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Medi-Cal Managed Care
Home > Policy & Advocacy  > Medi-Cal Managed Care

Current as of April 13, 2010

OVERVIEW

About half of all Medi-Cal beneficiaries are in managed care plans. Enrollees are typically children, pregnant women, and non-disabled parents. California has a unique system of managed care, with three different models operating across various counties:

Two Plan: Medi-Cal beneficiaries are enrolled in one of two managed care plans, either a public entity known as a “Local Initiative” or a commercial plan.

County Organized Health System (COHS): A county operates the only offered Medi-Cal managed care plan.

Geographic Managed Care: Medi-Cal contracts with various commercial health plans.

CURRENT ADVOCACY

For those interested, CPCA conducts a Medi-Cal Managed Care Task Force as a forum to discuss community clinic and health center issues relating to Medi-Cal Managed Care health plan contracts and monitor concerns and changes in the Medi-Cal Managed Care environment to provide CPCA with guidance on responding to these developments.
If you have any questions or for more information about participating, please contact Allison Homewood at ahomewood@cpca.org.

RESOURCES

Department of Health Care Services, Medi-Cal Managed Care Website

Medi-Cal Managed Care Resources/Reports from the California HealthCare Foundation

The Local Health Plans of California Website (Local Initiatives statewide association)

The Department of Managed Health Care’s Medi-Cal Managed Care Website

MEMBERS ONLY INFORMATION

Updates to Government Programs Committee - Members only

Task Force Materials - Members only

CPCA STAFF CONTACT

If you have any questions, or need more information, please contact Allison Homewood at ahomewood@cpca.org.

 

Copyright ©2005 California Primary Care Association. Contact information and legal disclaimers.