Found 20 datasets matching "california department of managed health care".
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This data is from the California Department of Managed Health Care (DMHC). It contains all Provider complaints received by the DMHC since January 1, 2019.
Search relevance: 274.15 | Views last month: 0 -
This data is from the California Department of Managed Health Care (DMHC). It contains all decisions from Independent Medical Reviews (IMR) administered by the DMHC since January 1, 2001. An IMR...
Search relevance: 272.05 | Views last month: 0 -
This data is from the Office of Enforcement in the California Department of Managed Health Care (DMHC). It contains enforcement actions with the information of the organization type, organization...
Search relevance: 262.80 | Views last month: 1 -
This data is from the California Department of Managed Health Care (DMHC). It contains all information on health plan proposed premium rates filed with the DMHC since January 1, 2011. The DMHC is...
Search relevance: 262.54 | Views last month: 1 -
The Behavioral Health Program Performance Data provides underlying data for the Mental Health Performance Dashboard covering state fiscal years 2019-2020 to 2023-2024. The California Department of...
Search relevance: 95.32 | Views last month: 4 -
This dataset includes the number of newly eligible individuals enrolled in a Medi-Cal Managed Care Health Plans by type of enrollment by reporting period. Medi-Cal Managed Care program contracts...
Search relevance: 76.18 | Views last month: 0 -
__This page is considered archival. please refer to the new data landing page at [Medi-Cal Managed Care Capitation Rates by Managed Care Plan...
Search relevance: 76.12 | Views last month: 0 -
This dataset includes the number of newly eligible individuals enrolled in a Medi-Cal Managed Care County Organized Health System (COHS) Health Plans by reporting period. COHS is a Medi-Cal...
Search relevance: 73.76 | Views last month: 0 -
This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans for hepatitis C services, by county and State Fiscal Year. Medi- Cal managed care models and health plans are...
Search relevance: 73.35 | Views last month: 0 -
This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan.
Search relevance: 71.38 | Views last month: 0 -
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 files, each of the...
Search relevance: 70.68 | Views last month: 0 -
Updated 10/6/2022: In the Time/Distance analysis process, points that were found to have been included initially, but with no significant or year-round population were removed. The layer of...
Search relevance: 70.42 | Views last month: 0 -
The Network Adequacy Standards data is divided out by Provider Type, Adult and Pediatric separately, so that the Time or Distance analysis can be performed with greater detail. These standards...
Search relevance: 70.08 | Views last month: 0 -
This table contains an analysis of wrap claims and encounters reported to DHCS. The match percentage is based on the count of wraps received matching to their encounter. A Wrap Payment is a...
Search relevance: 68.36 | Views last month: 0 -
The datasets contain reimbursement rates paid to participating County Organized Health Systems, Geographic Managed Care, Regional, Senior Care Act (SCAN), Single Plan, and Two-Plan model counties...
Search relevance: 65.21 | Views last month: 5 -
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 determined...
Search relevance: 63.19 | Views last month: 0
