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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
 

Network Adequacy

DHCS requires Medi-Cal Managed care health plans (MCP's) to follow established standards to strengthen member access to services in a managed care network. These MCP networks are assessed and certified for adequacy at least annually.

 

Admin/Financial Sanctions

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

Last modified date: 12/6/2019 10:12 AM