Medi-Cal Managed Care Capitation Rates – County Organized Health Systems (COHS) Model
State of California
@usgov.ca_gov_medi_cal_managed_care_capitation_rates_county_o_fb177755
State of California
@usgov.ca_gov_medi_cal_managed_care_capitation_rates_county_o_fb177755
This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the COHS model, by State Fiscal Year. The COHS serve beneficiaries in 22 counties. In the COHS model counties, the Department of Health Care Services (DHCS) contracts with a health plan created by the county Board of Supervisors. In a COHS county, all Medi-Cal members are enrolled in the same managed care health plan.
Organization: State of California
Last updated: 2025-07-23T15:29:02.093075
Tags: california-department-of-health-care-services, cohs, county-organized-health-systems, county-organized-health-systems-model, county-organized-health-systems-rates, dhcs, managed-care-rates, medi-cal-managed-care, medi-cal-managed-care-capitation-rates
CREATE TABLE bridge_period_2019_20_county_organized_health_system_m_56deeb0c (
"rating_period" VARCHAR,
"fiscal_year_bp" VARCHAR,
"model" VARCHAR,
"county" VARCHAR,
"health_plan" VARCHAR,
"category_of_aid" VARCHAR,
"lower_bound" DOUBLE,
"midpoint" DOUBLE,
"upper_bound" DOUBLE
);CREATE TABLE n__dictionary_state_fiscal_year_2015_16_county_organiz_38eea376 (
"column" VARCHAR,
"type" VARCHAR,
"label" VARCHAR,
"description" VARCHAR
);CREATE TABLE n__dictionary_state_fiscal_year_2016_17_county_organiz_d17351f1 (
"column" VARCHAR,
"type" VARCHAR,
"label" VARCHAR,
"description" VARCHAR
);CREATE TABLE n__dictionary_state_fiscal_year_2017_18_county_organiz_92d1dc7e (
"column" VARCHAR,
"type" VARCHAR,
"label" VARCHAR,
"description" VARCHAR
);CREATE TABLE n__dictionary_state_fiscal_year_2018_19_county_organiz_959b06c9 (
"column" VARCHAR,
"type" VARCHAR,
"label" VARCHAR,
"description" VARCHAR
);CREATE TABLE state_fiscal_year_2016_17_county_organized_health_syst_d971f831 (
"rating_period" VARCHAR,
"state_fiscal_year" VARCHAR,
"model" VARCHAR,
"county" VARCHAR,
"health_plan" VARCHAR,
"category_of_aid" VARCHAR,
"lower_bound" VARCHAR,
"midpoint" VARCHAR,
"upper_bound" VARCHAR
);CREATE TABLE state_fiscal_year_2017_18_county_organized_health_syst_d51bc7eb (
"rating_period" VARCHAR,
"state_fiscal_year" VARCHAR,
"model" VARCHAR,
"county" VARCHAR,
"health_plan" VARCHAR,
"category_of_aid" VARCHAR,
"lower_bound" VARCHAR,
"midpoint" VARCHAR,
"upper_bound" VARCHAR
);CREATE TABLE state_fiscal_year_2018_19_county_organized_health_syst_643b2cfd (
"rating_period" VARCHAR,
"state_fiscal_year" VARCHAR,
"model" VARCHAR,
"county" VARCHAR,
"health_plan" VARCHAR,
"category_of_aid" VARCHAR,
"n__lower_bound" VARCHAR -- Lower Bound,
"n__midpoint" VARCHAR -- Midpoint,
"n__upper_bound" VARCHAR -- Upper Bound
);Anyone who has the link will be able to view this.