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Medi-Cal Dental paid to the doctors only 30% of what commercial insurers paid for the same procedures per October 2017 report; even though DHCS must annually review reimbursement levels for Medi-Cal dental services to ensure “reasonable access” for Medi-Cal beneficiaries pursuant to Welfare & Institutions Code §14079 [8]
Medi-Cal health benefits include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder treatment, dental (Denti-Cal), vision, and long-term care and supports. [1] California is one of a few US states that provide Medicaid dental benefits to adults. [17]
Pursuant to Section 1905(b) of the Social Security Act, the Secretary of Health and Human Services calculates the Federal Medical Assistance Percentages each year. This calculation is based upon a formula which compares individual state income to the continental United States income in order to determine ratios the federal government will ...
The additional costs of contract nursing staff, supplies and medications were financial stressors that remained and were compounded by some of the lowest Medi-Cal reimbursement rates in the state.
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High rates of mental health conditions, including depression and anxiety, also contribute to the overall high rates of chronic illness in CHCs. [24] Nonetheless, as of 2016, 91% of CHCs report having met at least one or more of Healthy People 2020 goals. [23]
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