Medi-Cal Managed Care Capitation Rates – Regional Model/Rural Expansion
This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model, by State Fiscal Year. The Regional Model serves beneficiaries in 28 rural counties: Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Inyo, Imperial, Lake, Lassen, Mariposa, Mendocino, Modoc, Mono, Nevada, Placer, Plumas, San Benito, Sierra, Siskiyou, Sutter, Tehama, Trinity, Tuolumne, and Yuba. The Department of Health Care Services (DHCS) contracts with two Commercial plans to provide services in each county. San Benito is the only exception where beneficiaries can choose either the managed care plan or (fee-for-service) Medi-Cal.
Data files
| Data title and description | Access data | File details | Last updated |
|---|---|---|---|
All resource data | Download | ZIP | 02/03/25 |
State Fiscal Year 2015-16 Regional Model Rates This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2015-16. | Download | CSV | 02/03/25 |
State Fiscal Year 2016-17 Regional Model Rates This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2016-17. | Download | CSV | 02/03/25 |
State Fiscal Year 2017-18 Regional Model Rates This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2017-18. | Download | CSV | 02/03/25 |
State Fiscal Year 2018-19 Regional Model Rates This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2018-19. | Download | CSV | 02/03/25 |
Bridge Period 2019-20 Regional Model Rates This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2019-20.javascript:; | Download | CSV | 02/03/25 |
CY 2021 Regional Model Rates This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2021. | Download | CSV | 02/03/25 |
CY 2022 Regional Model Rates This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2022. | Download | CSV | 02/03/25 |
CY 2023 Regional Model Rates This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2023. | Download | CSV | 02/03/25 |