Medi-Cal enrollment data grouped by total enrollment, sex, age group, region, county, language, and race/ethnicity.

This dataset provides a list of 10 characteristics for California border hospitals, including: Name, City, State, Designated Neonatal Intensive Care Unit status, Remote Rural Status, Cost-to-Charge Ratio, Wage-Index Value, Wage-Index Value Adjusted for California Neutrality Factor, Unadjusted Statewide Base Rate, Wage Adjusted Statewide Base Rate. This dataset does not include psychiatric hospitals, alcohol and drug rehabilitation facilities, and designated public hospitals.

The dataset provides a list of 15 characteristics for California hospitals for State Fiscal Year 2019-20, including; Department of Health Care Access and Information (HCAI) ID, HCAI Provider Name, Designated Neonatal Intensive Care Unit status as defined by DHCS, Designated Public Hospital status, Non-designated Public Hospital, HCAI Rural Hospital status, DHCS Designated Remote Rural status, Cost–to-Charge Ratio, Wage Index Value, Wage Index Value-Adjusted for California Neutrality Factor, Unadjusted Statewide Base Rate, Wage-Adjusted Statewide Base Rate, Rehab Rate, Admin 2 190 Rate and Admin 2 199 Rate. This dataset does not include psychiatric hospitals, alcohol and drug rehabilitation facilities, or designated public hospitals.

These files contain monthly data by county for Medi-Cal certified eligibles, by various demographics traits. The data is split out and not distributed as a single dataset for the purposes of de-identification.

This dataset identifies California’s eligibility groups by aid code. California uses aid codes to account for eligibility group populations and the eligibility requirements, scope of benefits, services, costs, claims, encounter data, and managed care arrangements related to those populations. Aid codes in this dataset are mapped to the Transformed Medicaid Statistical Information System (T-MSIS) eligibility group descriptions and codes. California uses this mapping to submit claims data, enrollee encounter data, and supporting information to the Centers for Medicare & Medicaid Services (CMS), as required by Section 4735 of the Balanced Budget Act of 1997 and Section 6504 of the Affordable Care Act for the purpose of program integrity, program oversight, and administration. This dataset includes aid codes that do not have Medi-Cal benefits or have benefits and are not federal programs. Some aid codes may appear to be identical but possess distinct benefits or grouping factors. An aid code may appear more than once if multiple populations are represented in one aid code and can be identified and mapped to distinct T-MSIS groups.

This dataset includes the total number of individuals enrolled in Medi-Cal by eligibility group: Modified Adjusted Gross Income (MAGI), non-MAGI, and Children’s Health Insurance Program (CHIP). The groups are defined by the Centers for Medicare and Medicaid Services (CMS) Performance Indicators (CMSPI) reporting requirements. The Department of Health Care Services (DHCS) submits eligibility and enrollment data regarding Medicaid and CHIP monthly to CMS. The enrollment data represents enrollment totals as of 60 days after the eligibility month (indicated as “Reporting Period” in the dataset). CMS publishes the state total enrollments on the CMSPI website. The total enrollment comprises of individuals who are eligible for full scope Medi-Cal by MAGI – Child, MAGI – Adult, Non-MAGI Child, Non-MAGI Adult, and CHIP eligibility groups. DHCS does not report to CMS the total enrollment in limited scope Medi-Cal or state-only funded programs (indicated as the “Non-CMSPI” in the dataset).