Medi-Cal Dental Managed Care
Return to the Medi-Cal Dental Program Homepage
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 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:
Contracts and All Plan Letters
Reports
Performance Measures
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
2023
2022
2021
2020
Please note: the Department is in the process of updating all Plan Responses.
DMC Plan Deliverable Deficiencies
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
|
| 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
2021
2020
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
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
Waiver Resources