DHCS 將推遲下一次商業 Medi-Cal 託管護理計劃（MCP）採購至少兩年。下一個 MCP 的競爭性採購將不早於 2029 年開始，合約預計將不早於 2031 年生效。DHCS 先前指出，商業 MCP 的重新採購將每五年進行一次。根據這個假設的時間表，DHCS 將不得不在 2027 年發布提案請求（RFP），以期為合同生效日期為 2029 年 1 月 1。​​   

額外的時間將使 DHCS 能夠專注於關鍵的 CalAIM 計劃。它還將有助於維持會員的穩定性，並支持持續改善護理質量和接受性，同時支持 Medi-Cal 託管護理計劃的長期成功。​​   

In accordance with current policy, MCP contracts will be renewed annually following the contractual requirements identified in Exhibit E, 1.1.15 of the 2024 Managed Care Boilerplate Contract. Current MCP contracts will be extended from January 1, 2026, to December 31, 2026, by the established annual process. DHCS remains committed to fostering an inclusive, flexible, and responsive process that supports the Medi-Cal program and ensures continued access to high-quality, equitable care for Californians.​​