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. 



Staff Contact

For questions regarding Managed Care resources, please contact Nenick Vu, Associate Director of Managed Care at nvu@cpca.org.