Div Ben State Level

State Level

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Medicaid beneficiaries receive benefits based on medical necessity.

Initially, the State administered and paid for these services through a Fee-For-Service (FFS) arrangement, where providers were paid directly for each service. FFS is also known as Straight Medi-Cal or Regular Medi-Cal.

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Due to rising costs

Responsibilities were divided among Medi-Cal FFS, health plans, community-based organizations, and other county departments. Some benefits were carved out, leading to a more diversified administration of services.

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Examples of how benefits are divided

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