal managed care program to additional regions in California, improving access to healthcare services for beneficiaries.

Who is required to file Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013?

Entities such as health plans, providers, and organizations interested in participating in the Medi-Cal Managed Care program are required to file Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013.

How to fill out Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013?

To fill out the RFA, applicants must carefully follow the guidelines provided in the application packet, including providing detailed information about their organizational structure, proposed services, and operational plans.

What is the purpose of Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013?

The purpose of the RFA is to identify qualified organizations that can offer Medi-Cal managed care services in newly designated areas, thereby enhancing the availability of healthcare options for Medi-Cal recipients.

What information must be reported on Medi-Cal Managed Care Regional Expansion RFA #28RFA2012/2013?

Applicants must report information regarding their experience in managing healthcare services, financial stability, service delivery models, and strategies to address the health needs of the populations they will serve.