Medi-Cal Managed Care
Medi-Cal Managed Care provides high quality, accessible, and cost-effective health care through managed care delivery systems.
Medi-Cal Managed Care contracts for health care services through established networks of organized systems of care, which emphasize primary and preventive care. Managed care plans are a cost-effective use of health care resources that improve health care access and assure quality of care.
Today, approximately 15.2 million Medi-Cal members in all 58 counties receive their health care through five main models of managed care: Two-Plan, County Organized Health Systems (COHS), Geographic Managed Care (GMC), Regional Model (RM), and Single-Plan. Medi-Cal providers who wish to provide services to managed care enrollees must participate in the managed care plan’s provider network.
Hot Topics
- Community Care Hubs: Toolkit for Plans and CalAIM Providers
- Medi-Cal Commercial Managed Care Plan (MCP) Procurement Update
- Resources for Managed Care Members Affected by Southern CA Wildfires
- Resources for Managed Care Members Affected by Southern CA Wildfires – 1135 Waiver Flexibilities
- Flexibilities to Ensure Delivery System Stability following Cyberattack on Change Healthcare
- Managed Care Plan County Model Change Information
- Managed Care Plan (MCP) Procurement – County Letter of Support
- County Managed Care Transition to Local Plan: Letter of Intent Instructions
- Directed Payments
- Health Homes Program
- Palliative Care and SB 1004
- Student Behavioral Health Incentive Program (SBHIP)
- Quality Withhold and Incentive Program
For Individuals
- Provider Information Network (PIN)
- Continuity of Care
- Health Plan Directory
- Office of the Ombudsman
- Medical Exemption Request Documentation
For Health Plans
Contact Information
Resources & Information
- CalAIM Section 1115 Demonstration & 1915(b) Waiver
- Contract with Kaiser Permanente
- Interoperability Implementation
- Managed Care Advisory Group (MCAG)
- Managed Care Boilerplate Contracts
- Managed Care County Map (PDF)
- Managed Care Models Fact Sheet (PDF)
- Managed Care Monitoring
- Master Aid Code Chart
- Medi-Cal Managed Care Performance Dashboard
- Medi-Cal Managed Care Quality Awards
- Medi-Cal Managed Care Request for Proposal #20-10029