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Medi-Cal Managed Care Capitation Rates – Regional Model/Rural Expansion
__This page is considered archival. please refer to the new data landing page at [Medi-Cal Managed Care Capitation Rates by Managed Care Plan Models](https://data.chhs.ca.gov/dataset/medi-cal-managed-care-capitation-rates-by-managed-care-plan-models-consolidated).__
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.
Resources
7 resources available
-
State Fiscal Year 2017-18 Regional Model Rates
CSV -
State Fiscal Year 2018-19 Regional Model Rates
CSV -
State Fiscal Year 2015-16 Regional Model Rates
CSV -
State Fiscal Year 2016-17 Regional Model Rates
CSV -
Bridge Period 2019-20 Regional Model Rates
CSV -
Data Dictionary - State Fiscal Year 2018-19 Regional Model Rates
CSV -
All resource data
ZIP
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| contactPoint |
{
"fn": "Capitated Rates Development Division",
"@type": "vcard:Contact",
"hasEmail": "mailto:opendata@dhcs.ca.gov"
}
|
| description | __This page is considered archival. please refer to the new data landing page at [Medi-Cal Managed Care Capitation Rates by Managed Care Plan Models](https://data.chhs.ca.gov/dataset/medi-cal-managed-care-capitation-rates-by-managed-care-plan-models-consolidated).__ 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. |
| distribution |
[
{
"@type": "dcat:Distribution",
"title": "State Fiscal Year 2017-18 Regional Model Rates",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=27422b8f-ecb6-41a7-8f2c-9199041cbbe9&limit=0",
"description": "This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2017-18.",
"downloadURL": "https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/0f220d27-97a2-4bb8-9cf6-f828264a740c/download/regional_rates_sfy17-18_updated.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "State Fiscal Year 2018-19 Regional Model Rates",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=324119d8-3ae1-4f13-9c41-5d84070a2159&limit=0",
"description": "This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2018-19.",
"downloadURL": "https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/568a8bb6-1697-454f-9abd-9e4e746c9e34/download/regional_rates_sfy2018-19.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "State Fiscal Year 2015-16 Regional Model Rates",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=60b03cf4-ab3e-4888-bbc8-16d094a8bef3&limit=0",
"description": "This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2015-16.",
"downloadURL": "https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/f745b3e1-c2f9-42b2-9b96-0f0498bafbcb/download/regional_rates_sfy_2015-16.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "State Fiscal Year 2016-17 Regional Model Rates",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=6787c0ef-b5a2-48e9-90cb-b4e397245a40&limit=0",
"description": "This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2016-17.",
"downloadURL": "https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/45d77564-fc0e-40fa-8591-d501492d2092/download/regional_rates_sfy_2016-17.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "Bridge Period 2019-20 Regional Model Rates",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=d65b9a3b-a7f3-407b-8693-df43bb3c9c41&limit=0",
"description": "This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for State Fiscal Year 2019-20.javascript:;",
"downloadURL": "https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/f4b0621e-95e2-4cfd-ad72-9f3938193850/download/regional-rates_sfy-2019-20-updated.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "Data Dictionary - State Fiscal Year 2018-19 Regional Model Rates",
"format": "CSV",
"mediaType": "text/csv",
"description": "Data Dictionary for https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/568a8bb6-1697-454f-9abd-9e4e746c9e34/download/regional_rates_sfy2018-19.csv",
"downloadURL": "https://data.ca.gov/datastore/dictionary_download/324119d8-3ae1-4f13-9c41-5d84070a2159",
"isDataDictionary": true
},
{
"@type": "dcat:Distribution",
"title": "All resource data",
"format": "ZIP",
"mediaType": "application/zip",
"downloadURL": "https://data.chhs.ca.gov/dataset/d84e6242-1b87-4dbe-b771-ed9510fdc797/resource/7270e4c9-dfa6-4c71-91bf-ddcd9d9547f2/download/medi-cal-managed-care-capitation-rates-regional-model-rural-expansion-kihzqkgh.zip"
}
]
|
| identifier | 30a69596-2212-4f74-8578-adc9b1878951 |
| issued | 2019-10-09T21:03:38.475587 |
| keyword |
[
"DHCS",
"Managed Care Rates",
"Medi-Cal Managed Care",
"Medi-Cal Managed Care Capitation Rates",
"RM",
"Regional Model",
"Regional Model Rates",
"Rural Expansion",
"Rural Expansion Rate",
"california department of health care services"
]
|
| license | http://www.opendefinition.org/licenses/cc-by |
| modified | 2025-11-07T03:15:19.559183 |
| publisher |
{
"name": "California Department of Health Care Services",
"@type": "org:Organization"
}
|
| theme |
[
"Health and Human Services"
]
|
| title | Medi-Cal Managed Care Capitation Rates – Regional Model/Rural Expansion |
