Medi-Cal Managed Care Cov Ntawv Qhia Txog Nyiaj Txiag
Capitated Rates Development Division tau tshaj tawm ntau yam kev tshaj tawm thiab cov ntaub ntawv ntsig txog Medi-Cal cov phiaj xwm kev noj qab haus huv uas tswj hwm, suav nrog cov nqi peev txheej, phau ntawv qhia, cov ntawv pov thawj, cov kev tshawb fawb txog tus nqi capitation, cov txheej txheem txhim kho tus nqi thiab lwm yam ntaub ntawv ntsig txog.
Medi-Cal Tswj Tus Nqi Kho Mob
- Medi-Cal Managed Care County Organized Health Systems (COHS) Tus Nqi
- Medi-Cal Managed Care Geographic Managed Care (GMC) Tus nqi
- Medi-Cal Managed Care Regional Counties Rates
- Medi-Cal Tswj Kev Saib Xyuas Tus Nqi Ob-Plan
** Txuas mus rau California Kev Noj Qab Haus Huv thiab Kev Pabcuam Tib Neeg (CHHS) Open Data Portal Lub Vev Xaib.
Rate Certifications
- CY 2021 Rate Certification Report
- CY 2021 Rate Certification Report - UIS Amendment
- CY 2022 Rate Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo Tus Nqi CY 2022 - Hloov Kho
- Daim Ntawv Qhia Txog Kev Pom Zoo Txog Tus Nqi CY 2022 - Kev Hloov Kho UIS
- CY 2023 Rate Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo Tus Nqi CY 2023 - Hloov Kho
- CY 2024 Rate Certification Report
- CY 2024 Rate Certification Report – Amended
- CY 2025 Rate Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo Txog Tus Nqi CY 2026
Cov Nqi Kawm Tshwj Xeeb
- Qhov Kev Pabcuam Txhua-Inclusive Care rau Cov Neeg Laus (PACE) Tus Nqi
- CY 2021 PACE Certification Report
- CY 2022 PACE Certification Report
- CY 2022 PACE Certification Report – Amended
- CY 2023 PACE Certification Report
- CY 2023 PACE Certification Report – Amended
- CY 2024 PACE Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo ntawm PACE xyoo 2024 - Hloov Kho
- CY 2025 PACE Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo ntawm PACE rau CY 2026
Cov Nqi Kho Hniav Tswj Xyuas Kev Kho Hniav (DMC).
- CY 2021 DMC Certification Report
- CY 2022 DMC Certification Report
- CY 2023 DMC Certification Report
- CY 2024 DMC Certification Report
- CY 2025 DMC Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo ntawm CY 2025 DMC 2H
- Daim Ntawv Qhia Txog Kev Pom Zoo ntawm DMC rau CY 2026
- Senior Care Action Network (SCAN) Tus nqi
- CY 2021 SCAN Rate Certification Report
- CY 2021 SCAN Rate Certification Report Hloov Kho
- CY 2022 SCAN Rate Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo Txog Tus Nqi Kho Dua Tshiab ntawm SCAN CY 2022
- CY 2023 SCAN Rate Certification Report
- CY 2024 SCAN Rate Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo Txog Tus Nqi SCAN CY 2025
- Daim Ntawv Qhia Txog Kev Pom Zoo Txog Tus Nqi SCAN CY 2026
Coordinated Care Initiative (CCI) thiab Cal MediConnect (CMC) Tus Nqi
- CY 2021 CCI Duals Rate Certification Report
- CY 2022 CCI Duals Rate Certification Report
- CY 2022 CCI Duals Rate Certification Report Addendum
AIDS Healthcare Foundation Tus Nqi
- CY 2021 AHF Rate Certification Report
- CY 2022 AHF Rate Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo Txog Tus Nqi Kho Dua Tshiab ntawm AHF CY 2022
- CY 2023 AHF Rate Certification Report
- Daim Ntawv Qhia Txog Kev Pom Zoo Tus Nqi AHF CY 2024
- Daim Ntawv Qhia Txog Kev Pom Zoo Tus Nqi AHF CY 2025
- Daim Ntawv Qhia Txog Kev Pom Zoo Tus Nqi AHF CY 2026
Cov Nqi Kho Mob Rady
CMS Annual MLR Report
These pages contain results related to 42 CFR 438.74(a) for the State of California’s Medi-Cal Managed Care Plans and Medi-Cal Dental Managed Care Plans.
Lub Xeev Saib Xyuas Kev Kho Mob Loss Ratio Work Plan
Qhov no sawv cev rau Kev Npaj Ua Haujlwm rau 1915(b) CalAIM Waiver, STC A11 uas tau xa mus rau CMS thaum Lub Kaum Ib Hlis 30, 2022.
Nco tseg: Txoj Kev Npaj Ua Haujlwm no raug hloov pauv thiab yuav raug kho yog tias CMS thov DHCS los hloov kho.
California Risk Mitigation Evaluation Design Design
CMS tau pom zoo rau CalAIM Tshooj 1115 ua qauv qhia thiab CalAIM Tshooj 1915(b) zam rau lub Kaum Ob Hlis 29, 2021, ob qho tib si pib txij lub Kaum Ob Hlis 31, 2026.
CalAIM Tshooj 1115 Qhia Txog
CMS Daim Ntawv Pom Zoo Rau Kev Tsim Qauv Kev Ntsuam Xyuas Kev Txo Kev Pheej Hmoo Hauv CA
CMS Periodic Audit Reports
These links contain results related to 42 CFR 438.602(e) for the State of California’s Medi-Cal Managed Care and Medi-Cal Dental Managed Care Plans.
- CY 2017 CMS Periodic Audit Reports
- CY 2019 CMS Periodic Audit Reports
- CY 2022 CMS Periodic Audit Reports
- SFY 2021 CMS Periodic Audit Reports
- SFY 2023 CMS Periodic Audit Reports