Number of Individuals Transitioned from Covered California Qualified Health Plans to Medi-Cal

This dataset includes the number of individuals transitioned from Covered California Qualified Health Plan (QHP) eligibility to Medi-Cal enrollment commencing with the 2016 Quarter 4 Report. The individuals in this dataset represent Covered California clients, regardless of QHP enrollment status, who are in a Carry Forward Status (CFS) after reporting a change making them potentially eligible for MAGI Medi-Cal during a reporting period. The total number of individuals transitioned from Covered California includes Medi-Cal eligible individuals who did not have Medi-Cal eligibility in the month prior to the reporting period. This is a new dataset as a result of implementing the Covered California QHP Carry Forward Status indicator in release 16.9 and is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

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Data and Resources

Additional Info

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Field Value
Contact Email [email protected]
Program Medi-Cal Eligibility Division / Program Review Branch / Data Analytics Section
Homepage URL http://www.dhcs.ca.gov
Temporal Coverage

2016 Quarter 4 through 2023 Quarter 4
Spatial/Geographic Coverage

California
Geographic Granularity Statewide
Language English
Frequency Quarterly
De-Identification Method

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

California Healthcare Eligibility, Enrollment and Retention System (CalHEERS)
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 March 27, 2024, 15:54 (UTC)