Medi-Cal Managed Care Quality Improvement Reports
Return to Managed Care Monitoring
In accordance with federal requirements, the California Department of Health Care Services (DHCS) contracts with an external quality review organization (EQRO) to conduct external quality reviews and evaluate the care provided to beneficiaries by Medi-Cal managed care health plans (MCPs) in the areas of quality, access, and timeliness. The EQRO presents these external quality review activities, results, and assessments in reports that help DHCS and Medi-Cal MCPs understand where to focus resources to further improve the quality of care.
Member Satisfaction Surveys (CAHPS® Surveys)
Each Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey report aggregates the results of CAHPS® surveys, which ask Medi-Cal managed care beneficiaries to evaluate their experiences with their health care health care providers.
Encounter Data Validation Study Reports
Encounter Data Validation (EDV) Study Reports examine the completeness and accuracy of the encounter data submitted to DHCS by the MCPs.
Managed Care Accountability Sets / External Accountability Sets
The Managed Care Accountability Sets (MCAS) / External Accountability Set (EAS) is a set of performance measures that DHCS selects for annual reporting by Medi-Cal MCPs.
MY23
- Enhancing Quality for Medi-Cal Members – Measurement Year 2023
- Medi-Cal Managed Care Plans: 2023 Quality Scores by Domain
- County Behavioral Health Plan Ratings – Measurement Year 2023
MY22
- Enhancing Quality for Medi-Cal Members – Measurement Year 2022
- Medi-Cal Managed Care Plans: 2022 Quality Scores by Domain
- County Behavioral Health Plan Ratings – Measurement Year 2022
MY21
External Quality Review Technical Reports and Plan-Specific Evaluation Reports
The EQRO annually prepares an independent external quality review technical report that analyzes and evaluates aggregated information on the health care services provided by Medi-Cal MCPs. As part of the external quality review technical report, the EQRO prepares a plan-specific evaluation report of each of MCP.
Access these reports on the
Medi-Cal Managed Care External Quality Review Technical Reports with Plan-Specific Evaluation Reports.
Health Disparity Reports
The Health Disparity Reports identify and understand health disparities affecting California’s Medi-Cal managed care members and are based on focused studies conducted annually by the EQRO. The reports analyze Managed Care Accountability Set (MCAS) measure results reported by Medi-Cal managed care plans (MCPs) for various demographic categories.
HEDIS® Reports
The Healthcare Effectiveness Data and Information Set (HEDIS®) Aggregate Report, also referred to as Performance Measurement Reports, provides performance rates of MCPs during a reporting year and trending using previous years’ data. The report also compares plan-specific and aggregated rates to national benchmarks.
Preventive Services Report
The 2024 Preventive Services Report and Executive Summary assists with identifying and monitoring appropriate utilization of preventive services for children in Medi-Cal Managed Care through the public health emergency
The 2023 Preventive Services Report and Executive Summary assists with identifying and monitoring appropriate utilization of preventive services for children in Medi-Cal Managed Care through the public health emergency.
The 2022 Preventive Services Report assists with identifying and monitoring appropriate utilization of preventive services for children in Medi-Cal Managed Care through the public health emergency.
The 2021 Preventive Services Report and Executive Summaryassist with identifying and monitoring appropriate utilization of preventive services for children in Medi-Cal Managed Care.
The 2020 Preventive Services Report and Addendum assesses the provision of preventive services by pediatric Medi-Cal managed care members.