Auto Assignment Performance Incentive Program
The California Department of Health Care Services (DHCS) implemented the performance-based Auto Assignment Incentive Program in December 2005. This program rewards better performing plans in the Two Plan and Geographic Managed Care delivery models (PDF) with a greater percentage of assigned mandatory enrollees (those who do not choose a plan) based on an assessment of comparative plan performance on eight performance measures. Six measures are Healthcare Effectiveness Data and Information Set (HEDIS ®) measures related to the quality, access and timeliness of care provided by plans to Medi-Cal managed care plan members. The other two measures relate to plans’ continued commitment to safety net providers in their contracted networks. Beginning in February 2013, the Auto Assignment percentages are adjusted to increase Auto Assignments to the lowest cost plans by five percent, and lower Auto Assignments to the highest cost plans by five percent. DHCS convenes a stakeholder workgroup every year consisting of plan representatives, advocates, and DHCS staff to review prior year results and recommend changes or additions to the performance measures included in the auto assignment algorithm for the following year.
Auto Assignment Program Overview (PDF)
Default Allocations for Enrollment Years 2006 to January 2014 (PDF)
2012 County Enrollment for Two-Plan and Geographic Managed Care Models (PDF)
Brian Covi, Chief, Program and Encounter Data Section
Medi-Cal Managed Care Division
California Department Health Care Services