Month of Eligibility, Delivery System and...
Medi-Cal Certified Eligibles, by Month of Eligibility, County, Delivery System and Health Plan to inform the public, stakeholders, and researchers.
Dicionario de datos
Columna | Tipo | Etiqueta | Descrición |
---|---|---|---|
Month of Eligibility | text | Month of Eligibility | Denotes the year (four-digit) and month (two-digit) during which the Medi-Cal beneficiary was enrolled in Medi-Cal. YYYY-MM (eg., 2016-01 is January 2016) |
County | text | County | Medi-Cal beneficiary's county of residence. 58 counties |
Health Delivery System | text | Health Delivery System | Identifies whether the Medi-Cal beneficiary's health care services are provided through Fee-for-Service (FFS) or a Managed Care health plan during the month of enrollment. Fee-for-Service (FFS) Managed Care (MC) |
Health Plan | text | Health Plan | Medi-Cal managed care health plans administer the delivery of a contracted set of health care services to Medi-Cal beneficiaries, and are responsible for contracting with networks of providers to deliver those services. The health plans are paid a set monthly fee for every enrolled Medi-Cal beneficiary in their plan, and they accept the risk for any costs that exceed that amount. The three primary models are: County Organized Health System (COHS) Local Initiative (LI) Commercial Plan (CP) |
Total Eligibles | text | Total Eligibles | The total number of individuals certified eligible for the month of eligibility. Certified eligibles are those beneficiaries who are deemed qualified for Medi-Cal by a valid eligibility determination, and who have enrolled into the program. This classification excludes beneficiaries who have not met a monthly share-of-cost obligation. |
Annotation Code | numeric | Annotation Code | Code for type of Annotation: 1= Suppressed due to small number 2=Suppressed due to complimentary cell small number 3= No data available |
Annotation Description | text | Annotation Description | Description of Annotation for COUNT columns. |
Status | text | Status | P (Preliminary) F (Final) Certified eligible counts with a status of "P" are preliminary and subject to change. A specific month's eligibility count is considered complete for statistical reporting purposes 12 months after the month's end, and indicates a status "F" for final. |
Date_Data | text |
Additional Information
Field | Value |
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Última actualización | 23 de abril de 2024 |
Created | 23 de abril de 2020 |
Format | CSV |