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).

FFS Provider Type Reference Table

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This reference table is to be used with the Medi-Cal Fee-for-Service Provider Listing for mapping the Fiscal Intermediary (FI) Provider Type Code to a text value. This table contains the following fields:,

Profile of Enrolled Medi-Cal Dental Fee-for-Service (FFS) Providers and Safety Net Clinics (SNCs)

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The dataset provides enrollment and geographic data for Fee-for-Service (FFS) providers enrolled in the Medi-Cal Dental program and Safety Net Clinics (SNCs) who provide dental services. The data is based on a point in time and is expected to be updated biannually. The enrollment and SNC data is as of June 2024. This dataset does not include Dental Managed Care providers.

FFS Provider Specialty Reference Table

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This reference table is to be used with the Medi-Cal Fee-for-Service Provider Listing for mapping the Fiscal Intermediary (FI) Provider Specialty Code to a text value. This table contains the following fields:,

Medi-Cal Managed Care Provider Listing

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Newly Eligible Individuals enrolled in Medi-Cal Managed Care Health Plans

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This dataset includes the number of newly eligible individuals enrolled in a Medi-Cal Managed Care Health Plans by type of enrollment by reporting period. Medi-Cal Managed Care program contracts for health care services through established networks of organized systems of care emphasizing primary and preventive care. Newly eligible Medi-Cal beneficiaries must choose a Managed Care health plan within 30 days of Medi-Cal enrollment, or they will be enrolled in a Managed Care health plan by default. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

Medi-Cal Managed Care Enrollment Report

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This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan.

Medi-Cal Annual Renewals by County

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This dataset includes information regarding annual Medi-Cal eligibility renewals conducted for beneficiaries by counties each month. The data is from the Statewide Automated Welfare System (SAWS), which determines Medi-Cal eligibility and conducts ongoing case management. The SAWS reports the number of renewals due and the renewals completed by the due date and within the renewals processing timeframe. This dataset is part of the public reporting requirements set forth in California Welfare and Institutions Code 14102.5(3) et seq.

Total Provider Reimbursement for Family PACT Services, by Fiscal Years

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This data file contains information on the total provider reimbursement by fiscal year (FY) for services accessed through the Family Planning, Access, Care, and Treatment (Family PACT) from July 1, 2003, through the current FY of available data. Reimbursement amounts are rounded to the nearest million.

Enrollment Data

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