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:

• Two Plan: 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.
• County Organized Health System (COHS): A county operates the only offered Medi-Cal managed care plan.
• Geographic Managed Care: Medi-Cal contracts with various commercial health plans. 

Resources

• Staff Instructions on Patient Complaints (http://cpca.org/cpca2013/assets/File/Policy-and-Advocacy/Active-Policy-Issues/Medi-Cal-ManagedCare/2014-11-01-CPCAStaffWallHangingRevised.pdf)
• Patient Complaint Form (http://cpca.org/cpca2013/assets/File/Policy-and-Advocacy/Active-Policy-Issues/Medi-Cal-ManagedCare/2015-01-20-CPCAPatientHandoutRevised_11%202014_DMHC%20Complaint.pdf)- English
• Patient Complaint Form (http://cpca.org/cpca2013/assets/File/Policy-and-Advocacy/Active-Policy-Issues/Medi-Cal-ManagedCare/2015-01-20-PlanComplaintSP.pdf) - Spanish
• The Local Health Plans of California Website (http://www.lhpc.org/) (Local Initiatives statewide association)
• Department of Health Care Services, Medi-Cal Managed Care Website (http://www.dhcs.ca.gov/services/Pages/Medi-CalManagedCare.aspx)
• Managed Care Health Plans Directory by County: http://www.dhcs.ca.gov/individuals/Pages/MMCDHealthPlanDir.aspx
• Managed Care All Plan Letters: http://www.dhcs.ca.gov/formsandpubs/Pages/MMCDPlanPolicyLtrs.aspx

Staff Contact

For questions regarding Managed Care resources, please contact Nenick Vu, Associate Director of Managed Care at nvu@cpca.org.