Medi-Cal Connect
Medi-Cal Connect is a statewide data analytics solution and tool for population health management (PHM). It is designed to strengthen coordination across the Medi-Cal program, close gaps in services, and improve member health outcomes.
Medi-Cal Connect supports the DHCS PHM Initiative, which is a component of CalAIM. Together, these efforts are helping to build a stronger, more connected health care system for all Californians.
Medi-Cal Connect aims to:
- Inform policymaking.
- Provide population-level insights.
- Support personalized whole-person care.
- Improve member experience.
How Does Medi-Cal Connect Work?
Medi-Cal Connect is a first-of-its-kind data analytics tool that integrates information from trusted partners, like Medi-Cal health plans and other state agencies.
By combining data from different sources, Medi-Cal Connect provides an expanded view of member health needs and population-level insights to help inform DHCS policy and programs. Its Risk Segmentation, Stratification, and Tier (RSST) Algorithm is a statewide risk tiering tool that incorporates physical and behavioral health and social risk factors. RSST provides a data-driven method for identifying Medi-Cal members who may be at increased risk of poor outcomes or underutilization of essential services, and who may benefit from additional outreach or care coordination.
The Medi-Cal Connect service is just beginning and will continue to
evolve and improve based on real-world user input.
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Get Help
Contact the Medi-Cal Connect Help Desk.
Learn More
Understand the Medi-Cal Connect objectives and timeline.
Discover
Learn how the Risk Stratification, Segmentation, and Tiering (RSST) algorithm works.
Get Guidance
Review how DHCS expects to use RSST to support PHM.
