What is Medi-Cal and how does it work?
Medi-Cal is California’s version of Medicaid. Medicare is for citizens aged 65 or older no matter how much they earn. It only takes about 10 minutes to sign up online. It’s administered by the federal government, so the rules are the same across the country.
What is a Medi-Cal suspension?
Medi-Cal law, Welfare and Institutions Code (W&I Code), sections 14043.6 and 14123, mandate that the Department of Health Care Services (DHCS) suspend a Medi-Cal provider of health care services (provider) from participation in the Medi-Cal program when the individual or entity has:
Can I get managed care with a Medi-Cal Bic?
For those who have been found eligible for Medi-Cal and have a Medi-Cal Benefits Identification Card (BIC), but have yet to select a managed care health plan, there are options below to help you find care. While you have this temporary Medi-Cal eligibility, you can get health care services from an enrolled Medi-Cal provider.
How does the Medi-Cal fee for service program work in California?
Welcome to the Medi-Cal Provider Home Under the guidance of the California Department of Health Care Services, the Medi-Cal fee-for-service program aims to provide health care services to about 13 million Medi-Cal beneficiaries. The Medi-Cal fee-for-service program adjudicates both Medi-Cal and associated health care program claims.
Medi-Cal is California’s Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. Medi-Cal is supported by federal and state taxes. You can apply for Medi-Cal benefits regardless of sex, race, religion, color, national origin, sexual orientation,…
What is the Medi-Cal dental program?
The Medi-Cal Program currently offers dental services as one of the program’s many benefits. Under the guidance of the California Department of Health Care Services, the Medi-Cal Dental Program aims to provide Medi-Cal members with access to high-quality dental care.
What does a doctor’s experience level mean on Invisalign®?
A doctor’s overall experience level reflects the relative number of patients he/she has treated with Invisalign ® aligners. Doctors who have achieved the “Plus” status have more experience within a given level. Doctors who have achieved the VIP status are Valued Invisalign Providers.
What is the difference between Plus and VIP status on Invisalign?
Doctors who have achieved the “Plus” status have more experience within a given level. Doctors who have achieved the VIP status are Valued Invisalign Providers. In addition to treating adults, doctors with a star in their icon also treat teens with Invisalign clear aligners.
What is Medicare and Medi-Cal in California?
Medicaid, called Medi-Cal in California, is a joint federal and state program that helps pay medical costs for people with limited income and/or resources (assets). Some people qualify for both Medicare and Medi-Cal. What does Medi-Cal cover? If you have Medicare and full Medi-Cal coverage, most of your health care costs are covered.
Can I still get Medi-Cal If I am found eligible?
If you are found (or determined) eligible, you can get Medi-Cal as long as you continue to meet the eligibility requirements. The myMedi-Cal: How to Get the Health Care You Need (pdf) , will provide you with Medi-Cal eligibility and benefits information.
Do you have to meet your share of Medi-Cal cost?
You must meet your monthly SOC before Medi-Cal starts to pay. You will get billed for medical related services until you meet your share of cost. You DO NOT have full Medi-Cal benefits until you meet your share of cost. How can I eliminate or meet my share of cost?
How do I apply for Medi-Cal?
You can apply for Medi-Cal at any time of the year by mail, phone, fax, or email. You can also apply online or in person.
Who is responsible for Medi-Cal provider enrollment?
Welcome to the Medi-Cal Provider Enrollment page and thank you for your interest in becoming a provider in the Medi-Cal program. The Department of Health Care Services (DHCS) Provider Enrollment Division (PED) is responsible for the timely enrollment and re-enrollment of eligible fee-for-service health care providers in the Medi-Cal program.
Medi-Cal is your secondary insurance. It pays for costs not covered by Medicare and provides additional benefits not covered by Medicare.
How do I contact Medi-Cal by phone?
Contact Medi-Cal Phone Support: 1-800-541-5555 The Telephone Service Center (TSC) is available 8 a.m. to 5 p.m., Monday through Friday, except national holidays. Border providers and Out-of-State billers billing for in-state providers, call (916) 636-1200.
Medi-Cal is California’s Medicaid health care program. Medi-Cal pays for a variety of medical services for children and adults with limited income and resources.
What is the difference between Medi-Cal and Medicare?
Medi-Cal is California’s Medicaid health care program. Medi-Cal pays for a variety of medical services for children and adults with limited income and resources. Medicare is a federally funded insurance program for eligible participants 65 or over.
What are the eligibility requirements for long-term care Medi-Cal?
For long-term care Medi-Cal eligibility, an applicant’s functional need is also considered. For nursing home Medicaid and many HCBS Medicaid Waivers, a nursing facility level of care (NFLOC) is required. Furthermore, certain benefits may have additional eligibility requirements specific to the particular benefit.
Does Medi-Cal have a phone number?
Does Medi-Cal Member Services Have a Phone Number? For general questions about Medi-Cal, members and medical providers can call the official helpline at 1-800-541-5555. Depending on the situation, you may also call Covered California at 1-800-300-1506 or your county’s Medi-Cal office. How Do I Pay My Premium Online?
How do I switch to a different Medi-Cal plan?
To switch your Medi-Cal plan, you can call Medi-Cal Managed Care Health Care Options at 1-800-430-4263. You may also complete a Medi-Cal Choice Form that you can find on the Health Care Options download page.
Medi-Cal is a no-cost or low-cost health coverage program. It provides health, dental and vision* coverage to qualified low-income California residents. Who Can Apply for Medi-Cal and Join IEHP?
What is the iehp member handbook for Medi-Cal?
IEHP Member Handbook Guide to Medi-Cal Benefits (PDF): This guide helps you find important information about benefits and services in your IEHP Member Handbook. Medi-Cal Provider and Pharmacy Directory (PDF): lists our growing network and options to get needed care quickly – day and night.
What is iehp dualchoice Cal MediConnect?
IEHP DualChoice Cal MediConnect Plan (Medicare-Medicaid Plan) No-cost, integrated health plan for people with both Medicare and Medi-Cal.
Where can I find more information about iehp benefits and services?
To learn more about IEHP’s benefits and services, read Chapter 4 of the IEHP Medi-Cal Member Handbook (PDF) or contact IEHP Member Services at (800) 440-IEHP (4347), TTY (800) 718-4347. IEHP offers these types of services: