十二月 22, 2025​​ 

DHCS’ Quality Improvement Strategies Are Driving Measurable Progress Across Medi-Cal​​ 

SACRAMENTO — The California Department of Health Care Services (DHCS) today released the 2024 quality ratings for Medi-Cal managed care plans (MCP) and county behavioral health plans (BHP), highlighting measurable improvements in care quality, expanded oversight, and a deepening commitment to health equity across the state’s Medi-Cal delivery system.​​ 

This is the fourth year of MCP ratings and the third for BHPs. The ratings are based on performance against the Managed Care Accountability Set and Behavioral Health Accountability Set measures for services delivered from January to December 2024. These measures evaluate how well plans deliver high-quality, equitable care across key domains, such as preventive services, behavioral health, maternal health, and chronic disease management. They also inform DHCS’ oversight of managed care and county behavioral health systems, supporting enforcement actions, such as monetary sanctions and Corrective Action Plans (CAP), when performance standards are not met. Among the key findings:​​ 

• 在整個州內，所有測量領域的表現都有所改善。幾個關鍵領域，如發育篩檢、鉛測試和後續照護，都至少提高了 5 個百分點。心理健康就診後的後續追蹤改善了 13 個百分點以上。​​ 
• 14 of 22 MCPs received monetary sanctions for failing to meet and exceed DHCS-established Minimum Performance Levels, a notable improvement from 2023, when 18 plans were sanctioned.​​ 
• 懲罰總金額從 310 萬美元降至 150 萬美元，降幅超過 50%，反映出在提供兒童早期篩檢、嬰兒健康檢查和預防性牙科服務方面取得了顯著的成果。​​ 

BHPs are being held accountable through CAPs, with 10 of 56 Mental Health Plans and 29 of 38 Drug Medi-Cal Organized Delivery System plans receiving CAPs based on performance calculated using Medi-Cal Connect, DHCS’ statewide data analytics platform.​​ 

“These results reflect our shared commitment to advancing quality and equity across the Medi-Cal delivery system,” said DHCS Director Michelle Baass. “We are seeing real progress in areas like children’s preventive care, dental services, and behavioral health performance. We know there’s more work to do, and we’re holding ourselves and our partners accountable every step of the way.”​​ 

DHCS is transitioning to performance-based oversight with a strong emphasis on equity and data-driven progress. For example, in 2025, the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Access, Reform and Outcomes Incentive Program began offering payments to BHPs that demonstrate progress on key behavioral health measures.​​ 

“This isn’t just about numbers; it’s about making real, positive changes in the way care is delivered,” said Dr. Palav Babaria, Chief Quality and Medical Officer and Deputy Director of Quality and Population Health Management. “We’re doing it in partnership with our MCP and BHP partners, and I’m incredibly proud of the progress we’ve made so far. Every step we take is about building a Medi-Cal health care delivery system that works for all members.”​​ 

Dr. Babaria added, “By leveraging data, aligning incentives, and listening to the voices of Medi-Cal members, we’re creating a system that not only measures performance, but also supports continuous learning and improvement. Our goal is to ensure that every Californian, regardless of geography or background, has access to high-quality, coordinated care.”​​ 

Updated fact sheets, enforcement reports, and sanction letters are available on the Medi-Cal Managed Care Monitoring page.​​ 

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通訊辦公室​​ 
(916) 440-7660
DHCSPress@dhcs.ca.gov​​