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

Description

__This page is considered archival. please refer to the new data landing page at [Medi-Cal Managed Care Capitation Rates by Managed Care Plan Models](https://data.chhs.ca.gov/dataset/medi-cal-managed-care-capitation-rates-by-managed-care-plan-models-consolidated).__ 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 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 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
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
8 This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2024. https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/44954826-2d35-490e-93d0-9c820a7ba561/download/cy-2024-regional-model-rates.csv
57 medi-cal-managed-care-capitation-rates-regional-model-rural-expansion-23q6ppmr.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-23q6ppmr.zip
57 medi-cal-managed-care-capitation-rates-regional-model-rural-expansion-updqrakq.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-updqrakq.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 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 Data Dictionary for https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/568a8bb6-1697-454f-9abd-9e4e746c9e34/download/regional_rates_sfy2018-19.csv https://data.ca.gov/datastore/dictionary_download/324119d8-3ae1-4f13-9c41-5d84070a2159
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

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

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