State of California

This page is considered archival. please refer to the new data landing page at Medi-Cal Managed Care Capitation Rates by Managed Care Plan Models.

This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model, by State Fiscal Year. The Regional Model serves beneficiaries in 28 rural counties: Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Inyo, Imperial, Lake, Lassen, Mariposa, Mendocino, Modoc, Mono, Nevada, Placer, Plumas, San Benito, Sierra, Siskiyou, Sutter, Tehama, Trinity, Tuolumne, and Yuba. The Department of Health Care Services (DHCS) contracts with two Commercial plans to provide services in each county. San Benito is the only exception where beneficiaries can choose either the managed care plan or (fee-for-service) Medi-Cal.
Organization: State of California
Last updated: 2025-07-23T20:33:41.818330
Tags: california-department-of-health-care-services, dhcs, managed-care-rates, medi-cal-managed-care, medi-cal-managed-care-capitation-rates, regional-model, regional-model-rates, rm, rural-expansion, rural-expansion-rate

Medi-Cal Managed Care Capitation Rates – Regional Model/Rural Expansion

State of California

Related Datasets

Medi-Cal Managed Care Capitation Rates – Regional Model/Rural Expansion

Medi-Cal Managed Care Capitation Rates – Two-Plan Model

Medi-Cal Managed Care Capitation Rates – County Organized Health Systems (COHS) Model

Medi-Cal Managed Care Capitation Rates By Managed Care Plan Models

Medi-Cal Managed Care Capitation Rates - Geographic Managed Care (GMC)

Medi-Cal Managed Care Capitation Rates - Senior Care Action Network (SCAN)