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ALW Care Coordination Agencies
ALW program eligibility for Medi-Cal members interested in enrolling in the ALW program is assessed by Care Coordination Agencies, which are providers within the ALW program.... -
ALW Assisted Living Facilities
Assisted Living Waiver (ALW) eligible individuals are those who are enrolled in Medi-Cal and meet the level of care provided in a nursing facility due to their medical needs.... -
Profile of Enrolled Medi-Cal Fee-for-Service (FFS) Providers
The dataset provides basic information of the FFS providers enrolled in the Medi-Cal program as of April 1, 2024. The data was retrieved from the Provider Master File (PMF),... -
California Children’s Services (CCS) All Provider Lists
Providers approved by the CCS program to render services to CCS enrollees. -
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... -
Workforce & Quality Incentive Program Performance
The Workforce & Quality Incentive Program Quarterly Performance Reports (WQIP) for PY 1, 2023 contains following WQIP metrics: acuity-adjusted staffing, staffing... -
ACEs Aware Clinician Listing
The ACEs Aware Clinician Directory includes a subset of Medi-Cal clinicians who have self-attested to completing a certified ACEs Aware Core Training and opted-in to being added... -
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... -
Medi-Cal Managed Care Capitation Rates - Senior Care Action Network (SCAN)
Medi-Cal Managed Care Capitation Rates for Capitated Rates for Senior Care Action Network (SCAN) – by Calendar Year. Senior Care Action Network (SCAN) Health Plan is a Medicare... -
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... -
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,... -
Automated Eligibility Verification System (AEVS): Carrier Codes for Other Hea...
This dataset provides basic information about third parties who may be liable for medical expenses that would otherwise be paid by Medi-Cal. This information is based on a point... -
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. -
Eligible Young Adult Expansion Individuals Enrolled in Medi-Cal
The datasets include the monthly count of individuals ages 19 through 25, by county, receiving full scope Medi-Cal benefits. The counts reflect the total number of eligible... -
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... -
Medi-Cal Managed Care Provider Listing
This file contains provider data, including details and address, for the Medi-Cal Managed Care Plans (MCPs.) This data is submitted to DHCS monthly via X12 274 Transaction... -
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.... -
Katie A. Specialty Mental Health Datasets
The Katie A. Settlement Agreement requires the Department of Health Care Services (DHCS) to collect and post data used to evaluate utilization of services and timely access to...
