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Medi-Cal Managed Care provides high quality, accessible, and cost-effective health care through managed care delivery systems. Medi-Cal Managed Care contracts for health care services through established networks of organized systems of care, which emphasize primary and preventive care.
Medi-Medi Plans are Medicare Advantage plans that combine Medicare and Medi-Cal benefits into one plan. For a list of Medi-Medi Plans by county, and to find out how to enroll, visit the Medi-Medi Plan directory webpage.
Find your local county office. Medi-Cal covers vital health care services for you and your family, including doctors visits, prescriptions, vaccinations, hospital visits, mental health care, and more. As COVID-19 becomes less of a threat, California will restart yearly Medicaid eligibility reviews using available information to decide if you or ...
The following table lists Medi-Cal managed care plansi (MCPs) by county, as of January 1, 2023, and as they will be effective January 1, 2024.
Starting Jan. 1, Medi-Cal, California’s Medicaid program, will implement new standardized contracts with its 22 managed care health plans, which collectively cover 99% of enrollees.
California was the first state to pilot managed care in Medicaid, beginning in the early 1970s, and the Medi-Cal managed care program has a unique structure that grew out of the different health...
California’s managed care program is unique, involving six different managed care models, shaped by the historical and continuing role of counties in financing and delivering primary...
Some people who have Medi-Cal are in a Medi-Cal Managed Care plan. These plans have networks of providers, including doctors, pharmacies, clinics, labs, and hospitals. Medi-Cal covers the basic benefits that all health plans cover.
Managed Care An organized network of health care providers. The managed care plan can be public or private. The managed care is paid a flat fee for each member. Fixed per-member, per-month “capitated” fee, regardless of how many services a member may actually need. Over 83% of Medi-Cal beneficiaries are enrolled in a managed care plan.
Trusted by Medi-Cal members since 1994. Medi-Cal is California's Medicaid program. Anthem serves Medi-Cal recipients in these counties: Alpine, Amador, Calaveras, El Dorado, Fresno, Inyo, Kern, Kings, Los Angeles, Madera, Mono, Sacramento, San Francisco, Santa Clara, Tulare, and Tuolumne.