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The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
L.A. Care Health Plan (Local Initiative Health Authority for Los Angeles County) was created by the State of California to provide health care services for Medi-Cal managed care beneficiaries, uninsured children and other vulnerable populations in Los Angeles County.
CMS sets fee schedules for medical services through Prospective Payment Systems (PPS) for inpatient care, outpatient care, and other services. [34] As the largest single purchaser of medical services in the U.S., Medicare's fixed pricing schedules have a significant impact on the market.
California’s version of Medicaid is the only public program that covers many low-income adults and children. Other coverage programs have been included in the past: [7] 2002-2005 County Medical Services Program (CMSP) program (Solano and Napa counties).
Federal and State funds for adoptions, the largest SNAP program in the country (known as CalFresh, formerly led by current Department of Aging Director Kim McCoy Wade), CalWORKs program, foster care, aid for people with disabilities, family crisis counseling, subsistence payments to poor families with children, child welfare services and many ...
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
State governments use FMAP percentages to determine the federal government's contribution to specific state administered programs and assess their related budgetary outlays. For example, the general 2006-2007 FMAP rate for California was 50% meaning that for every dollar that California contributed to an eligible social or medical program ...
Stitt unveiled his proposal, dubbed SoonerCare 2.0, in March 2020; the plan involved expansion of the state's Medicaid program including work requirements and tiered monthly premiums and copays. [74] His plan was to serve as the state's use of CMS's Healthy Adult Opportunity program with an anticipated rollout in July 2020.