Medi-Cal Managed Care Letters
Medi-Cal Managed Care communicates with Medi-Cal managed care plans (MCPs) by means of All Plan and Policy Letters.
All Plan Letters (APLs) are the means by which Medi-Cal Managed Care conveys information or interpretation of changes in policy or procedure at the Federal or State levels, and provides instruction to contractors, if applicable on how to implement these changes on an operational basis.
Policy Letters (PLs) provide guidance to MCPs about changes in Federal or State law and Regulation that affect the way in which they operate, or deliver services to Medi-Cal beneficiaries.
Note: PLs were not issued between 2003 and 2006, and DHCS stopped issuing PLs after 2014. DHCS now issues guidance to MCPs exclusively through APLs. If you have questions concerning a specific APL or PL, or if you would like to be added to the stakeholder comment distribution list to provide input on future APLs, please email prcuaplsubmission@dhcs.ca.gov.
“What’s New?”
- APL 26-009 (PDF)
Private Duty Nursing Case Management Responsibilities For Medi-Cal Eligible Members Under the Age of 21 (Supersedes APL 20-012) - APL 26-008 (PDF)
Interoperability Final Rules, Including Prior Authorization Requirements (Supersedes APL 22-026) - APL 26-007 (PDF)
Medi-Cal Managed Care Plan Guidance on Network Provider Agreements (Supersedes APL 19-001) - APL 26-006 (PDF)
Skilled Nursing Workforce Quality Incentive Program (Supersedes APL 25-002)
Medi-Cal Managed Care Letters
- All Plan Letters
Medi-Cal Managed Care library of All Plan Letters from 1998 to current date. Listed by issue date and title (subject). - Policy Letters
Medi-Cal Managed Care library of Policy Letters. Listed by issue date and title (subject). - Subject Listing Index
All Plan, Policy, and Duals Plan Letters indexed by subjects. - Dual Plan Letters (Archived)
Dual Plan Letters are no longer in effect, as Cal MediConnect ended December 31, 2022.