About half of all Medi-Cal beneficiaries are in managed care plans. Enrollees are typically children, pregnant women, and non-disabled parents. California has a unique system of managed care, with three different models operating across various counties:
Medi-Cal beneficiaries are enrolled in one of two managed care plans, either a public entity known as a “Local Initiative” or a commercial plan.
A county operates the only offered Medi-Cal managed care plan.
Medi-Cal contracts with various commercial health plans.
For those interested, CPCA conducts a Medi-Cal Managed Care Task Force as a forum to discuss community clinic and health center issues relating to Medi-Cal Managed Care health plan contracts and monitor concerns and changes in the Medi-Cal Managed Care environment to provide CPCA with guidance on responding to these developments.
If you have any questions, or need more information, please contact Meaghan McCamman, Assistant Director of Policy, at firstname.lastname@example.org.