Medi-Cal Managed Care Capitation Rates – Regional Model/Rural Expansion

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
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2017-18. https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/0f220d27-97a2-4bb8-9cf6-f828264a740c/download/regional_rates_sfy17-18_updated.csv
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2023. https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/6f2f6cd2-7cfb-4da8-98d9-e11c39430fdc/download/cy2023-regional-model-rates-2.21.2024_v2.csv
57 medi-cal-managed-care-capitation-rates-regional-model-rural-expansion-orgnhe.zip https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/7270e4c9-dfa6-4c71-91bf-ddcd9d9547f2/download/medi-cal-managed-care-capitation-rates-regional-model-rural-expansion-orgnhe.zip
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2021. https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/5a4ab85b-c4e2-456b-b5d7-bcf233ab36ef/download/cy-2021-regional-final-5.16.2022.csv
57 medi-cal-managed-care-capitation-rates-regional-model-rural-expansion-s1lms_ba.zip https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/7270e4c9-dfa6-4c71-91bf-ddcd9d9547f2/download/medi-cal-managed-care-capitation-rates-regional-model-rural-expansion-s1lms_ba.zip
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2015-16. https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/f745b3e1-c2f9-42b2-9b96-0f0498bafbcb/download/regional_rates_sfy_2015-16.csv
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2016-17. https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/45d77564-fc0e-40fa-8591-d501492d2092/download/regional_rates_sfy_2016-17.csv
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2018-19. https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/568a8bb6-1697-454f-9abd-9e4e746c9e34/download/regional_rates_sfy2018-19.csv
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2019-20.javascript:; https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/f4b0621e-95e2-4cfd-ad72-9f3938193850/download/regional-rates_sfy-2019-20-updated.csv
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2022. https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/cdac5665-9726-4993-ae4e-9d657da22424/download/calendar-year-2022-regional-model-rates-11.07.2022.csv
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2023. https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/6f2f6cd2-7cfb-4da8-98d9-e11c39430fdc/download/cy2023-regional-mainstream-rates-7.24.2024.csv

Tags

  • regional-model
  • rural-expansion
  • rm
  • california-department-of-health-care-services
  • dhcs
  • rural-expansion-rate
  • managed-care-rates
  • regional-model-rates
  • medi-cal-managed-care-capitation-rates
  • medi-cal-managed-care

Topics

Categories