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

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.

Data and Resources

Field Value
accessLevel public
catalog_@context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
catalog_conformsTo https://project-open-data.cio.gov/v1.1/schema
catalog_describedBy https://project-open-data.cio.gov/v1.1/schema/catalog.json
identifier 6f7a704f-667a-4197-80e0-766ad7a5adda
issued 2019-10-09T21:03:38.475587
modified 2022-05-16T20:47:53.663275
publisher California Department of Health Care Services
resource-type Dataset
source_datajson_identifier true
source_hash e6cae0988658773c09434aaeb579775a8d3ac8b3
source_schema_version 1.1
theme {"Health and Human Services"}
Groups
  • AmeriGEOSS
  • National Provider
  • North America
Tags
  • amerigeo
  • amerigeoss
  • california-department-of-health-care-services
  • ckan
  • dhcs
  • geo
  • geoss
  • managed-care-rates
  • medi-cal-managed-care
  • medi-cal-managed-care-capitation-rates
  • national
  • north-america
  • regional-model
  • regional-model-rates
  • rm
  • rural-expansion
  • rural-expansion-rate
  • united-states
isopen False
license_id notspecified
license_title License not specified
maintainer Capitated Rates Development Division
maintainer_email opendata@dhcs.ca.gov
metadata_created 2025-11-20T07:44:04.554069
metadata_modified 2025-11-20T07:44:04.554073
notes 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.
num_resources 7
num_tags 18
title Medi-Cal Managed Care Capitation Rates – Regional Model/Rural Expansion