Description
Medi-Cal Managed Care Capitation Rates for Capitated Rates for Senior Care Action Network (SCAN) – by Calendar Year. Senior Care Action Network (SCAN) Health Plan is a Medicare Advantage Special Needs Plan that contracts with the Department of Health Care Services for dual eligible Medicare/Medi-Cal population subset residing in Los Angeles, San Bernardino, and Riverside counties.
Resources
| Name | Format | Description | Link |
|---|---|---|---|
| Data Dictionary - SCAN Rates CY 2018 | CSV | Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/be5689c7-f58d-4542-a0c0-de8ca0449e74/download/scan-rates-cy2018_07.2023.csv | Open resource |
| Data Dictionary - SCAN Rates CY 2019 | CSV | Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/cff9bffe-bf21-4602-b40c-17acb6be49ca/download/scan-rates-cy2019_07.2023.csv | Open resource |
| Data Dictionary - SCAN Rates CY 2016 | CSV | Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/62bfe853-1f61-494b-9dee-63ea600964c1/download/scan-rates-cy2016_07.2023.csv | Open resource |
| Data Dictionary - SCAN Rates CY 2020 | CSV | Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/175fa412-af0b-44de-9bd9-ea52462e78e2/download/scan-rates-cy2020_07.2023.csv | Open resource |
| Data Dictionary - SCAN Rates CY 2021 | CSV | Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/3fbdf4aa-4bed-4de2-932e-2d4d31935933/download/scan-rates-cy2021_07.2023.csv | Open resource |
| Data Dictionary - SCAN Rates CY 2017 | CSV | Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/f28a3e62-64fb-4afb-9d06-9eab8b55ec17/download/scan-rates-cy2017_07.2023.csv | Open resource |
| Data Dictionary - SCAN Rates CY 2022 | CSV | Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/4b9f281b-a07a-4a56-a46c-4b01c3b80e34/download/scan-rates-cy2022_07.2023.csv | Open resource |
| SCAN Rates CY 2020 | CSV | Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2020 o No MCO Tax | Open resource |
| SCAN Rates CY 2021 | CSV | Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2021 o Used the revised rate sheet o No MCO Tax o Includes Optional Benefits Restoration | Open resource |
| SCAN Rates CY 2022 | CSV | Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2022 o No MCO Tax | Open resource |
| SCAN Rates CY 2016 | CSV | Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2016: o 3.9375% SB 78 Tax applied to 1/1/16-6/30/16 rates o Enrollment-based MCO Tax applied to 7/1/16-12/31/16 o Includes Acupuncture as of 7/1/2016 | Open resource |
| SCAN Rates CY 2024 | CSV | Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2024 | Open resource |
| SCAN Rates CY 2023 | CSV | Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2023 | Open resource |
| SCAN Rates CY 2018 | CSV | Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year. 2018 o Includes MCO Tax | Open resource |
| All resource data | ZIP | medi-cal-managed-care-capitation-rates-senior-care-action-network-scan-b4qazysh.zip | Open resource |
| All resource data | ZIP | medi-cal-managed-care-capitation-rates-senior-care-action-network-scan-l6uk2_lp.zip | Open resource |
| SCAN Rates CY 2019 | CSV | Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2019 o Jan 2019 - Jun 2019 - MCO Tax Included o Jul 2019 - Dec 2019 - MCO Tax Excluded | Open resource |
| SCAN Rates CY 2017 | CSV | Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2017 o 3. Lower Bound rate percentage changes are based on July - December 2016 rates since the MCO tax for that rate period is similar to the CY 2017 rates. o The Medical Transportation expenditures included in the base costs are overstated due to most capitated expenditures being covered by Medicare. This adjustment removes all capitated expenditures of Medical Transportation expenditures except for some minimal amounts for LTC Certified COA and expenditures reimbursed based on FFS. Dental Services are mostly covered by Medicare. Thus an adjustment was made to remove all expenditures of Dental Service except for some minimal amounts for LTC Certified COA. | Open resource |