Medi-Cal Managed Care Provider Listing

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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 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 FFS Provider Listing

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The dataset provides basic information of the FFS providers enrolled in the Medi-Cal program as of April 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).

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).

Medi-Cal FPACT Provider Listing

공공데이터포털

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).

Medi-Cal Managed Care Capitation Rates by Managed Care Plan Models

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The datasets contain reimbursement rates paid to participating County Organized Health Systems, Geographic Managed Care, Regional, Senior Care Act (SCAN), Single Plan, and Two-Plan model counties as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2024.

Medi-Cal Managed Care Capitation Rates – County Organized Health Systems (COHS) Model

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This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the COHS model, by State Fiscal Year. The COHS serve beneficiaries in 22 counties. In the COHS model counties, the Department of Health Care Services (DHCS) contracts with a health plan created by the county Board of Supervisors. In a COHS county, all Medi-Cal members are enrolled in the same managed care health plan.

Medi-Cal Managed Care Capitation Rates – Two-Plan Model

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This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in Two-Plan model counties by State Fiscal Year. In Two-Plan model counties, the Department of Health Care Services (DHCS) contracts with a local initiative (county organized) and a commercial plan.