County Plans & Contracts
Back to Drug Medi-Cal Organized Delivery System
Counties Participating in DMC-ODS
Counties interested in participating in DMC-ODS must submit an Implementation Plan and undergo an approval process by both DHCS and CMS before they can begin DMC-ODS services. As of January 1, 2025, 40 counties participate in DMC-ODS.
July 1, 2025 – December 31, 2026 Drug Medi-Cal Organized Delivery System (DMC-ODS) Agreement
July 1, 2022- July 1, 2027 Drug Medi-Cal Organized Delivery System (DMC-ODS) Contract (Cancelled 6/30/2025)
| County Code | Counties with Submitted Applications | Go Live Date | County Code | Counties with Submitted Applications | Go Live Date |
| 1 | Alameda | 7/1/2018 | 33 | Riverside | 2/1/2017 |
| 7 | Contra Costa | 7/1/2017 | 34 | Sacramento | 7/1/2019 |
| 9 | El Dorado | 6/1/2019 | 35 | San Benito | 7/1/2019 |
| 10 | Fresno | 1/1/2019 | 36 | San Bernardino | 3/1/2018 |
| 12 | Humboldt (PHP) | 7/1/2020 | 37 | San Diego | 7/1/2018 |
| 13 | Imperial | 7/1/2018 | 38 | San Francisco | 7/1/2017 |
| 15 | Kern | 3/1/2019 | 39 | San Joaquin | 7/1/2018 |
| 17 | Lake | 7/1/2024 | 40 | San Luis Obispo | 1/1/2018 |
| 18 | Lassen (PHP) | 7/1/2020 | 41 | San Mateo | 2/1/2017 |
| 19 | Los Angeles | 7/1/2017 | 42 | Santa Barbara | 12/1/2018 |
| 21 | Marin | 4/1/2017 | 43 | Santa Clara | 6/15/2017 |
| 22 | Mariposa | 7/1/2023 | 44 | Santa Cruz | 1/1/2018 |
| 23 | Mendocino (PHP) | 7/1/2020 | 45 | Shasta (PHP) | 7/1/2020 |
| 24 | Merced | 1/1/2019 | 47 | Siskiyou (PHP) | 7/1/2020 |
| 25 | Modoc (PHP) | 7/1/2020 | 48 | Solano (PHP) | 7/1/2020 |
| 27 | Monterey | 7/1/2018 | 49 | Sonoma | 12/1/2024 |
| 28 | Napa | 12/15/2017 | 50 | Stanislaus | 4/1/2019 |
| 29 | Nevada | 7/1/2018 | 54 | Tulare | 7/1/2019 |
| 30 | Orange | 7/1/2018 | 56 | Ventura | 12/1/2018 |
| 31 | Placer | 11/1/2018 | 57 | Yolo | 7/1/2018 |
Executed Contracts
Below are links to each county’s executed contract to participate in the DMC-ODS waiver.
Alameda County
2018-19 Alameda County Amendment A01
Contra Costa County
2017-18 Contra Costa County Amendment A01
2018-19 Contra Costa County Amendment A02
El Dorado County
Fresno County
Imperial County
Kern County
Los Angeles County
Merced County
Monterey County
Napa County
Nevada County
2018-19 Nevada County Amendment A01
Orange County
Placer County
Riverside County
2018-19 Riverside County Amendment A02
San Bernardino County
2018-19 San Bernardino County Amendment A01
San Diego County
2018-19 San Diego County Amendment A01
San Joaquin County
2018-19 San Joaquin County Amendment A01
San Luis Obispo County
2018-19 San Luis Obispo County Amendment A01
San Mateo County
2017-18 San Mateo County Amendment A01
2018-19 San Mateo County Amendment A02
Santa Barbara County
Santa Clara County
2017-18 Santa Clara County Amendment A01
2018-19 Santa Clara County Amendment A02
Santa Cruz County
2018-19 Santa Cruz County Amendment A01
Stanislaus County
Ventura County
Regional Contracts
Solano County
- 2020-23 Exhibit A Attachment I
- 2020-23 STD 213
- Exhibit B Attachment I
- Exhibit B
- Exhibit D-F
- Exhibit D-F Pg-25-26
- Exhibit E
- Exhibit F
Humboldt County
- 2023-23 Exhibit A
- 2020-23 Exhibit A Attachment I
- 2020-23 STD 213
- Exhibit B Attachment I
- Exhibit B
- Exhibit D-F
- Exhibit D-F Pg-25-26
- Exhibit E
- Exhibit F
Siskiyou County
- 2023-23 Exhibit A
- 2020-23 Exhibit A Attachment I
- 2020-23 STD 213
- Exhibit B Attachment I
- Exhibit B
- Exhibit D-F
- Exhibit D-F Pg-25-26
- Exhibit E
- Exhibit F
Lassen County
- 2023-23 Exhibit A
- 2020-23 Exhibit A Attachment I
- 2020-23 STD 213
- Exhibit B Attachment I
- Exhibit B
- Exhibit D-F
- Exhibit D-F Pg-25-26
- Exhibit E
- Exhibit F
Shasta County
- 2023-23 Exhibit A
- 2020-23 Exhibit A Attachment I
- 2020-23 STD 213
- Exhibit B Attachment I
- Exhibit B
- Exhibit D-F
- Exhibit D-F Pg-25-26
- Exhibit E
- Exhibit F
Mendocino County
- 2020-23 Exhibit A Attachment I
- 2020-23 Exhibit A
- 2020-23 STD 213
- Exhibit B
- Exhibit D-F
- Exhibit D-F Pg-25-26
- Exhibit E
- Exhibit F
Modoc County
- 2023-23 Exhibit A
- 2020-23 Exhibit A Attachment I
- 2020-23 STD 213
- Exhibit B
- Exhibit B Attachment I
- Exhibit D-F
- Exhibit D-F Pg-25-26
- Exhibit E
- Exhibit F
DMC State Plan Contract
July 1, 205 – December 31, 2026 State Plan DMC Agreement
DMC State Plan Boilerplate (expires 6/30/2027) (Cancelled 6/30/25)
Final County Implementation Plans
Alameda County Implementation Plan – DHCS Approved
Contra Costa County Implementation Plan – DHCS Approved
El Dorado County Implementation Plan – DHCS Approved
Fresno County Implementation Plan – DHCS Approved
Imperial County Implementation Plan – DHCS Approved
Kern County Implementation
Plan – DHCS Approved
Kings County Implementation Plan – DHCS Approved
Los Angeles County Implementation Plan –
DHCS Approved
Madera County Implementation Plan – DHCS Approved
Marin County Implementation Plan – DHCS
Approved
Merced County Implementation Plan – DHCS Approved
Monterey County Implementation Plan – DHCS Approved
Napa County Implementation Plan – DHCS
Approved
Nevada County Implementation Plan – DHCS Approved
Orange County Implementation Plan – DHCS Approved
Partnership Implementation Plan – DHCS Approved
Placer County Implementation Plan – DHCS Approved
Riverside County Implementation Plan –
DHCS Approved
Sacramento County Implementation Plan – DHCS Approved
San Benito County Implementation Plan – DHCS Approved
San Bernardino Implementation Plan DHCS Approved
San Diego County Implementation Plan – DHCS Approved
IP Appendices
San Francisco County Implementation Plan
– DHCS Approved
San Joaquin County Implementation Plan – DHCS Approved
San Mateo County Implementation Plan –
DHCS Approved
San Luis Obispo County Implementation Plan – DHCS Approved
Santa Barbara County Implementation Plan – DHCS Approved
Santa Clara County Implementation Plan – DHCS Approved
Santa Cruz County Implementation Plan – DHCS Approved
Sonoma County Implementation Plan – DHCS Approved
Stanislaus County Implementation Plan – DHCS Approved
Tulare County Implementation Plan – DHCS Approved
Ventura County Implementation Plan – DHCS Approved
Yolo County Implementation Plan – DHCS Approved