Medi-Cal Dental Managed Care
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The Department of Health Care Services (DHCS) is responsible for providing dental services to eligible Medi-Cal beneficiaries, and offers services through two delivery systems, Dental Fee-For-Service (FFS) and Dental Managed Care (DMC). Dental FFS was the exclusive and original delivery system offered in California’s 58 counties. However, in 1995, pursuant to a state law change, DHCS implemented DMC to explore the effectiveness of DMC as a delivery system of dental services. The DMC delivery model currently operates in two of the state’s 58 counties, Sacramento and Los Angeles. In Sacramento County, DMC enrollment is mandatory, with few exceptions. In Los Angeles County, a beneficiary must opt-in to participate in the DMC program.
The Department contracts with three Geographic Managed Care (GMC) Plans in Sacramento County, and three Prepaid Health Plans (PHP) in Los Angeles County that provide dental services to Medi-Cal beneficiaries. All Medi-Cal DMC plans are licensed by the State of California, Department of Managed Health Care, pursuant to the Knox-Keene Health Care Service Plan Act of 1975. Medi-Cal DMC beneficiaries receive dental services from providers within the plan’s provider network. DMC covered dental services are the same services provided under the Dental Fee-for-Service (FFS) Program.
For information or inquires regarding a specific GMC and/or PHP dental plan, please call the Plan’s toll-free number listed on the Managed Care Plan Directory webpage. For more information on Medi-Cal Dental Healthcare options, please visit the Medi-Cal Managed Care Health Care Options webpage.
For information regarding the Dental Managed Care Directed Payment program, please visit the Directed Payments webpage.
X12 274 x109 Health Care Provider Directory Project
Information regarding the 274 Health Care Provider Directory Project is available below:
X12 274 Dental Managed Care Frequently Asked Questions (Last update: October 12, 2018)
Kick-off Meeting PPT (Last update: October 23, 2018)
274 Workgroup Meeting #2 (Last update: November 6, 2018)
Contracts and All Plan Letters
Information regarding DMC contracts and All Plan Letters are available on the DMC Contracts and All Plan Letters webpage.
Reports
Performance Measures
To view dental performance measure and data reports, please visit the Dental Data Reports webpage.
Reports to the Legislature
DMC Report to the Legislature for 2020 Activities (Submitted August 2021)
DMC Report to the Legislature for 2019 Activities (Submitted June 2020)
DMC Report to the Legislature for 2018 Activities (Submitted June 2019)
DMC Report to the Legislature for 2017 Activities (Submitted August 2018)
DMC Report to the Legislature for 2016 Activities (Submitted July 2017)
Beneficiary Dental Exception (BDE) Reports
To view BDE reports, please visit the BDE webpage.
Plan Accreditation Reports
Note: 42 CFR 438.332 requires state Medicaid agencies to make the accreditation status for each contracted managed care plan available on their website. In accordance with this requirement, DHCS notes that none of the Dental Managed Care plans have been accredited for their Medi-Cal lines of business with a private independent accrediting entity.
Audit Reports
2025
| DMC Plan | Audit Dates | Audit Report | CAP and DHCS Response |
|---|---|---|---|
| Access Dental Plan | 4/21/2025 – 4/25/2025 | 2025 Audit Report | November 25, 2025 DHCS Response to CAP |
| Health Net Community Solutions, Inc. | 9/2/2025-9/12/2025 | 2025 Audit Report | March 20, 2026 Plan Response with CAP April 16, 2026 DHCS Response to CAP |
2024
| DMC Plan | Audit Dates | Audit Report | CAP and DHCS Response |
|---|---|---|---|
| Access Dental Plan | 3/18/2024 – 3/29/2024 | 2024 Audit Report | December 20, 2024 Plan Response with CAP January 16, 2025 DHCS Response to CAP February 14, 2025 Plan Response with CAP March 19, 2025 DHCS Response to CAP April 18, 2025 Plan Response with CAP May 19, 2025 DHCS Response to CAP June 18, 2025 Plan Response with CAP July 18, 2025 DHCS Response to CAP |
| Health Net of California, Inc. | 7/22/2024 – 8/2/2024 | 2024 Audit Report | April 3, 2025 Plan Response with CAP May 2, 2025 DHCS Response to CAP May 5, 2025 Plan Response with CAP June 2, 2025 DHCS Response to CAP July 2, 2025 Plan Response with CAP August 1, 2025 DHCS Response to CAP |
| Liberty Dental Plan of California, Inc. | 11/4/2024 – 11/15/2024 | 2024 Audit Report | N/A |
2023
| DMC Plan | Audit Dates | Audit Report | CAP and DHCS Response |
|---|---|---|---|
| Health Net of California, Inc. | 6/5/2023 – 6/16/2023 | 2023 Audit Report | April 12, 2024 Plan Response with CAP May 10, 2024 DHCS Response to CAP |
| Liberty Dental Plan of Califonia, Inc. | 11/27/2023 – 12/8/2023 | 2023 Audit Report | March 13, 2024 DHCS Response to CAP |
2022
| DMC Plan | Audit Dates | Audit Report | CAP and DHCS Response |
|---|---|---|---|
| Access Dental Plan | 2/6/2023 – 2/17/2023 | 2022 Audit Report | April 12, 2024 Plan Response with CAP May 10, 2024 DHCS Response to CAP June 7, 2024 Plan Response with CAP July 3, 2024 DHCS Response to CAP |
| Health Net of California, Inc. | 3/21/2022 – 4/1/2022 | 2022 Audit Report | April 12, 2024 Plan Response with CAP May 10, 2024 DHCS Response to CAP June 10, 2024 Plan Response with CAP July 2, 2024 DHCS Response to CAP July 31, 2024 Plan Response with CAP August 27, 2024 DHCS Response to CAP |
| Liberty Dental Plan of California, Inc. | 8/8/2022 – 8/19/2022 | 2022 Audit Report |
2021
| DMC Plan | Audit Dates | Audit Report | CAP and DHCS Response |
|---|---|---|---|
| Access Dental Plan | 11/1/2021 – 11/12/2021 & 12/13/2021 – 12/21/2021 | 2021 Audit Report | November 28, 2022:Plan Response with CAP December 22, 2023: DHCS Response to CAP |
| Health Net of California, Inc. | 4/26/2021 – 5/7/2021 | 2021 Audit Report | October 15, 2021: Plan Response with CAP December 21, 2023: DHCS Response to CAP |
| Liberty Dental Plan of California, Inc. | 7/6/2021 – 7/16/2021 | 2021 Audit Report | December 29, 2021: Plan Response with CAP November 22, 2023: DHCS Response to CAP |
2020
| DMC Plan | Audit Dates | Audit Report | CAP and DHCS Response |
|---|---|---|---|
| Access Dental Plan | 2/24/2020 – 2/28/2020 | 2020 Audit Report | August 12, 2020: Plan Response with CAP December 16, 2020: DHCS Response to CAP |
| Health Net of California, Inc. | 3/16/2020 – 3/19/2020 | 2020 Audit Report | August 12, 2020: Plan Response with CAP September 24, 2020: DHCS Response to CAP |
Please note: the Department is in the process of updating all Plan Responses.
DMC Plan Deficiencies
2025
| DMC Plan | Notice of Deficiency Date | Notice of Deficiency | CAP and DHCS Response |
|---|---|---|---|
| Liberty Dental Plan of California, Inc. | May 9, 2025 | Grievances Alleging Discrimination | June 3, 2025 Plan Response with CAP July 1, 2025 DHCS Response to CAP July 29, 2025 Plan Response with CAP August 28, 2025 DHCS Response to CAP |
| California Dental Network | December 12, 2025 | Provider Screening, Enrollment and Credentialing, and Interoperability Requirement, with Impacts to Provider Directory | January 12, 2026 Plan Response with CAP February 11. 2026 Plan Response with CAP March 16, 2026 Plan Response to CAP April 7, 2026 Plan Response to CAP |
| Health Net of California | December 12, 2025 | Provider Screening, Enrollment and Credentialing, and Interoperability Requirement, with Impacts to Provider Directory | January 9, 2026 (Revised February 2, 2026) Plan Response with CAP March 3, 2026 DHCS Response to CAP March 30, 2026 Plan Response with CAP April 9, 2026 DHCS Response to CAP |
2024
| DMC Plan | Notice of Deficiency Date | Notice of Deficiency | CAP and DHCS Response |
|---|---|---|---|
| Access Dental Plan | July 16, 2024 | Management Information System | August 14, 2024 Plan Response with CAP September 12, 2024 DHCS Response to CAP October 10, 2024 Plan Response with CAP November 18, 2024 DHCS Response to CAP December 13, 2024 Plan Response with CAP January 13, 2025 DHCS Response to CAP February 12, 2025 Plan Response with CAP March 14, 2025 DHCS Response to CAP |
2023
| DMC Plan | Notice of Deficiency Date | Notice of Deficiency | CAP and DHCS Response |
|---|---|---|---|
| Access Dental Plan | June 30, 2023 | Call Center Report | July 24, 2023: Plan Response with CAP August 18, 2023: DHCS Response to CAP August 25, 2023: Plan Response with CAP September 25, 2023: DHCS Response to CAP October 4, 2023: Plan Response with CAP October 26, 2023: DHCS Response to CAP |
| Access Dental Plan | June 30, 2023 | Encounter Data | July 27, 2023: Plan Response with CAP August 18, 2023: DHCS Response to CAP September 1, 2023: Plan Response with CAP September 29, 2023: DHCS Response to CAP October 13, 2023: Plan Response with CAP November 14, 2023: DHCS Response to CAP |
Child Dental Satisfaction Survey Reports
2022
| DMC Plan | Survey Date | Survey Report | Survey Response |
|---|---|---|---|
| Access Dental Plan | January 2023 | September 6, 2023: Plan Response | |
| Health Net of California, Inc. | January 2023 | 2022 CAHPS Survey | January 5, 2024: Plan Response |
| Liberty Dental Plan of California, Inc. | January 2023 | 2022 CAHPS Survey | April 1, 2021: Plan Response |
2021
| DMC Plan | Survey Date | Survey Report | Survey Response |
|---|---|---|---|
| Access Dental Plan | December 2021 | 2021 CAHPS Survey | September 6, 2023: Plan Response |
| Health Net of California, Inc. | December 2021 | 2021 CAHPS Survey | January 5, 2024: Plan Response |
| Liberty Dental Plan of California, Inc. | December 2021 | 2021 CAHPS Survey | April 1, 2021: Plan Response |
2020
| DMC Plan | Survey Date | Survey Report | Survey Response |
|---|---|---|---|
| Access Dental Plan | January 2021 | 2020 CAHPS Survey | September 6, 2023: Plan Response |
| Health Net of California, Inc. | January 2021 | 2020 CAHPS Survey | January 5, 2024: Plan Response |
| Liberty Dental Plan of California, Inc. | January 2021 | 2020 CAHPS Survey | April 1, 2021: Plan Response |
2019
| DMC Plan | Survey Date | Survey Report | Survey Response |
|---|---|---|---|
| Access Dental Plan | January 2020 | 2019 CAHPS Survey | Not Available |
| Health Net of California, Inc. | January 2020 | 2019 CAHPS Survey | Not Available |
| Liberty Dental Plan of California, Inc. | January 2020 | 2019 CAHPS Survey | Not Available |
2018
| DMC Plan | Survey Date | Survey Report | Survey Response |
|---|---|---|---|
| Access Dental Plan | October 2018 | 2018 CAHPS Survey | Not Available |
| Health Net of California, Inc. | October 2018 | 2018 CAHPS Survey | Not Available |
| Liberty Dental Plan of California, Inc. | October 2018 | 2018 CAHPS Survey | Not Available |
2017
| DMC Plan | Survey Date | Survey Report | Survey Response |
|---|---|---|---|
| Access Dental Plan | October 2017 | 2017 CAHPS Survey | Not Available |
| Health Net of California, Inc. | October 2017 | 2017 CAHPS Survey | Not Available |
| Liberty Dental Plan of California, Inc. | October 2017 | 2017 CAHPS Survey | Not Available |
Please note: the Department is in the process of updating all Plan Responses.
Survey Reports
2020
| DMC Plan | Survey Dates | Survey Report |
|---|---|---|
| Access Dental Plan | 2/19/2019 – 2/21/2019 | 2020 DMHC Survey Report |
| Health Net of California, Inc. | 2/5/2019 – 2/7/2019 | 2020 DMHC Survey Report |
2019
| DMC Plan | Survey Dates | Survey Report |
|---|---|---|
| Liberty Dental Plan of California, Inc. | 3/28/2018 | 2019 DMHC Survey Report |
2016
| DMC Plan | Survey Dates | Survey Report |
|---|---|---|
| Access Dental Plan | 3/29/2016 – 3/31/2016 | 2016 DMHC Survey Report |
| Health Net of California, Inc. | 23/23/2016 – 3/25/2016 | 2016 DMHC Survey Report |
2014
| DMC Plan | Survey Dates | Survey Report |
|---|---|---|
| Liberty Dental Plan of California, Inc. | 1/14/2014 – 1/17/2014 | 2014 DMHC Survey Report |
Please visit the Department of Managed Health Care (DMHC) website to view Financial Examination Reports.
Network Certification
To view the Annual Network Certification report, please visit the Network Adequacy webpage.
External Quality Review
To view the 2020-2021 Medi-Cal Dental Managed Care External Quality Review Technical Report, please visit the Medi-Cal Managed Care Quality Improvement Reports webpage.
Stakeholder Engagement
- Main Dental Stakeholders Page
- Los Angeles Dental Stakeholder Meetings
- Sacramento Medi-Cal Dental Advisory Committee