News Headlines Article

Medi-Cal misfire: CalOptima seeks to rectify state billing error with $8.9 million in payments to O.C. health providers
Orange County Register

CalOptima, Orange County’s Medi-Cal insurance program for low-income residents, mailed checks this week totaling $8.9 million to nearly 500 health care providers to resolve a complicated state billing error that started in 2011.

In Orange County, 785 doctors, hospitals and other providers were erroneously reimbursed $15 million from the wrong fund for treating Medi-Cal patients, according to the state Department of Health Care Services. Instead, their claims should have been sent to CalOptima, which is state-funded but makes payments on behalf of local patients.