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Medi-Cal Managed Care Monitoring

The Managed Care Quality and Monitoring Division (MCQMD) of the California Department of Health Care Services is responsible for the monitoring and oversight of all Medi-Cal managed care health plans. It is a goal of the Department to increase transparency pertaining to managed care data.

Performance monitoring aids MCQMD in creating appropriate policies for improving the health outcomes of beneficiaries and to ensure access to high quality health care for all health plan members. This page contains resources and links to tools MCQMD utilizes to monitor and measure overall health plan performance.

Contact Us

Please send your questions and comments to pmmp.monitoring@dhcs.ca.gov
 

Quality Improvement Reports

  • Managed Care QI Reports including:
    1. Member Satisfaction (CAHPS)
    2. Performance Measurement (HEDIS)
    3. Quality Improvement Project (QIP)
    4. Quality Strategy

 

Admin/Financial Sanctions

Access administrative and/or financial sanction letters on Medi-Cal managed care health plans (MCPs)

Last modified date: 6/27/2019 4:25 PM