Medi- Cal: Medi- Cal Update - Part 1 - Program and Eligibility. The monthly- updated Medi- Cal Suspended and Ineligible Provider List (S& I List) is available on the Suspended and Ineligible Provider List page of the Medi- Cal website. Always refer to the S& I List when verifying ineligibility. Eligibility or ineligibility must also be verified through the Health and Human Services (HHS) Federal Office of Inspector General (OIG) List of Excluded Individuals/Entities. Suspension of Entities Submitting Claims for Suspended Providers. Entities submitting claims for services rendered by a health care provider suspended from Medi- Cal or excluded from Medicare or Medicaid by the OIG are subject to Medi- Cal suspension. Welfare and Institutions Code (W& I Code), section 1. Medi- Cal for the services, goods, supplies or merchandise provided, directly or indirectly, to a Medi- Cal recipient by an individual or entity that is suspended, excluded, or otherwise ineligible because of a sanction to receive, directly or indirectly, reimbursement from Medi- Cal and the individual or entity is listed on either the Medi- Cal Suspended and Ineligible Provider List or any list published by the Federal Office of Inspector General regarding the suspension or exclusion of individuals or entities from the Federal Medicare and Medicaid programs, to identify suspended, excluded, or otherwise ineligible providers.”.
The following is a list of briefings, documents, and publications that have been ranked by the Alliance for Health Reform in order of relevance, 10 being 'Exclusively Related' to the issue, to 5 being 'Somewhat Related' to the.Priscilla Meckley-Archuleta is a skilled program and project management executive with over 25 years of successful experience managing complex projects and programs in the design and construction industry. As a State of California Employee, you and your eligible dependents have access to an Employee Assistance Program (EAP). This program is provided by the State of California as part of the state’s commitment to promoting. Dental Managed Care (DMC)
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December 2016
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