Fact Sheets & Publications
Learn more about the basics of and issues impacting Medi-Cal managed care.
Fact Sheets
Introduction to Medi-Cal Managed Care
Learn the fundamentals of Medi-Cal managed care, including who it serves, what is covered and how it works.
Introduction to Medi-Cal Managed Care Eligibility
An overview of who is eligible for Medi-Cal, how an individual becomes eligible and the different pathways to coverage.
Introduction to Medi-Cal Managed Care Financing
An overview of how Medi-Cal is funded, how Medi-Cal managed care plans are paid and how DHCS sets the rates it pays to health plans.
Publications
Quick Reference Guide: Public Health Care System and Local Health Plan Collaboration
This guide offers early examples of plan-system partnerships and a summary of the key initiatives and policies that drive quality improvement at plans and systems. The guide also shows the increase in overlapping quality measures across the Medi-Cal Accountability Set (MCAS) and Quality Incentive Pool (QIP). The guide can be used to educate staff and support local planning.
Implementing CalAIM: The Local Health Plan Perspective
A high-level analysis of the early successes of local plans in providing Enhanced Care Management (ECM) and Community Supports services in the first full year of CalAIM.
Other Resources