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Board approves letter to DHCS over state submission of ineligible Medi‑Cal claims; county estimates roughly $1.2 million at stake
Summary
The Lake County Board of Supervisors approved a letter to the California Department of Health Care Services after Behavioral Health staff said DHCS had submitted Medi‑Cal claims later adjudicated ineligible for individuals with ineligible immigration status, exposing the county to roughly $1.2 million in potential liability.
The Lake County Board of Supervisors approved a county letter to the California Department of Health Care Services (DHCS) calling attention to improperly submitted Medi‑Cal claims for individuals with ineligible immigration status and asking DHCS to review recoupment and adjudication procedures.
Behavioral Health Director Elise (Director Jones) explained that DHCS had submitted claims for services provided to individuals whose immigration status made those claims ineligible for federal matching funds. Those claims were later determined ineligible; the county has requested line‑by‑line…
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