Medi-Cal
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COVID-19 Medi-Cal coverage of emergency services
Because of the ongoing public health emergency, COVID-19 testing and related medically necessary treatment, including services provided outside of a hospital emergency department, rae deemed to be emergency services. All enrolled Medi-Cal beneficiaries, regardless of scope of coverage…
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COVID-19 guidance on various Medi-Cal issues
The Department of Health Care Services (DHCS) has issued guidance on various Medi-Cal issues affected by COVID-19. The county computer systems were successfully programmed to delay processing of annual renewals and reported changes, and delay discontinuances and negative…
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COVID-19 PUA implementation and stimulus payments for undocumented persons
Governor Newsom has issued an Executive Order and press release regarding implementation of Pandemic Unemployment Assistance (PUA) and state stimulus payment for undocumented workers. PUA will provide benefits for persons ineligible for regular unemployment insurance, including independent contractors,…
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COVID-19 Medi-Cal annual redeterminations
The Department of Health Care Services (DHCS) instructs counties to delay processing of annual redeterminations and delay discontinuances and negative actions for Med-Cal, Medi-Cal Access Program, Medi-Cal Access Infant Access Program, and County Children’s Health Initiative Program for…
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COVID-19 PrEP-AP enrollment
The California Department of Public Health has issued instructions regarding the Pre-Exposure Prophylaxis Assistance Program (PrEP-AP) to minimize exposure to COVID-19 and maintain coverage. For clients with expiring eligibility or expired eligibility back to March 1, PreP-AP is…
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COVID-19 ADAP enrollment
The California Department of Public Health has issued instructions regarding the AIDS Drug Assistance Program (ADAP) to minimize exposure to COVID-19. For clients with expiring eligibility or expired eligibility back to March 1, ADAP is extending eligibility for…
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Covered California opening enrollment
In response to COVID-19, effective Friday March 20, Covered California opened the health insurance exchance to any eligible uninsured individuals who need health care coverage through the end of June. After selecting a plan, coverage will begin on…
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Medi-Cal Managed Care Health Plans COVID-19 screening and testing,pharmacy, telehealth and home health
In response to COVID-19, the California Department of Health Care Services (DHCS) has issued a reminder to all Medi-Cal managed care health plans (MCPs) regarding existing contractual requirements and state and federal laws to ensure access to medically…
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COVID-19 screening and testing for health plans
The California Department of Managed Care (DMHC) has issued a directive to all commercial health plans and full service Medi-Cal plans regarding steps to ensure that cost does not interfere with availability of COVID-19 testing. DMHC directs all…
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Health plan social distancing measures — telehealth and pharmacy
The California Department of Managed Health Care Social Services (DMHC) encourages health plans to take measures regarding telehealth and pharmacy visits in response to COVID-19. Health plans should expedite any pre-authorization or pre-certification requirements for contracted providers to…