Medi-Cal Managed Care Capitation Rates - Senior Care Action Network (SCAN)

Medi-Cal Managed Care Capitation Rates for Capitated Rates for Senior Care Action Network (SCAN) – by Calendar Year. Senior Care Action Network (SCAN) Health Plan is a Medicare Advantage Special Needs Plan that contracts with the Department of Health Care Services for dual eligible Medicare/Medi-Cal population subset residing in Los Angeles, San Bernardino, and Riverside counties.

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Дані та ресурси

Додаткова інформація

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Поле Значення
Contact Email [email protected]
Program Capitated Rates Development Division
Homepage URL dhcs.ca.gov
Temporal Coverage

01/01/2016 – 12/31/2022
Spatial/Geographic Coverage

Los Angeles, San Bernardino, and Riverside counties.
Geographic Granularity County
Мова English
Frequency Annually
De-Identification Method

http://www.dhcs.ca.gov/dataandstats/Pages/PublicReportingGuidelines.aspx
Ліцензія Terms of Use
Limitations Use of this data is subject to the CHHS Terms of Use and any copyright and proprietary notices incorporated in or accompanying the individual files.
Додаткова інформація
  • Aged-Disabled Dual – These are beneficiaries aged 65 and older (may or may not be disabled) and eligible for Medicare Part A and Part B. DHCS uses Plan Code 200, 204, and 206 to represent the Aged/Disabled rating groups of SCAN dual eligible members in Los Angeles, Riverside, and San Bernardino counties, respectively. - Long-Term Care (LTC) Certified Dual COA – These are beneficiaries aged 65 and older who have been certified eligible to reside in a LTC facility and are eligible for Medicare Part A and Part B. Certified eligibles are those beneficiaries deemed qualified for Medi-Cal by a valid eligibility determination, and who have enrolled into the program. This classification excludes beneficiaries who have not met a monthly share-of-cost obligation. These individuals have an elevated or more severe medical condition than those in the Aged/Disabled Dual COA. DHCS uses Plan Code 201, 205, and 207 to represent the LTC-Certified rating groups of SCAN dual eligible members in Los Angeles, Riverside, and San Bernardino counties, respectively.
Останнє оновлення квітня 30, 2024, 21:28 (UTC)