Profile of Enrolled Medi-Cal Fee-for-Service (FFS) Providers
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The dataset provides basic information of the FFS providers enrolled in the Medi-Cal program as of February 1, 2025. The data was retrieved from the Provider Master File (PMF), which has been used in the claims payment process and maintained by the Provider Enrollment Division (PED). The Variables in the dataset include provider number, name, type, specialty, geographic information, etc. This dataset does not include the Managed Care providers.
Profile of Enrolled Medi-Cal Fee-for-Service (FFS) Providers
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The dataset provides basic information of the FFS providers enrolled in the Medi-Cal program as of August 1, 2024. The data was retrieved from the Provider Master File (PMF), which has been used in the claims payment process and maintained by the Provider Enrollment Division (PED). The Variables in the dataset include provider number, name, type, specialty, geographic information, etc. This dataset does not include the Managed Care providers.
Medi-Cal FPACT Provider Listing
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This dataset contains information on the Family Planning, Access, Care, and Treatment (Family PACT) Program providers for Calendar Year (CY) 2022. The data comes from the Provider Master File (PMF) in the Management Information System/Decision Support System (MIS/DSS) data warehouse, which is maintained by the California Department of Health Care Services (DHCS), Provider Enrollment Division, and from the DHCS, Office of Family Planning (OFP), which creates its own production files/datasets. This dataset includes the following variables: provider number, owner number, service location number, provider legal name, enrollment status effective date, provider address (city/state/zip).
California Medicaid Eligibility Groups by Medi-Cal Aid Code
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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.