Medi-Cal Managed Care Capitation Rates - Senior Care Action Network (SCAN)

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
8 Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year. 2018 o Includes MCO Tax https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/be5689c7-f58d-4542-a0c0-de8ca0449e74/download/scan-rates-cy2018_07.2023.csv
8 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 https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/cff9bffe-bf21-4602-b40c-17acb6be49ca/download/scan-rates-cy2019_07.2023.csv
8 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 https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/3fbdf4aa-4bed-4de2-932e-2d4d31935933/download/scan-rates-cy2021_07.2023.csv
8 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 https://data.ca.gov/datastore/dictionary_download/e75ab637-23c3-4ed5-9aea-03c93f1e3586
8 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 https://data.ca.gov/datastore/dictionary_download/d3905239-b0dd-4b3a-89d5-3f0e12356e1f
8 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 https://data.ca.gov/datastore/dictionary_download/99f0445e-b6b2-4916-82fd-0d5d132ae650
8 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 https://data.ca.gov/datastore/dictionary_download/e075e101-8c5d-47ea-aebf-c9f3ef7be288
8 Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2024 https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/66e3453d-e72e-4ace-81dd-7f046a58f171/download/scan-rates-cy2024.csv
8 Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2023 https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/8822440c-4270-474a-b016-522c7d18dbcc/download/scan-rates-cy2023.csv
8 Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2022 o No MCO Tax https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/4b9f281b-a07a-4a56-a46c-4b01c3b80e34/download/scan-rates-cy2022_07.2023.csv
8 Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2020 o No MCO Tax https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/175fa412-af0b-44de-9bd9-ea52462e78e2/download/scan-rates-cy2020_07.2023.csv
57 medi-cal-managed-care-capitation-rates-senior-care-action-network-scan-l6uk2_lp.zip https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/c36a0cc9-8a11-4d80-886e-66a8797f7bbc/download/medi-cal-managed-care-capitation-rates-senior-care-action-network-scan-l6uk2_lp.zip
8 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. https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/f28a3e62-64fb-4afb-9d06-9eab8b55ec17/download/scan-rates-cy2017_07.2023.csv
57 medi-cal-managed-care-capitation-rates-senior-care-action-network-scan-b4qazysh.zip https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/c36a0cc9-8a11-4d80-886e-66a8797f7bbc/download/medi-cal-managed-care-capitation-rates-senior-care-action-network-scan-b4qazysh.zip
8 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 https://data.ca.gov/datastore/dictionary_download/d9346162-c85c-42f8-bbf0-8e75ab92b282
8 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 https://data.ca.gov/datastore/dictionary_download/56678f6b-f5b4-4796-8531-636e13227dae
8 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 https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/62bfe853-1f61-494b-9dee-63ea600964c1/download/scan-rates-cy2016_07.2023.csv
8 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 https://data.ca.gov/datastore/dictionary_download/ae51692f-a926-4e10-a7eb-1d06f76cb442

Tags

  • california-department-of-health-care-services
  • dhcs
  • rates
  • scan
  • capitation

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