This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings.

This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings.

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

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

This dataset contains data for the Healthcare Payments Data (HPD) Healthcare Measures report. The data cover three measurement categories: Health conditions, Utilization, and Demographics. The health condition measurements quantify the prevalence of long-term illnesses and major medical events prominent in California’s communities like diabetes and heart failure. Utilization measures convey rates of healthcare system use through visits to the emergency department and different categories of inpatient stays, such as maternity or surgical stays. The demographic measures describe the health coverage and other characteristics (e.g., age) of the Californians included in the data and represented in the other measures. The data include both a count or sum of each measure and a count of the base population so that data users can calculate the percentages, rates, and averages in the visualization. Measures are grouped by year, age band, sex (assigned sex at birth), payer type, Covered California Region, and county.

This dataset contains data for the Healthcare Payments Data (HPD) Healthcare Measures report. The data cover three measurement categories: Health conditions, Utilization, and Demographics. The health condition measurements quantify the prevalence of long-term illnesses and major medical events prominent in California’s communities like diabetes and heart failure. Utilization measures convey rates of healthcare system use through visits to the emergency department and different categories of inpatient stays, such as maternity or surgical stays. The demographic measures describe the health coverage and other characteristics (e.g., age) of the Californians included in the data and represented in the other measures. The data include both a count or sum of each measure and a count of the base population so that data users can calculate the percentages, rates, and averages in the visualization. Measures are grouped by year, age band, sex (assigned sex at birth), payer type, Covered California Region, and county.

The following datasets are based on the adult (age 21 and over) beneficiary population and consist of aggregate MHS data derived from Medi-Cal claims, encounter, and eligibility systems. These datasets were developed in accordance with California Welfare and Institutions Code (WIC) § 14707.5 (added as part of Assembly Bill 470 on 10/7/17). Please contact BHData@dhcs.ca.gov for any questions or to request previous years’ versions of these datasets. Note: The Performance Dashboard AB 470 Report Application Excel tool development has been discontinued. Please see the Behavioral Health reporting data hub at https://behavioralhealth-data.dhcs.ca.gov/ for access to dashboards utilizing these datasets and other behavioral health data.

This dataset captures county‑submitted Network Adequacy compliance data, evaluating whether health plans meet standards for timely access, geographic availability (time or distance), provider capacity, and service composition. The dataset supports monitoring and reporting on whether counties and health plans provide equitable, sufficient, and accessible care to beneficiaries.

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

The following datasets are based on the adult (age 21 and over) beneficiary population and consist of aggregate MHS data derived from Medi-Cal claims, encounter, and eligibility systems. These datasets were developed in accordance with California Welfare and Institutions Code (WIC) § 14707.5 (added as part of Assembly Bill 470 on 10/7/17). Please contact BHData@dhcs.ca.gov for any questions or to request previous years’ versions of these datasets. Note: The Performance Dashboard AB 470 Report Application Excel tool development has been discontinued. Please see the Behavioral Health reporting data hub at https://behavioralhealth-data.dhcs.ca.gov/ for access to dashboards utilizing these datasets and other behavioral health data.