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The Department of Managed Health Care ( DMHC) is a regulatory body governing managed health care plans, including Health Maintenance Organizations (HMOs) and most Medi-Cal managed care plans in California. The DMHC was created as the first state department in the country solely dedicated to regulating managed health care plans and assisting ...
A National Provider Identifier ( NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
National Council of State Boards of Nursing. College of Nursing accreditation. American Association of Colleges of Nursing. Commission on Collegiate Nursing Education. National League for Nursing. Advanced practice nursing college accreditation. American College of Nurse-Midwives. Council of Accreditation of Nurse Anesthesia Educational Programs.
Website. www .healthnet .com. Health Net, LLC, a subsidiary of Centene Corporation, is an American health care insurance provider. Health Net and its subsidiaries provide health plans for individuals, families, businesses and people with Medicare and Medicaid, as well as commercial, small business, and affordable care insurance.
Carelon Health. Carelon Health, (formerly CareMore) a subsidiary of Elevance Health through its Carelon brand, is an integrated health plan and care delivery system for Medicare and Medicaid patients. The company was founded in 1992 as CareMore by Sheldon Zinberg and Johnn Edelston, President of HealthPro Associates through the merger of ...
Medi-Cal. 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.
Health insurance. As of 2018, most insured Californians were in plans regulated by the California Department of Managed Health Care (DMHC) with about 60% regulated by either DMHC or the California Department of Insurance (CDI). [1] This dual regulation arose due for historical reasons, and when the DMHC was created in 2000, [2] the California ...
The company also acquired Freedom Plan, California Dental Health Plan, and Advantage Health Plans. In 1996, it acquired FHP. In December 2005, the company was acquired by UnitedHealth Group. At that time, the company had 705,000 Medicare enrollees.