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Medi-Cal Managed Care Enrollment Report
This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan. -
Managed Care Performance Monitoring Dashboard Report
This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare... -
Statewide Medi-Cal Certified Eligible Individuals, by Aid Code, 2010 to the M...
This data set includes statewide counts of Medi-Cal certified eligibles by Month, Aid Code and Delivery System. The term certified eligible refers to beneficiaries who have been... -
Medi-Cal Certified Eligibles Tables, by County from 2010 to Most Recent Repor...
Medi-Cal certified eligible totals by county and demographic characteristics to inform the public, stakeholders, and researchers. -
Medi-Cal Certified Eligible Counts, by Month of Eligibility, Zip Code, and Sex
Dataset contains counts of individuals certified eligible for Medi-Cal, by Month of Eligibility, Zip Code, and Sex, from Calendar Year 2005 to the most recent reportable month.... -
Medi-Cal Annual Renewals by County
This dataset includes information regarding annual Medi-Cal eligibility renewals conducted for beneficiaries by counties each month. The data is from the Statewide Automated... -
Provider Suspended and Ineligible List (S&I List)
The Suspended and Ineligible List is a list reflecting all providers of service who the Department has suspended. Pursuant to Welfare and Institution Code sections 14123,... -
Licensed Mental Health Rehabilitation Centers (MHRC) and Psychiatric Health F...
This dataset contains an alphabetical list, by county, of all Mental Health Rehabilitation Centers (MHRC) and Psychiatric Health Facilities (PHF) licensed by the Department of... -
Enforcement Actions, Trend
This data is from the Office of Enforcement in the California Department of Managed Health Care (DMHC). It contains enforcement actions with the information of the organization... -
Independent Medical Review (IMR) Determinations, Trend
This data is from the California Department of Managed Health Care (DMHC). It contains all decisions from Independent Medical Reviews (IMR) administered by the DMHC since... -
Rate Review Detail, Trend
This data is from the California Department of Managed Health Care (DMHC). It contains all information on health plan proposed premium rates filed with the DMHC since January 1,... -
Quarterly Certified Eligible Counts by Month of Eligibility, County, and Thre...
The dataset presents the languages in each county that meet the threshold of 3,000 Medi-Cal beneficiaries or five percent (5%) of each county’s total Medi-Cal beneficiary... -
Eligible Individuals Under Age 21 Enrolled in Medi-Cal
These datasets include the total number of individuals under age 21 (0-20) enrolled in Medi-Cal. The data are from the Medi-Cal Eligibility Data System (MEDS). -
Certified and Approved Residential Mental Health Programs
The California Department of Health Care Services (DHCS) Community Services Division (CSD) provides oversight, certification, and approval for Mental Health Short-Term... -
SB 75 - Full Scope Medi-Cal for All Children Enrollment
This dataset includes the monthly count of individuals under age 19 receiving full scope Medi-Cal benefits as authorized by California Welfare and Institutions Code 14007.8. The... -
Prescription Drug Wholesale Acquisition Cost (WAC) Increases
This dataset is comprised of data submitted to HCAI by prescription drug manufacturers for wholesale acquisition cost (WAC) increases that exceed the statutorily-mandated WAC... -
Prescription Drugs Introduced to Market
This dataset provides data for new prescription drugs introduced to market in California with a Wholesale Acquisition Cost (WAC) that exceeds the Medicare Part D specialty drug... -
Eligible Individuals Enrolled in Medi-Cal Managed Care COHS Health Plans
This dataset includes the number of newly eligible individuals enrolled in a Medi-Cal Managed Care County Organized Health System (COHS) Health Plans by reporting period. COHS... -
Eligible Older Adult Expansion Individuals Enrolled in Medi-Cal
The datasets include the monthly count of individuals 50 years of age or older, by county, receiving full scope Medi-Cal benefits. The counts reflect the total number of... -
Newly Eligible Individuals enrolled in Medi-Cal Managed Care Health Plans
This dataset includes the number of newly eligible individuals enrolled in a Medi-Cal Managed Care Health Plans by type of enrollment by reporting period. Medi-Cal Managed Care...