Description
This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model, by State Fiscal Year. The Regional Model serves beneficiaries in 28 rural counties: Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Inyo, Imperial, Lake, Lassen, Mariposa, Mendocino, Modoc, Mono, Nevada, Placer, Plumas, San Benito, Sierra, Siskiyou, Sutter, Tehama, Trinity, Tuolumne, and Yuba. The Department of Health Care Services (DHCS) contracts with two Commercial plans to provide services in each county. San Benito is the only exception where beneficiaries can choose either the managed care plan or (fee-for-service) Medi-Cal.
Resources
| Name | Format | Description | Link |
|---|---|---|---|
| State Fiscal Year 2017-18 Regional Model Rates | CSV | This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2017-18. | Open resource |
| State Fiscal Year 2016-17 Regional Model Rates | CSV | This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2016-17. | Open resource |
| State Fiscal Year 2018-19 Regional Model Rates | CSV | This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2018-19. | Open resource |
| CY 2021 Regional Model Rates | CSV | This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2021. | Open resource |
| CY 2023 Regional Model Rates | CSV | This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2023. | Open resource |
| CY 2023 Regional Model Rates | CSV | This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2023. | Open resource |
| All resource data | ZIP | medi-cal-managed-care-capitation-rates-regional-model-rural-expansion-orgnhe.zip | Open resource |
| All resource data | ZIP | medi-cal-managed-care-capitation-rates-regional-model-rural-expansion-s1lms_ba.zip | Open resource |
| CY 2022 Regional Model Rates | CSV | This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2022. | Open resource |
| Bridge Period 2019-20 Regional Model Rates | CSV | This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2019-20.javascript:; | Open resource |
| State Fiscal Year 2015-16 Regional Model Rates | CSV | This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2015-16. | Open resource |