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96 datasets

Managed Care Performance Monitoring Dashboard Report

Published by: California Department of Health Care Services
Last updated: Saturday, May 31, 2025
File types: ZIP, PDF, CSV

This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter comp...

Chronic Conditions Experienced by Californians with Original Medicare, 2021

Published by: California Department of Health Care Services
Last updated: Saturday, May 31, 2025
File types: CSV, PDF, ZIP

The dataset contains information about the prevalence of chronic conditions among Original Medicare beneficiaries as well as about the spending and co...

Number of Individuals Transitioned from Covered California Qualified Health Plans to Medi-Cal

Published by: California Department of Health Care Services
Last updated: Saturday, May 31, 2025
File types: CSV, ZIP

This dataset includes the number of individuals transitioned from Covered California Qualified Health Plan (QHP) eligibility to Medi-Cal enrollment co...

Dental Utilization By Provider

Published by: California Department of Health Care Services
Last updated: Tuesday, May 27, 2025
File types: ZIP, CSV

This dataset provides beneficiary and service counts for annual dental visits, dental preventive services, dental treatment, and dental exams by rende...

Medi-Cal Managed Care Capitation Rates - Geographic Managed Care (GMC)

Published by: California Department of Health Care Services
Last updated: Saturday, May 31, 2025
File types: ZIP, CSV

Medi-Cal Managed Care Capitation Rates – Geographic Managed Care (GMC) by State Fiscal Year. Medi- Cal managed care health plans in the Sacramento and...

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

Published by: California Department of Health Care Services
Last updated: Saturday, May 31, 2025
File types: ZIP, CSV

Medi-Cal Managed Care Capitation Rates for Capitated Rates for Senior Care Action Network (SCAN) – by Calendar Year. Senior Care Action Network (SCAN)...

Eligible Individuals Under Age 21 Enrolled in Medi-Cal

Published by: California Department of Health Care Services
Last updated: Saturday, May 31, 2025
File types: CSV, ZIP

These datasets include the total number of individuals under age 21 (0-20) enrolled in Medi-Cal. The data are from the Medi-Cal Eligibility Data Syste...

Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program Demonstration Year 11 – Demonstration Year 15 Data

Published by: California Department of Health Care Services
Last updated: Saturday, May 31, 2025
File types: ZIP, CSV

This data is from the Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program, part of California’s Medi-Cal 2020 1115 waiver approved by ...

Workforce & Quality Incentive Program Performance

Published by: California Department of Health Care Services
Last updated: Saturday, May 31, 2025
File types: CSV, ZIP

The Workforce & Quality Incentive Program Quarterly Performance Reports (WQIP) contain the following WQIP metrics: acuity-adjusted staffing, staffing ...

California Medicaid Eligibility Groups by Medi-Cal Aid Code

Published by: California Department of Health Care Services
Last updated: Saturday, May 31, 2025
File types: CSV, ZIP

This dataset identifies California’s eligibility groups by aid code. California uses aid codes to account for eligibility group populations and the e...