Medi-Cal Out-of-Pocket Expense Reimbursement (Conlan) As the result of a court order issued on November 17, 2006, in the litigation entitled, Conlan v. Shewry, Medi-Cal may be able to reimburse you for covered medical and/or dental expenses you paid.
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ATTN: Out-of-State Unit
How can Covered California help me? The Automated Eligibility Verification System (AEVS) is an interactive voice response system that allows you to access recipient eligibility, clear Share of Cost (SOC) liability and/or reserve a Medi-Service through a touch-tone telephone. The provider enrollment automated telephone system at (916) 323-1945 may provide information that answers an applicant's questions, or applicants or providers may submit questions in writing to the following address and DHCS will provide a written response. |
Sacramento, CA 95852-1507. Below you will find the most frequently asked questions for current and potential Medi-Cal coverage recipients. What should I do about health insurance?
Provider Enrollment Division
After the first two months, you will be disenrolled out of managed care and into Fee For Service (FFS) Medi-Cal.
How can you use Covered California in conjunction with Medicare parts A, B and D? When someone enrolls in a health insurance plan during open enrollment but after Jan. 1, 2014, will the effective date be Jan. 1, or is it subject to the actual enrollment date? Conditions of Use |
Sacramento, CA 95899-7413.
What is Share of Cost (SOC)?
Note: Recipient eligibility may be verified only for the current month and up to the previous 12 months, never for future months.
Please check the System Status Alert page for the latest system status information.
There is also a manual pertaining to the Child Health and Disability Prevention (CHDP) Program, which is operated by local health departments and provides
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Applicants are encouraged to carefully read the instructions provided with the enrollment forms.
Some Medi-Cal recipients must pay, or agree to pay, a monthly dollar amount toward their medical expenses before they qualify for Medi-Cal services.
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What is a Managed Care Plan (MCP)? These services are comprehensive of the major disciplines of health care.
What health insurance is offered through Covered California?
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Providers with a valid provider number and Provider Identification Number (PIN) can use a Point of Service (POS) device or Transaction Services on the Medi-Cal website, or call the Automated Eligibility Verification System (AEVS) at 1-800-456-2387 to verify eligibility.
The covered services are generally recognized as standard medical services required in the treatment or prevention of diseases, disability, infirmity or impairment.
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