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Provider Suspended and Ineligible List (S&I List)
The Suspended and Ineligible List is a list reflecting all providers of service who the Department has suspended. Pursuant to Welfare and Institution Code sections 14123,... -
Automated Eligibility Verification System (AEVS): Carrier Codes for Other Hea...
This dataset provides basic information about third parties who may be liable for medical expenses that would otherwise be paid by Medi-Cal. This information is based on a point... -
Profile of Enrolled Medi-Cal Fee-for-Service (FFS) Providers
The dataset provides basic information of the FFS providers enrolled in the Medi-Cal program as of June 1, 2024. The data was retrieved from the Provider Master File (PMF),... -
Medi-Cal Annual Renewals by County
This dataset includes information regarding annual Medi-Cal eligibility renewals conducted for beneficiaries by counties each month. The data is from the Statewide Automated... -
Eligible Young Adult Expansion Individuals Enrolled in Medi-Cal
The datasets include the monthly count of individuals ages 19 through 25, by county, receiving full scope Medi-Cal benefits. The counts reflect the total number of eligible... -
Medi-Cal Enrollment by Eligibility Group
This dataset includes the total number of individuals enrolled in Medi-Cal by eligibility group: Modified Adjusted Gross Income (MAGI), non-MAGI, and Children’s Health Insurance... -
Total Effectuated Qualified Health Plan (QHP) Enrollment – Covered CA QHPs
This dataset provides number of Individuals who effectuated their enrollment and had an active policy at the time the enrollment report was compiled. Enrollment is effectuated... -
SB 75 - Full Scope Medi-Cal for All Children Enrollment
This dataset includes the monthly count of individuals under age 19 receiving full scope Medi-Cal benefits as authorized by California Welfare and Institutions Code 14007.8. The... -
Eligible Individuals Under Age 21 Enrolled in Medi-Cal
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 System (MEDS). -
Katie A. Specialty Mental Health Datasets
The Katie A. Settlement Agreement requires the Department of Health Care Services (DHCS) to collect and post data used to evaluate utilization of services and timely access to... -
Number of Individuals Transitioned from Covered California Qualified Health P...
This dataset includes the number of individuals transitioned from Covered California Qualified Health Plan (QHP) eligibility to Medi-Cal enrollment commencing with the 2016... -
ACEs Aware Clinician Listing
The ACEs Aware Clinician Directory includes a subset of Medi-Cal clinicians who have self-attested to completing a certified ACEs Aware Core Training and opted-in to being added... -
Licensed Mental Health Rehabilitation Centers (MHRC) and Psychiatric Health F...
This dataset contains an alphabetical list, by county, of all Mental Health Rehabilitation Centers (MHRC) and Psychiatric Health Facilities (PHF) licensed by the Department of... -
Insurance Affordability Programs Eligibility Appeals Hearing Results
This dataset includes the hearing results for eligibility appeals filed for subsidized Covered California coverage, Medi-Cal, or a combination of both eligibility determinations... -
Insurance Affordability Programs Eligibility Appeals
This dataset includes the number of individuals who have filed an appeal for a subsidized Covered California Qualified Health Plan (QHP), Medi-Cal, or a combination of both... -
Covered California Subsidized Qualified Health Plans (QHPs) Enrollees by Fede...
This dataset includes the number of eligible individuals selected and enrolled in a subsidized Covered California qualified health plans (QHPs) by Federal Poverty Level (FPL)... -
Covered California Enrollees by Silver Plan
This dataset includes the number of eligible individuals selected and enrolled in a Covered California Silver Plans by reporting period. Covered California offers four levels of... -
Covered California Enrollees by Metal Tier
This dataset includes the number of eligible individuals selected and enrolled in a Covered California qualified health plans (QHPs) by metal tier and by reporting period.... -
Covered California Enrollees by Rating Region
This dataset includes the number of eligible individuals selected and enrolled in a Covered California qualified health plans (QHPs) by rating region and by reporting period.... -
Qualified Health Plans (QHPs) Selected by Covered California Enrollees
This dataset provides number of eligible individuals by selected subsidized or unsubsidized qualified health plans (QHPs) through Covered California during a reporting period....
