Medicaid for Home Care in California

Medicaid Certified Home Care Agency in California

An agency can only be eligible for Medicaid reimbursement if they are a certified HHA (Home Health Agency). Every state has issued a checklist of regulations and certifications that an agency must consider.

One can get the details associated with California Medicaid, like license and certification, through the Human Service Department and Bureau of Licensing and certification. One can also look for exemptions regarding licenses for the agencies offering non-med private-duty services.

Governing Body: Medi-Cal

Overview:

Medicaid in California, known as Medi-Cal, aims to provide health coverage to low-income individuals making 138% below the federal poverty line (FPL). The state offers Medicaid programs for seniors, pregnant women, parents, children, disabled people, and caregivers. For long-term care in California, Medi-Cal also pays for several non-medical support services that help seniors in poor health remain living in their homes. People with refugee status can also get Medicaid for a limited time, depending upon the tenure of their stay in the US.

Medicaid Programs:

  • In-Home Supportive Services
  • Medi-Cal Assisted Living Waiver (ALW)
  • Community-Based Adult Services (CBAS) Program
  • Multipurpose Senior Services Program Waiver (MSSP)
  • Home and Community-Based Alternatives (HCBA) Waiver
  • Medi-Cal for Families Program
  • Denti-Cal
  • Vision Care

Income Requirements:

  • $16,395 per year for a family of one
  • $79,392 per year for a family of 12
  • $5,741 per individual per year for large families

Application Process:

The application process for accessing Medi-Cal for California residents is easy; anyone can apply online for the available Medicaid programs by visiting the Covered California website.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

Be Medicaid Ready with CareSmartz360
  • Create, Review & Approve Claims
  • Automatic Claim Submission
  • Supports All Medicaid Payers
  • Error-free Claims to Avoid Denials
  • Claims submission in 837P, 837I format

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