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Health Plan Directory

Details: Department of Health Care Services. Plan Name Phone; Health Net Community Solutions, Inc. (800) 675-6110 TTY/TDD (800) 431-0964

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› Url: https://www.dhcs.ca.gov/individuals/Pages/MMCDHealthPlanDir.aspx Go Now

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Medi-Cal Overview

Details: Medi-Cal Medi-Cal is California's Medicaid program. This is a public health insurance program which provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, pregnant women, and low income people with specific diseases such as tuberculosis, breast cancer, or HIV/AIDS.

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› Url: https://www.dhcs.ca.gov/services/medi-cal Go Now

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Staying Healthy Assessment

Details: The Staying Healthy Assessment (SHA) is the Department of Health Care Services’ (DHCS’s) Individual Health Education Behavior Assessment (IHEBA). The SHA was first developed in the late 1990s and updated in June 2013 in collaboration with Medi-Cal managed care plans (Plans). The SHA consists of seven age-specific pediatric questionnaires

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› Url: http://www.dhcs.ca.gov/formsandpubs/forms/Pages/StayingHealthy.aspx Go Now

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State of California—Health and Human Services …

Details: HEALTH COVERAGE . PURPOSE: The purpose of this All Plan Letter (APL) is to provide clarification and guidance to Medi-Cal managed care health plans (MCP) for cost avoidance and post -payment recovery requirements when an MCP member has other health coverage (OHC). In addition, the APL provides instructions on using the Department of Health Care

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› Url: https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2021/APL21-002.pdf Go Now

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Medi-Cal Managed Care and Mental Health Office of …

Details: Contact Us Department of Health Care Services Office of the Ombudsman Hours of Operation: Monday through Friday, 8am to 5pm PST; excluding holidays. By Phon e: 1-888-452-8609 . By email*: [email protected]dhcs.ca.gov *Please note: E-mail provides no mechanism for ensuring the confidentiality or privacy of information contained within a …

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› Url: https://www.dhcs.ca.gov/services/mh/Pages/MH-Ombudsman.aspx Go Now

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Medi-Cal Health Homes Progra m

Details: Cal Health Homes Program: Program Guide (Program Guide) is intended to be a resource for Medi-Cal Managed Care health plans (MCPs) in the development, implementation, and operation of the Health Homes Program (HHP). The Program Guide includes a brief

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› Url: https://www.dhcs.ca.gov/services/Documents/MCQMD/HHP%20Documents/HHP_Program_Guide_11.01.19.pdf Go Now

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Managed Care Final Rule: Network Adequacy …

Details: health professional providing triage or screening services, as applicable, acting within the scope of his or her practice and consistent with professionally recognized standards of practice, has determined and noted in the beneficiary’s recordthat a longer waiting time will not have a detrimental impact on the health of the beneficiary

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State of California—Health and Human Services …

Details: requires all behavioral health facilities to follow CDPH public health orders. This Behavioral Health (BH) Information Notice covers new requirements for (1) vaccination, (2) vaccination verification, (3) masking, and (4) testing. Please note the guidance . Behavioral Health. MS 2710 . P.O. Box Number 997413, Sacramento, CA 95899-7413

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› Url: https://www.dhcs.ca.gov/formsandpubs/Documents/BHIN-21-043.pdf Go Now

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Mental Health Services

Details: Mental Health Services Division. Assembly Bill 102, which Governor Brown signed into law on June 28, 2011, requires the transfer of Medi-Cal related mental health functions from the Department of Mental Health to the Department of Health Care Services (MHSD) by July 1, 2012.

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› Url: http://www.dhcs.ca.gov/services/MH Go Now

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DHCS Career Opportunities

Details: Career Opportunities. There are many exciting career opportunities available in the Department of Health Care Services (DHCS). With the support of skilled, dedicated employees and the application of public health sciences, the DHCS is committed to protecting and improving the health of all Californians.

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› Url: https://www.dhcs.ca.gov/services/admin/jobs/Pages/default.aspx Go Now

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Medi-Cal Benefits Division

Details: Medi-Cal Benefits Division. The Benefits Division is responsible for setting policy and covered services for health care services for the Medi-Cal program. The Division works closely with the federal Centers for Medicare and Medicaid Services (CMS) so that the Department of Health Care Services can provide eligible Californians with access to affordable, high-quality health

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› Url: http://www.dhcs.ca.gov/services/medi-cal/Pages/MediBen_Svcs.aspx Go Now

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Children’s Health Insurance Program State

Details: Children’s Health Insurance Program State Plan (Title XXI) The Children's Health Insurance Program (CHIP) provides health coverage to eligible children, through both Medicaid Expansion and separate CHIP programs. CHIP is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.

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› Url: https://www.dhcs.ca.gov/formsandpubs/laws/Pages/Title-XXI-SPAs.aspx Go Now

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Behavioral Health Services

Details: The Community Services Division (CSD) is responsible for various behavioral health programs and services for adults, youth, and children. The CSD is charged with policy development, oversight, compliance and monitoring of the Mental Health Services Act (MHSA), Short-Term Residential Therapeutic Programs (STRTP) and Children's Therapeutic Care …

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› Url: https://www.dhcs.ca.gov/services/Pages/BHS.aspx Go Now

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CALIFORNIA DEPARTMENT OF HEALTH CARE …

Details: Mental Health Services : 592 Rio Lindo Avenue Chico, CA 95926 (530) 891-2775 : 16 : 10 016 001 : Calaveras : NONE : Colusa : NONE : Contra Costa : NONE : Del Norte : NONE : El Dorado : 4 : Telecare El Dorado County Psychiatric Health Facility ; 935-B Spring Street Placerville, CA 95667 (530) 621-6213 : 16 : 20 016 057 : Fresno . 5 . Central

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› Url: https://www.dhcs.ca.gov/Documents/PsychiatricHealthFacility.pdf Go Now

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Health Homes Program Member Information

Details: The Health Homes Program (HHP) offers extra services at no cost to Medi-Cal members with certain chronic health and/or mental health issues who have high health care needs or do not have a place to live. The Health Homes Program is offered in the following counties: Alameda. Imperial. Kern.

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› Url: https://www.dhcs.ca.gov/services/Pages/HHPMembers.aspx Go Now

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Mental Health Licensing and Certification

Details: Mental Health Licensing and Certification. Back to the LCD page. The Mental Health Licensing (MHL) Section of DHCS is responsible for the licensing and oversight of mental health programs on a statewide basis, ranging from acute to long-term programs. MHL Section is responsible for implementing and maintaining a system to ensure compliance with

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› Url: http://www.dhcs.ca.gov/provgovpart/Pages/MH-Licensing.aspx Go Now

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State of California—Health and Human Services …

Details: Behavioral Health Information Notice No.: 20-017 . Page 2 . July 8, 2021 . POLICY: The flexibilities described herein will terminate on 6/30/21. Approved waivers for facilities under this process will be posted via a link on the

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› Url: https://www.dhcs.ca.gov/formsandpubs/Documents/BHIN-20-017-Updated-7-8-2021.pdf Go Now

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Health Disparities in the Medi-Cal Population

Details: Health Disparities in the Medi-Cal Population for their excellent work in developing these fact sheets and for their dedication to improving the health of Californians. Desiree Backman, DrPH, MS, RD. Chief Prevention Officer. Office of the Medical Director. Department of Health

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› Url: https://www.dhcs.ca.gov/dataandstats/Documents/HealthDisparities2015.pdf Go Now

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State of California—Health and Human Services …

Details: State of California—Health and Human Services Agency Department of Health Care Services WILL LIGHTBOURNE GAVIN NEWSOM DIRECTOR GOVERNOR . DATE: July 22, 2021 . Behavioral Health Information Notice No: 21-041 . TO: California Alliance of Child and Family Services . California Association for Alcohol/Drug Educators

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› Url: https://www.dhcs.ca.gov/Documents/CSD_BL/BHIN-21-041.pdf Go Now

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State of California—Health and Human Services …

Details: mental health (MH) and substance use (SU) disorders system and to develop short and long term goals to guide DHCS and its partner counties in their administration of MH/SU services. DHCS and counties must be familiar with the full array of issues in the field. However, this business plan, recognizing limitations in time and resources, will

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› Url: http://www.dhcs.ca.gov/Documents/MHandSUDBusinessPlanFinal.pdf Go Now

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State of California Health and Human Services …

Details: Health and Human Services Agency . Department of Health Care Services . WILL LIGHTBOURNE. GAVIN NEWSOM. D. IRECTOR GOVERNOR DATE: April 16, 2021. Behavioral Health Information Notice N. o: 21-015 TO: California Alliance of Child and Family Services. California Association for Alcohol/Drug Educators California Association of Alcohol & Drug

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› Url: https://www.dhcs.ca.gov/Documents/Behavioral%20Health%20Information%20Notice%20No%2021-015.pdf Go Now

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Whole Person Care Program

Details: • A health r hospital authority • A designated public hospital • A district/municipal public hospital • A federally recognized tribe • A tribal health program under a Public Law 93-638 contract with the federal Indian Health rvices • A consortium of any of the above entities E an as • • • • Submits Letter of Intent d application

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› Url: https://www.dhcs.ca.gov/provgovpart/Documents/WPCProgramOverview.pdf Go Now

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CALIFORNIA HEALTH AND WELLNESS PLAN

Details: The California Legislature awarded California Health and Wellness Plan (Plan) a contract by the California Department of Health Care Services (DHCS) to provide Medi- Cal services in 19 counties as of November 1, 2013. The Plan is a wholly-owned subsidiary of Centene Corporation, a publicly -traded company that serves as a major

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› Url: https://www.dhcs.ca.gov/services/Documents/MCQMD/Compliance%20Unit-CAP/CHWReport.pdf Go Now

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Local Assistance Estimates Main Page

Details: Expenditure forecasts are prepared by the Fiscal Forecasting Division. The major responsibility of the Division is the preparation and presentation of two Local Assistance Estimates, Medi-Cal and Family Health each year (sent to the legislature on or about January 10th and May 15th).

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Rights For Individuals In Mental Health Facilities

Details: health services in one of the facilities listed below, you have the rights outlined in this handbook. Your rights may vary depending on your legal status or the type of facility you reside in. Your rights may . not . be waived by your parent, guardian, or conservator. State Hospital . Acute Psychiatric Hospital

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› Url: http://www.dhcs.ca.gov/services/Documents/DHCS_Handbook_English.pdf Go Now

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State of California—Health and Human Services …

Details: Yes. DHCS 3131, titled “Application for Mental Health Program Approval,” was revised and shall be used to apply for a MHPA. The revised DHCS 3131 form is included as an enclosure to Behavioral Health Information Notice Number: 20-005 and is located on the . DHCS Behavioral information Notices. webpage, as well as t. he DHCS Mental Health

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› Url: https://www.dhcs.ca.gov/Documents/CSD_CMHCS/STRTP%20FAQs/STRTP-Version-II-FAQs.pdf Go Now

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Behavioral Health Response and Rescue Project

Details: Behavioral Health Response and Rescue Project Request for Applications. The Behavioral Health Response and Rescue Project (BHRRP) is funded by supplements to the Substance Abuse Prevention and Treatment Block Grant and the Community Mental Health Services Block Grant awarded by the Substance Abuse and Mental Health Services …

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Enclosure 1 CLIENT AND SERVICE INFORMATION …

Details: The Periodic record data allow the Department of Mental Health to respond to requests for information about County Mental Health Plan (CMHP) clients and their functioning levels over time. CSI Periodic record data for each County Mental Health Plan client are to be reported to the Department of Mental Health at these three (3) intervals: 1.

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› Url: https://www.dhcs.ca.gov/formsandpubs/MHCCY/InfoNotice12-01_Enclosure1.pdf Go Now

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AB 109 Implementation

Details: Health Services Act in 2004. The Council provides oversight and evaluation of the public mental health system and advises the Administration and Legislature on priority issues. Part of its mission is to educate the public and the mental health constituency about the current needs for public mental health services and ways to meet those needs. 2

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Overview of NCQA Accreditation

Details: Community Health Group 8. Contra Costa Health Plan 9. Health Plan of San Joaquin 10. Health Plan of San Mateo (Provisional) 11. HealthNet of California 12. Inland Empire Health Plan 13. L.A. Care Health Plan 14. Molina Healthcare of California Partner Plan Inc. 15. Partnership HealthPlan of California (Interim) 16. San Francisco Health Plan 17.

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› Url: https://www.dhcs.ca.gov/provgovpart/Documents/6422/NCQAAccreditationOverview-1-21-20.pdf Go Now

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Cal AIM: California Advancing and Innovating Medi …

Details: of health and social services spanning all levels of intensity of care, from birth to end of life. 10/29/2019 5. CalAIM Overview. Advances several key priorities of the Newsom Administration by leveraging Medi-Cal as a tool to help address many of the complex challenges

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Notice of Privacy Practices and the Health Insurance

Details: California Department of Health Care Services P.O. Box 997413 MS 0010 Sacramento, CA 95899-7413 (916) 445-4646 (Voice) (877) 735-2929 (TTY/TDD) Secretary of the U.S. Department of Health and Human Services Office of Civil Rights Attention: Regional Manager 50 United Nations Plaza, Room 322 San Francisco, California 94102 (800) 368-1019

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Health Net Community Solutions, Inc.

Details: Health Net Community Solutions, Inc. is a subsidiary of Health Net of California, Inc. The State of California’s managed care contracts with Health Net of California, Inc. were changed to Health Net Community Solutions, Inc. beginning July 2005. Health Net, Inc. operates in 27 states.

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› Url: http://www.dhcs.ca.gov/services/Documents/MMCD/HealthNetAIReport.pdf Go Now

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Microsystems in Health Care

Details: health care to most people. They are the essential building blocks of larger organizations and of the health system. They are the place where patients and providers meet. The quality and value of care produced by a large health system can be no better than the ser - vices generated by the small systems of which it is composed.

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› Url: http://www.dhcs.ca.gov/provgovpart/initiatives/nqi/Documents/JointCommMicroHlthCare.pdf Go Now

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Projects for Assistance in Transition from Homelessness

Details: The Department of Health Care Services (DHCS) distributes PATH funding to counties that elect to participate in the PATH program. While local programs serve thousands of homeless persons with realignment funds and other local revenues, the PATH grant augments these programs by providing services to approximately 8,300 additional persons annually.

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HEALTH NET COMMUNITY SOLUTIONS, INC.

Details: Health Net also offers dental coverage for California State’s Healthy Families and Medi-Cal members. Health Net Community Solutions, Inc. is a subsidiary of Health Net of California, Inc. The State of California's managed care contracts with Health Net of California, Inc. were changed to Health Net Community Solutions, Inc. beginning July 2005.

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› Url: https://www.dhcs.ca.gov/services/Documents/MMCD/2017_Health_Net_Final_Audit_Report.pdf Go Now

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State of California—Health and Human Services …

Details: The Mental Health Services Act (MHSA) is an initiative measure enacted by California voters as Proposition 63 that established the continuously appropriated Mental Health Services Fund to financially support various county mental health programs. MHSA funding is distributed to California counties to support county mental health programs to

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› Url: https://www.dhcs.ca.gov/Documents/CSD_YV/BHIN/BHIN-20-056-Peer-Support-Services-Funding.pdf Go Now

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Department of Health Care Services

Details: The Department of Health Care Services (Department) administers the Medi -Cal Specialty Mental Health Services Program under the authority of a 1915(b) waiver approved by the Centers for Medicare and Medicaid Services (CMS). Services provided through the program are “carved out” of Medi -Cal managed care plans’ responsibility

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› Url: https://www.dhcs.ca.gov/services/MH/Documents/SMHS-Budget-Supplement-M21.pdf Go Now

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Cal-HOP Health Information Organizations and …

Details: All For Health, Health For All Community Clinic : 1568567220: Alta (Prospect) Hospital : 1922001809: Arroyo Vista Family Health Center : 1447353701: Asha R Kumar MD Inc : 1710902150: Avanti Hospital : 1417957473: Bartz-Altadonna Community Clinic (OCHIN) 1811279763: Behavioral Health Systems: 1548659105: Bellflower Park Medical Group: …

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› Url: https://www.dhcs.ca.gov/provgovpart/Documents/OHIT/Cal-HOP-HIO-and-QPO-List.pdf Go Now

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DHCS COVID-19 Vaccine Administration Provider …

Details: -19 vaccine from Medi-Cal managed care health plans and will reimburse providers under the Fee-for-Service (FFS) delivery system for both medical and pharmacy claims. This approach will ease program administration, eliminate challenges …

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› Url: https://www.dhcs.ca.gov/Documents/COVID-19/COVID-19-Vaccine-Provider-FAQ.pdf Go Now

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Statistical Briefs

Details: California’s Children’s Health Insurance Program (CHIP) is a federal and state partnership designed to provide low-income children with health insurance coverage. The program improves access to health care services and quality of life for nearly 1.3 million California children less than 19 years of age.

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› Url: https://www.dhcs.ca.gov/dataandstats/statistics/Pages/RASD_Statistical_Briefs.aspx Go Now

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Medi-Cal Dental member Handbook

Details: County). Fee-For-Service is a way Medi-Cal pays doctors and other health care providers. Medi-Cal Dental Fee-For-Service is the program in most California counties. The information in this Handbook is for members in Medi-Cal Dental Fee-For-Service. Dental Managed Care (DMC) is an organized system to help you get high-quality care and stay healthy.

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State of California Health and Human Services …

Details: Medi-Cal managed care health plan (MCP) enrollment and disenrollment processes. New Changes to Beneficiary Responsibil. ities for Requesting a Permanent Change . of Residence Address . Pursuant to W&I Code, Section 10003, it is the Medi-Cal beneficiary’s responsibility to promptly notify . either. the county from which

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