MEDI-CAL OUTREACH Sample Clauses

MEDI-CAL OUTREACH. Medi-Cal outreach for purposes of Medi-Cal administrative claiming must be targeted to: • Bringing potential eligible recipients into the Medi-Cal system to determine Medi-Cal eligibility; and • Bringing Medi-Cal eligible people into Medi-Cal services (information and referral). Outreach may consist of direct campaigns or may be an ongoing activity, such as (1) operation of a telephone or walk-in referral service to direct people on where to apply for Medi-Cal, or how to connect with Medi-Cal covered services; (2) operation of a drop-in community center for underserved populations, where Medi-Cal eligibility and service information is disseminated. Federal and State requirements mandate that certain outreach activities be discounted by the Medi-Cal percentage. Medi-Cal only outreach campaigns directed to the entire population to encourage potential Medi-Cal eligible recipients to apply for Medi-Cal are not discounted. Outreach campaigns directed towards bringing specific high risk populations (including Medi-Cal eligible and non-Medi-Cal eligible persons), are discounted by the Countywide Medi-Cal percentage. The following activities are not considered Medi-Cal outreach under any circumstances and shall not be claimable or reimbursable: • General preventive health education programs or campaigns addressed to lifestyle changes in the general population (e.g., SANE, DARE, dental prevention, anti-smoking, alcohol reduction, etc.). • Outreach campaigns directed toward encouraging persons to access social, educational, legal or other services not covered by Medi-Cal.
Sample 1
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Related to MEDI-CAL OUTREACH

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