A letter sent late last month to the hospital warns that payments will be cut off in July unless it corrects a number of patient “deficiencies.”
Tag: Centers for Medicare and Medicaid Services
Feds To Lift Enrollment Freeze on CalOptima Program
New patients can start enrolling Nov. 1 as agency responds to audit that found widespread and systemic problems.
Feds Give CalOptima Officials More Time to Fix Problems
The health plan will have until January and maybe longer, to fix glaring problems triggering improper denials of prescriptions and medical procedures for patients. Officials also reported cases of possible fraud.
Key Quality-of-Care Rating for Elders Drops at CalOptima
Officials say the rating downgrade is not a sign of trouble. Others question whether it results from the recent turmoil at the agency.
CalOptima to Take Part in State’s ‘Dual-Eligible’ Pilot Program
Its goals are to save money and create a better system for patients who are eligible for both Medi-Cal and Medicare.










