About this Dataset

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

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 Two-Plan model counties for State Fiscal Years 2015-16 to 2019-20 . In Two-Plan model counties, the Department of Health Care Services (DHCS) contracts with a local initiative (county organized) and a commercial plan.
Organization: State of California
Last updated: 2025-07-23T15:30:01.392885
Tags: california-department-of-health-care-services, dhcs, managed-care-rates, medi-cal-managed-care, medi-cal-managed-care-capitation-rates, two-plan, two-plan-model, two-plan-rates

Tables

Bridge Period 2019-20 Two-Plan Model Rates

@usgov.ca_gov_medi_cal_managed_care_capitation_rates_two_plan_8b403b60.bridge_period_2019_20_two_plan_model_rates

17.73 kB
1,020 rows
9 columns

CREATE TABLE bridge_period_2019_20_two_plan_model_rates (
  "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
);

Data Dictionary - State Fiscal Year 2015-16 Two-Plan Model Rates

@usgov.ca_gov_medi_cal_managed_care_capitation_rates_two_plan_8b403b60.n__dictionary_state_fiscal_year_2015_16_two_plan_model_rates

4.74 kB
9 rows
4 columns

CREATE TABLE n__dictionary_state_fiscal_year_2015_16_two_plan_model_rates (
  "column" VARCHAR,
  "type" VARCHAR,
  "label" VARCHAR,
  "description" VARCHAR
);

Data Dictionary - State Fiscal Year 2017-18 Two-Plan Model Rates

@usgov.ca_gov_medi_cal_managed_care_capitation_rates_two_plan_8b403b60.n__dictionary_state_fiscal_year_2017_18_two_plan_model_rates

4.75 kB
9 rows
4 columns

CREATE TABLE n__dictionary_state_fiscal_year_2017_18_two_plan_model_rates (
  "column" VARCHAR,
  "type" VARCHAR,
  "label" VARCHAR,
  "description" VARCHAR
);

Data Dictionary - State Fiscal Year 2018-19 Two-Plan Model Rates

@usgov.ca_gov_medi_cal_managed_care_capitation_rates_two_plan_8b403b60.n__dictionary_state_fiscal_year_2018_19_two_plan_model_rates

3.95 kB
9 rows
4 columns

CREATE TABLE n__dictionary_state_fiscal_year_2018_19_two_plan_model_rates (
  "column" VARCHAR,
  "type" VARCHAR,
  "label" VARCHAR,
  "description" VARCHAR
);

State Fiscal Year 2016-17 Two-Plan Model Rates

@usgov.ca_gov_medi_cal_managed_care_capitation_rates_two_plan_8b403b60.state_fiscal_year_2016_17_two_plan_model_rates

13.11 kB
65,535 rows
9 columns

CREATE TABLE state_fiscal_year_2016_17_two_plan_model_rates (
  "rating_period" VARCHAR,
  "state_fiscal_year" VARCHAR,
  "model" VARCHAR,
  "n__county" VARCHAR  -- County,
  "health_plan" VARCHAR,
  "category_of_aid" VARCHAR,
  "lower_bound" VARCHAR,
  "midpoint" VARCHAR,
  "upper_bound" VARCHAR
);

State Fiscal Year 2017-18 Two-Plan Model Rates

@usgov.ca_gov_medi_cal_managed_care_capitation_rates_two_plan_8b403b60.state_fiscal_year_2017_18_two_plan_model_rates

14.18 kB
392 rows
9 columns

CREATE TABLE state_fiscal_year_2017_18_two_plan_model_rates (
  "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
);

State Fiscal Year 2018-19 Two-Plan Model Rates

@usgov.ca_gov_medi_cal_managed_care_capitation_rates_two_plan_8b403b60.state_fiscal_year_2018_19_two_plan_model_rates

14.41 kB
348 rows
9 columns

CREATE TABLE state_fiscal_year_2018_19_two_plan_model_rates (
  "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
);