Medi-Cal Managed Care Capitation Rates - Geographic Managed Care (GMC)

Medi-Cal Managed Care Capitation Rates – Geographic Managed Care (GMC) by State Fiscal Year. Medi- Cal managed care health plans in the Sacramento and San Diego counties.

Data and Resources

Additional Info

Field Value
Contact Email [email protected]
Program Capitated Rates Development Division
Homepage URL dhcs.ca.gov
Temporal Coverage

07/01/2015 - 12/31/2023

Spatial/Geographic Coverage

County: Sacramento and San Diego

Geographic Granularity County
Language English
Frequency Annually
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 Information

Starting CY 2021:
* BCCTP is no longer Category of Aid (COA) has been incorporated into SPD COA

Rates include the impact of:
* Acupuncture Services, Senate Bill 833 (Chapter 30, Statues 2016)
* Assembly Bill 97 payment reduction (Chapter 3, Statutes of 2011)
* Mental health services for individuals with mild/moderate mental health needs/conditions along with SBIRT (Screening, Brief Interventions, and Referral to Treatment) services
* Non-Medical Transportation - July 1, 2017 for Managed Care Plan covered services and October 1, 2017 for Managed Care Plan non-covered services

Rates do not include the impact of:
* American Indian Health payments
* Behavioral Health Treatment, Maternity, and Hepatitis C supplemental payments
* Blood factor pharmaceuticals were carved out of rates effective July 1, 2014
* Health Insurance Providers Fee
* Hospital Quality Assurance Fee pass-through payments
* Managed Care Organization Tax, Senate Bill 2 (Chapter 2, Statutes 2015-16 Second Extraordinary Session)
* Managed Care Private Hospital directed payments
* Managed Care Public Hospital directed payments
* Physician services supplemental payments, Assembly Bill 120 (Chapter 22, Statutes of 2017)

Last Updated February 21, 2024, 19:13 (UTC)