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​​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 benefi​cia​​ries.

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?"
Medi-Cal Managed Care Letters
Last modified date: 7/3/2025 7:24 PM