Medi-Cal Managed Care Letters

Medi-Cal Managed Care communicates with Medi-Cal managed care plans (MCPs) by means of All Plan and Policy Letters.

All Plan Letters (APLs) are the means by which Medi-Cal Managed Care conveys information or interpretation of changes in policy or procedure at the Federal or State levels, and provides instruction to contractors, if applicable on how to implement these changes on an operational basis.

Policy Letters (PLs) provide guidance to MCPs about changes in Federal or State law and Regulation that affect the way in which they operate, or deliver services to Medi-Cal beneficiaries.

Note: PLs were not issued between 2003 and 2006, and DHCS stopped issuing PLs after 2014. DHCS now issues guidance to MCPs exclusively through APLs. If you have questions concerning a specific APL or PL, please email DHCS_PMMB@dhcs.ca.gov.

APL 25-004

APL 25-006 (PDF)
Timely Access Requirements
APL 25-005 (PDF)
Standards for Determining Threshold Languages, Nondiscrimination Requirements, Language Assistance Services, And Alternative Formats (Supersedes APL 21-004)
APL 25-004 (PDF)
Community Reinvestment Requirement
APL 25-003 (PDF)
Establishing Dual Eligible Special Needs Plans by 2026

Medi-Cal Managed Care Letters

All Plan Letters
Medi-Cal Managed Care library of All Plan Letters from 1998 to current date. Listed by issue date and title (subject).
Policy Letters
Medi-Cal Managed Care library of Policy Letters. Listed by issue date and title (subject).
Subject Listing Index
All Plan, Policy, and Duals Plan Letters indexed by subjects.
Dual Plan Letters (Archived)
Dual Plan Letters are no longer in effect, as Cal MediConnect ended December 31, 2022.

Last modified date: 4/30/2025 10:02 AM