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미국
Number of Individuals Transitioned from Covered California Qualified Health Plans to Medi-Cal
This dataset includes the number of individuals transitioned from Covered California Qualified Health Plan (QHP) eligibility to Medi-Cal enrollment commencing with the 2016 Quarter 4 Report. The individuals in this dataset represent Covered California clients, regardless of QHP enrollment status, who are in a Carry Forward Status (CFS) after reporting a change making them potentially eligible for MAGI Medi-Cal during a reporting period. The total number of individuals transitioned from Covered California includes Medi-Cal eligible individuals who did not have Medi-Cal eligibility in the month prior to the reporting period. This is a new dataset as a result of implementing the Covered California QHP Carry Forward Status indicator in release 16.9 and is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.
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Number of Individuals Transitioned from Covered California Qualified Health Plans to Medi-Cal
공공데이터포털
This dataset includes the number of individuals transitioned from Covered California Qualified Health Plan (QHP) eligibility to Medi-Cal enrollment commencing with the 2016 Quarter 4 Report. The individuals in this dataset represent Covered California clients, regardless of QHP enrollment status, who are in a Carry Forward Status (CFS) after reporting a change making them potentially eligible for MAGI Medi-Cal during a reporting period. The total number of individuals transitioned from Covered California includes Medi-Cal eligible individuals who did not have Medi-Cal eligibility in the month prior to the reporting period. This is a new dataset as a result of implementing the Covered California QHP Carry Forward Status indicator in release 16.9 and is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.
Covered California Enrollees by Rating Region
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This dataset includes the number of eligible individuals selected and enrolled in a Covered California qualified health plans (QHPs) by rating region and by reporting period. California is comprised of 19 rating regions, and each region has different pricing and health insurance options. Covered California reported data is from the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and includes eligible individuals who selected and enrolled in a QHP, and paid their first premium. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.
Newly Eligible Individuals enrolled in Medi-Cal Managed Care Health Plans
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This dataset includes the number of newly eligible individuals enrolled in a Medi-Cal Managed Care Health Plans by type of enrollment by reporting period. Medi-Cal Managed Care program contracts for health care services through established networks of organized systems of care emphasizing primary and preventive care. Newly eligible Medi-Cal beneficiaries must choose a Managed Care health plan within 30 days of Medi-Cal enrollment, or they will be enrolled in a Managed Care health plan by default. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.
Covered California Enrollees by Rating Region
공공데이터포털
This dataset includes the number of eligible individuals selected and enrolled in a Covered California qualified health plans (QHPs) by rating region and by reporting period. California is comprised of 19 rating regions, and each region has different pricing and health insurance options. Covered California reported data is from the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and includes eligible individuals who selected and enrolled in a QHP, and paid their first premium. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.
Newly Eligible Individuals enrolled in Medi-Cal Managed Care Health Plans
공공데이터포털
This dataset includes the number of newly eligible individuals enrolled in a Medi-Cal Managed Care Health Plans by type of enrollment by reporting period. Medi-Cal Managed Care program contracts for health care services through established networks of organized systems of care emphasizing primary and preventive care. Newly eligible Medi-Cal beneficiaries must choose a Managed Care health plan within 30 days of Medi-Cal enrollment, or they will be enrolled in a Managed Care health plan by default. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.
Eligible Individuals Enrolled in Medi-Cal Managed Care COHS Health Plans
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This dataset includes the number of newly eligible individuals enrolled in a Medi-Cal Managed Care County Organized Health System (COHS) Health Plans by reporting period. COHS is a Medi-Cal managed care health plan model that operates in 22 California counties. Each COHS is created by a county board of supervisors and governed by an independent commission. In COHS counties, a single plan serves all Medi-Cal beneficiaries enrolled in managed care. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.
Covered California Enrollees by Silver Plan
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This dataset includes the number of eligible individuals selected and enrolled in a Covered California Silver Plans by reporting period. Covered California offers four levels of Silver Plans: Silver 70 that covers standard benefits, and enhanced Silver 73, Silver 84, and Silver 94 that offer enhanced out-of-pocket savings through lower copays, coinsurance and deductibles to qualified individuals. Covered California reported data is from the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and includes eligible individuals who selected and enrolled in a QHP, and paid their first premium. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.