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Medi-Cal Managed Care Capitation Rates - Senior Care Action Network (SCAN)

Published by California Department of Health Care Services | State of California | Metadata Last Checked: December 28, 2025 | Last Modified: 2025-12-08T17:49:02.500588
__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).__ Medi-Cal Managed Care Capitation Rates for Capitated Rates for Senior Care Action Network (SCAN) – for Calendar Year 2016-2020. Senior Care Action Network (SCAN) Health Plan is a Medicare Advantage Special Needs Plan that contracts with the Department of Health Care Services for dual eligible Medicare/Medi-Cal population subset residing in Los Angeles, San Bernardino, and Riverside counties.

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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).__ Medi-Cal Managed Care Capitation Rates for Capitated Rates for Senior Care Action Network (SCAN) – for Calendar Year 2016-2020. Senior Care Action Network (SCAN) Health Plan is a Medicare Advantage Special Needs Plan that contracts with the Department of Health Care Services for dual eligible Medicare/Medi-Cal population subset residing in Los Angeles, San Bernardino, and Riverside counties.
distribution 
                                            [
  {
    "@type": "dcat:Distribution",
    "title": "SCAN Rates CY 2018",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=56678f6b-f5b4-4796-8531-636e13227dae&limit=0",
    "description": "Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year. 2018 

*  Includes MCO Tax
*  Long Term Care Rate Changes – Retro & Prospective Combined - Adjustment to take into account the annual LTC rate changes.
*  Hospice Rate Increase - Retro & Prospective Combined - Adjustment to account for the increase to the hospice services rates, and hospice room and board rates; effective October and August, respectively, each year.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/be5689c7-f58d-4542-a0c0-de8ca0449e74/download/scan-rates-cy2018_07.2023.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "SCAN Rates CY 2019",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=99f0445e-b6b2-4916-82fd-0d5d132ae650&limit=0",
    "description": "Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2019 

*  Jan 2019 - Jun 2019 - MCO Tax Included 
*  Jul 2019 - Dec 2019 - MCO Tax Excluded
*  Long Term Care Rate Changes – Retro & Prospective Combined - Adjustment to take into account the annual LTC rate changes.
*  Hospice Rate Increase - Retro & Prospective Combined - Adjustment to account for the increase to the hospice services rates, and hospice room and board rates; effective October and August, respectively, each year.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/cff9bffe-bf21-4602-b40c-17acb6be49ca/download/scan-rates-cy2019_07.2023.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "SCAN Rates CY 2016",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=ae51692f-a926-4e10-a7eb-1d06f76cb442&limit=0",
    "description": "Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2016: 

o	3.9375% SB 78 Tax applied to 1/1/16-6/30/16 rates 

o	Enrollment-based MCO Tax applied to 7/1/16-12/31/16 

o	Includes Acupuncture as of 7/1/2016",
    "downloadURL": "https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/62bfe853-1f61-494b-9dee-63ea600964c1/download/scan-rates-cy2016_07.2023.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "SCAN Rates CY 2020",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=d3905239-b0dd-4b3a-89d5-3f0e12356e1f&limit=0",
    "description": "Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2020 

*  No MCO Tax
*  Long-Term Care Rate Changes – Retro & Prospective Combined - Adjustment to take into account the annual LTC rate changes.
*  Hospice Rate Increase - Retro & Prospective Combined - Adjustment to account for the increase to the hospice services rates, and hospice room and board rates; effective October and August, respectively, each year.
*  Optional Benefits Restoration - Adjustment to account for certain adult optional benefits, including vision (excluding lens fabrication), audiology, speech therapy, incontinence creams and washes, and podiatry, being restored as Medi-Cal covered benefits. Most of these benefits are already covered under SCAN's Medicare Advantage plans or under LTC. The only exception is the incontinence creams and washes, which are not Medicare Advantage-covered benefits.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/175fa412-af0b-44de-9bd9-ea52462e78e2/download/scan-rates-cy2020_07.2023.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "SCAN Rates CY 2017",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=e075e101-8c5d-47ea-aebf-c9f3ef7be288&limit=0",
    "description": "Medi-Cal Managed Care Capitation Rates for Senior Care Action Network (SCAN) – by Calendar Year 2017 

*  Lower Bound rate percentage changes are based on July - December 2016 rates since the MCO tax for that rate period is similar to the CY 2017 rates. 
*  The Medical Transportation expenditures included in the base costs are overstated due to most capitated expenditures being covered by Medicare.  This adjustment removes all capitated expenditures of Medical Transportation expenditures except for some minimal amounts for LTC Certified COA and expenditures reimbursed based on FFS.
*  Dental Services are mostly covered by Medicare. Thus, an adjustment was made to remove all expenditures of Dental Service except for some minimal amounts for LTC Certified COA.
*  Long Term Care Rate Changes – Retro & Prospective Combined - Adjustment to take into account the annual LTC rate changes.
*  Hospice Rate Increase - Retro & Prospective Combined - Adjustment to account for the increase to the hospice services rates, and hospice room and board rates; effective October and August, respectively, each year.
*  Acupuncture - Effective July 1, 2016, acupuncture services were reinstituted as a Medi-Cal benefit.
*  Non-Medical Transportation - Non-medical transportation for managed care covered services has become managed care plans' responsibility effective July 1, 2017, and non-medical transportation for managed care not covered services has become managed care plans' responsibility effective October 1, 2017.
*  Medical Transportation - The Medical Transportation expenditures included in the base costs are overstated due to most capitated expenditures being covered by Medicare.  This adjustment removes all capitated expenditures of Medical Transportation expenditures except for some minimal amounts for LTC Certified COA and expenditures reimbursed based on FFS.
*  Dental Service - Dental Services are mostly covered by Medicare. Thus, an adjustment was made to remove all expenditures of Dental Service except for some minimal amounts for LTC Certified COA.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/f28a3e62-64fb-4afb-9d06-9eab8b55ec17/download/scan-rates-cy2017_07.2023.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "Data Dictionary - SCAN Rates CY 2020",
    "format": "CSV",
    "mediaType": "text/csv",
    "description": "Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/175fa412-af0b-44de-9bd9-ea52462e78e2/download/scan-rates-cy2020_07.2023.csv",
    "downloadURL": "https://data.ca.gov/datastore/dictionary_download/d3905239-b0dd-4b3a-89d5-3f0e12356e1f",
    "isDataDictionary": true
  },
  {
    "@type": "dcat:Distribution",
    "title": "Data Dictionary - SCAN Rates CY 2016",
    "format": "CSV",
    "mediaType": "text/csv",
    "description": "Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/62bfe853-1f61-494b-9dee-63ea600964c1/download/scan-rates-cy2016_07.2023.csv",
    "downloadURL": "https://data.ca.gov/datastore/dictionary_download/ae51692f-a926-4e10-a7eb-1d06f76cb442",
    "isDataDictionary": true
  },
  {
    "@type": "dcat:Distribution",
    "title": "Data Dictionary - SCAN Rates CY 2018",
    "format": "CSV",
    "mediaType": "text/csv",
    "description": "Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/be5689c7-f58d-4542-a0c0-de8ca0449e74/download/scan-rates-cy2018_07.2023.csv",
    "downloadURL": "https://data.ca.gov/datastore/dictionary_download/56678f6b-f5b4-4796-8531-636e13227dae",
    "isDataDictionary": true
  },
  {
    "@type": "dcat:Distribution",
    "title": "Data Dictionary - SCAN Rates CY 2019",
    "format": "CSV",
    "mediaType": "text/csv",
    "description": "Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/cff9bffe-bf21-4602-b40c-17acb6be49ca/download/scan-rates-cy2019_07.2023.csv",
    "downloadURL": "https://data.ca.gov/datastore/dictionary_download/99f0445e-b6b2-4916-82fd-0d5d132ae650",
    "isDataDictionary": true
  },
  {
    "@type": "dcat:Distribution",
    "title": "Data Dictionary - SCAN Rates CY 2017",
    "format": "CSV",
    "mediaType": "text/csv",
    "description": "Data Dictionary for https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/f28a3e62-64fb-4afb-9d06-9eab8b55ec17/download/scan-rates-cy2017_07.2023.csv",
    "downloadURL": "https://data.ca.gov/datastore/dictionary_download/e075e101-8c5d-47ea-aebf-c9f3ef7be288",
    "isDataDictionary": true
  },
  {
    "@type": "dcat:Distribution",
    "title": "All resource data",
    "format": "ZIP",
    "mediaType": "application/zip",
    "downloadURL": "https://data.chhs.ca.gov/dataset/1603b8f8-1e2b-412f-9faa-c99f2e425452/resource/c36a0cc9-8a11-4d80-886e-66a8797f7bbc/download/medi-cal-managed-care-capitation-rates-senior-care-action-network-scan-tfoemtts.zip"
  }
]
identifier 2b4f7a7b-47b7-42ad-b2e5-de63bea85b85
issued 2023-07-28T20:59:27.603264
keyword 
                                            [
  "Capitation",
  "DHCS",
  "Rates",
  "SCAN",
  "california department of health care services"
]
license http://www.opendefinition.org/licenses/cc-by
modified 2025-12-08T17:49:02.500588
publisher 
                                            {
  "name": "California Department of Health Care Services",
  "@type": "org:Organization"
}
theme 
                                            [
  "Health and Human Services"
]
title Medi-Cal Managed Care Capitation Rates - Senior Care Action Network (SCAN)

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