Medi-Cal Managed Care Financial Reports

The Medi-Cal Managed Care Division issues various reports and information related to Medi-Cal managed care health plans, including capitation rate ranges, manuals, actuarial certifications, capitation rates studies, rate development methodologies and other related information. 

Rate Range Development and Certification Reports by Plan Model Type

• Medi-Cal Managed Care COHS Rate Range Development and Certification Reports  
  This page contains Rate Range Summaries and Rate Certification Reports for County Organized Health Systems (COHS) model of managed care.
• Medi-Cal Managed Care GMC Rate Range Development and Certification Reports
  This page contains Rate Range Summaries and Rate Certification Reports for Geographic Managed Care (GMC) model of managed care.
• Medi-Cal Managed Care Rural Counties Rate Range Development and Certification Reports
  This page contains Rate Range Summaries and Rate Certification Reports for Rural Counties of managed care.   
• ​Medi-Cal Managed Care Two-Plan Rate Range Development and Certification Reports
  This page contains Rate Range Summaries and Rate Certification Reports for Two-Plan model of managed care.

CMS Annual MLR Report

• FISCAL YEAR 2017/2018
• SFY 2017-18 CMS Annual MLR Report                                                                                                                                                                                                             This page contains results related to 42 CFR 438.74(a) for the State of California's Medi-Cal Managed Care Plans.

Miscellaneous Rate Range Development and Certification Reports

• ACA Optional Expansion and ACA Optional Expansion Maternity Rates (July 2014 - December 2014)
• ACA Optional Expansion and ACA Optional Expansion Maternity Rates (January 2015 - June 2015)​
• Behavioral Health Treatment (BHT) Supplemental Payment Rates (September 15, 2014 - June 30, 2015)
• Behavioral Health Treatment (BHT) Supplemental Payment Rates SFY 2015/2016
• Behavioral Health Treatment (BHT) Supplemental Payment Rates SFY 2016/2017
• Behavioral Health Treatment (BHT) Supplemental Payment Rates SFY 2017/2018
• Hep C Supplemental Payment Rates SFY 2015/2016
• Hep C Supplemental Payment Rates SFY 2016/2017
• Hep C Supplemental Payment Rates SFY 2017/2018

PACE Rates

• Program of All-Inclusive Care for the Elderly (PACE) Rates