​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Medi-Cal Dental Managed Care 

Return to the Medi-Cal Dental Program Homepage​

The Department of Health Care Services (DHCS) is responsible for providing dental services to eligible Medi-Cal beneficiaries, and offers services through two delivery systems, Dental Fee-For-Service (FFS) and Dental Mana​​ged Care (DMC). Dental FFS was the exclusive and original delivery system offered in California’s 58 counties. However, in 1995, pursuant to a state law change, DHCS implemented DMC to explore the effectiveness of DMC as a delivery system of dental services. The DMC delivery model currently operates in two of the state’s 58 counties, Sacramento and Los Angeles. In Sacramento County, DMC enrollment is mandatory, with few exceptions. In Los Angeles County, a beneficiary must opt-in to participate in the DMC program. 

The Department contracts with three Geographic Managed Care (GMC) Plans in Sacramento County, and three Prepaid Health Plans (PHP) in Los Angeles County that provide dental services to Medi-Cal beneficiarie​​s. All Medi-Cal DMC plans are licensed by the State of California, Department of Managed Health Care, pursuant to the Knox-Keene Health Care Service Plan Act of 1975. Medi-Cal DMC beneficiaries receive dental services from providers within the plan's provider network. DMC covered dental services are the same services provided under the Dental Fee-for-Service (FFS) Program.

For information or inquires regarding a specific​​ GMC and/or PHP dental plan, please call the Plan's toll-free number listed on the Managed Care Plan Directory webpage. For more information on Medi-Cal Dental Healthcare options, please visit the Medi-Cal Managed Care Health Care Options webpage.​

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Reports

Performance Measures 

Beneficiary Dental Exception (BDE) Reports

 To view BDE reports, please visit the BDE webpage.

Plan Accreditation Reports

2022

2021

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