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 program contracts for health care services through established networks of organized systems of care emphasizing primary and preventive care. Newly eligible Medi-Cal beneficiaries must choose a Managed Care health plan within 30 days of Medi-Cal enrollment, or they will be enrolled in a Managed Care health plan by default. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

Data and Resources

Additional Info

Field Value
Contact Email [email protected]
Program Medi-Cal Eligibility Division / Program Review Branch / Data Analytics Section
Homepage URL https://aspe.hhs.gov/poverty-guidelines
Temporal Coverage

2016 Quarter 1 to 2023 Quarter 1

Spatial/Geographic Coverage

California

Geographic Granularity Statewide
Language English
Frequency Quarterly
De-Identification Method

http://www.dhcs.ca.gov/dataandstats/Pages/PublicReportingGuidelines.aspx

License Terms of Use
Limitations Use of this data is subject to the CHHS Terms of Use and any copyright and proprietary notices incorporated in or accompanying the individual files.
Additional Limitations

Some presented eligible counts are considered preliminary and subject to change. Eligibility for Medi-Cal may occur retroactively and it may take time for eligibility determinations to be processed and reported to DHCS. As such, eligibility data is approximately 96% complete for the current month, 98% complete within one month, and over 99% complete within 2 months. Eligibility counts for a specific month are considered complete for statistical reporting purposes 12 months after the month’s end.

Last Updated July 3, 2023, 18:06 (UTC)