Medi-Cal Managed Care Capitation Rates by Managed Care Plan Models
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 as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2025.
Data files
| Data title and description | Access data | File details | Last updated |
|---|---|---|---|
County Organized Health Systems (COHS) Model 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 as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2025. | Download | CSV | 12/05/25 |
Geographic Managed Care (GMC) 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 as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2025. | Download | CSV | 12/05/25 |
Program of All-Inclusive Care for the Elderly (PACE) Rates 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 as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2025. | Download | CSV | 09/17/25 |
Regional Model/Rural Expansion 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 as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2025. | Download | CSV | 12/05/25 |
Senior Care Action Network (SCAN) 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 as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2025. | Download | CSV | 11/15/25 |
Single Plan Model 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 as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2025. | Download | CSV | 12/05/25 |
Two-Plan Model 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 as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2025. | Download | CSV | 12/05/25 |
All resource data | Download | ZIP | 12/23/25 |
Supporting files
| Data title and description | Access data | File details | Last updated |
|---|---|---|---|
Medi-Cal Managed Care Capitation Rates - Read Me This is the methodology of each model by year of managed care rate changes. | MD | 12/23/25 |