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Medi-Cal Enrollment by Eligibility Group
This dataset includes the total number of individuals enrolled in Medi-Cal by eligibility group: Modified Adjusted Gross Income (MAGI), non-MAGI, and Children’s Health Insurance Program (CHIP). The groups are defined by the Centers for Medicare and Medicaid Services (CMS) Performance Indicators (CMSPI) reporting requirements. The Department of Health Care Services (DHCS) submits eligibility and enrollment data regarding Medicaid and CHIP monthly to CMS. The enrollment data represents enrollment totals as of 60 days after the eligibility month (indicated as “Reporting Period” in the dataset). CMS publishes the state total enrollments on the CMSPI website. The total enrollment comprises of individuals who are eligible for full scope Medi-Cal by MAGI – Child, MAGI – Adult, Non-MAGI Child, Non-MAGI Adult, and CHIP eligibility groups. DHCS does not report to CMS the total enrollment in limited scope Medi-Cal or state-only funded programs (indicated as the “Non-CMSPI” in the dataset).
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| contactPoint |
{
"fn": "Medi-Cal Eligibility Division / Program Review Branch / Data Analytics Section",
"@type": "vcard:Contact",
"hasEmail": "mailto:opendata@dhcs.ca.gov"
}
|
| description | This dataset includes the total number of individuals enrolled in Medi-Cal by eligibility group: Modified Adjusted Gross Income (MAGI), non-MAGI, and Children’s Health Insurance Program (CHIP). The groups are defined by the Centers for Medicare and Medicaid Services (CMS) Performance Indicators (CMSPI) reporting requirements. The Department of Health Care Services (DHCS) submits eligibility and enrollment data regarding Medicaid and CHIP monthly to CMS. The enrollment data represents enrollment totals as of 60 days after the eligibility month (indicated as “Reporting Period” in the dataset). CMS publishes the state total enrollments on the CMSPI website. The total enrollment comprises of individuals who are eligible for full scope Medi-Cal by MAGI – Child, MAGI – Adult, Non-MAGI Child, Non-MAGI Adult, and CHIP eligibility groups. DHCS does not report to CMS the total enrollment in limited scope Medi-Cal or state-only funded programs (indicated as the “Non-CMSPI” in the dataset). |
| distribution |
[
{
"@type": "dcat:Distribution",
"title": "Medi-Cal Enrollment by Eligibility Group",
"format": "CSV",
"mediaType": "text/csv",
"description": "This dataset includes the total number of individuals enrolled in Medi-Cal by eligibility group: Modified Adjusted Gross Income (MAGI), non-MAGI, and Children’s Health Insurance Program (CHIP). The groups are defined by the Centers for Medicare and Medicaid Services (CMS) Performance Indicators (CMSPI) reporting requirements. The Department of Health Care Services (DHCS) submits eligibility and enrollment data regarding Medicaid and CHIP monthly to CMS. The enrollment data represents enrollment totals as of 60 days after the eligibility month (indicated as “Reporting Period” in the dataset). CMS publishes the state total enrollments on the CMSPI website. The total enrollment comprises of individuals who are eligible for full scope Medi-Cal by MAGI – Child, MAGI – Adult, Non-MAGI Child, Non-MAGI Adult, and CHIP eligibility groups. DHCS does not report to CMS the total enrollment in limited scope Medi-Cal or state-only funded programs (indicated as the “Non-CMSPI” in the dataset).",
"downloadURL": "https://data.chhs.ca.gov/dataset/746835c6-17f4-43f0-b98b-f972cf6ee512/resource/d33eee4a-4c17-48da-8099-3fd2bac29ac2/download/7.1-total-medi-cal-enrollment-q3-2025-odp.csv"
},
{
"@type": "dcat:Distribution",
"title": "CMS Requirements for Total Enrollment Performance Indicators",
"format": "PDF",
"mediaType": "application/pdf",
"description": "This document outlines the groups that are defined by the Centers for Medicare and Medicaid Services (CMS) Performance Indicators (CMSPI) reporting requirements. The Department of Health Care Services (DHCS) submits eligibility and enrollment data regarding Medicaid and CHIP monthly to CMS that is the basis for the Medi-Cal Enrollment by Eligibility Group data set.",
"downloadURL": "https://data.chhs.ca.gov/dataset/746835c6-17f4-43f0-b98b-f972cf6ee512/resource/62eb3d64-6daf-4d0a-ae34-47434ab47bb4/download/cms-total-enrollment-data-dictonary-7.1.pdf"
},
{
"@type": "dcat:Distribution",
"title": "All resource data",
"format": "ZIP",
"mediaType": "application/zip",
"downloadURL": "https://data.chhs.ca.gov/dataset/746835c6-17f4-43f0-b98b-f972cf6ee512/resource/67a6e56b-9d59-4270-a0c9-146cbef2e0e6/download/medi-cal-enrollment-by-eligibility-group-yfo_xu1g.zip"
}
]
|
| identifier | c69030e8-9532-47a3-aa8c-3b7aae785d13 |
| issued | 2017-10-18T22:27:00.472168 |
| keyword |
[
"ABX1 1",
"CMS",
"CMS Performance Indicators",
"CMSPI",
"California Eligibility and Enrollment Report",
"Center for Medicare and Medicaid Services",
"IAP",
"Insurance Affordability Programs",
"MAGI",
"Medi-Cal",
"Non-MAGI",
"Socrata",
"Total Enrollment",
"california department of health care services"
]
|
| license | http://www.opendefinition.org/licenses/cc-by |
| modified | 2026-01-05T19:03:02.494663 |
| publisher |
{
"name": "California Department of Health Care Services",
"@type": "org:Organization"
}
|
| theme |
[
"Health and Human Services"
]
|
| title | Medi-Cal Enrollment by Eligibility Group |
