PrecaptureMedicaid Market Intelligence
Menu

CA MEDICAID MARKET

California

procurement delayed

Next procurement no sooner than 2029

Last verified 35 days ago

Last verified 35 days ago · unknown because newest item is older than 21 days

Current procurement

PROCUREMENT

Verification tier 2

California postpones commercial Medi-Cal plan procurement until at least 2029

DHCS says the next competitive commercial Medi-Cal managed-care procurement will begin no sooner than 2029, with new contracts effective no sooner than 2031. DHCS now says current plan contracts have been extended from January 1, 2027 through December 31, 2027 under its annual renewal process.

Precapture analysis

Incumbents gain runway while challengers should shift near-term positioning toward CalAIM execution, partnerships and annual-renewal performance.

Plans in this market

Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.

Plans in this market 640
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
not reportedInnovative Integrated Health, Inc./Kernnot reported347 (2022)2.1% calculatednot reported
not reportedInnovative Integrated Health, Inc./Kernnot reported549 (2024)2.4% calculatednot reported
not reportedAlameda Alliance for Health/Alamedanot reported400,062 (2024)45.6% calculatednot reported
not reportedAlameda Alliance for Health/Alamedanot reported353,821 (2023)3.8% calculatednot reported
not reportedPositive Healthcare/Los Angelesnot reported670 (2018)100.0% calculatednot reported
show all 640
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
not reportedPositive Healthcare/Los Angelesnot reported790 (2023)100.0% calculated3 sanctions, 1 appeals resolved
not reportedAccess Dental Plan/Los Angelesnot reported119,258 (2024)28.2% calculatednot reported
not reportedAccess Dental Plan/Los Angelesnot reported169,545 (2018)40.2% calculatednot reported
not reportedAccess Dental Plan/Sacramentonot reported141,516 (2021)29.4% calculatednot reported
not reportedAccess Dental Plan/Sacramentonot reported133,615 (2018)31.5% calculatednot reported
not reportedAccess Dental Plan/Sacramentonot reported147,811 (2024)27.7% calculated5 sanctions, 566 appeals resolved
Alameda Alliance for HealthAlameda Alliance for Healthnot reported312,306 (2022)3.7% calculated6 sanctions, 860 appeals resolved
not reportedAltaMed Senior Buena Care/Orangenot reported343 (2023)1.7% calculatednot reported
not reportedAltaMed Senior Buenacare/LAnot reported4,346 (2024)19.2% calculatednot reported
not reportedAltaMed Senior Buenacare/Los Angelesnot reported3,233 (2021)24.3% calculatednot reported
not reportedAltaMed Senior Buenacare/Orangenot reported449 (2024)2.0% calculatednot reported
not reportedAltaMed Health Senior Buenacare/Los Angelesnot reported4,139 (2023)21.1% calculatednot reported
not reportedAccess Dental Plan/Los Angelesnot reported136,580 (2023)29.5% calculatednot reported
not reportedAccess Dental Plan/Sacramentonot reported176,302 (2023)28.6% calculatednot reported
not reportedCare 1st Partner Plan/San Diegonot reported84,487 (2018)7.3% calculatednot reported
not reportedBlue Shield California Promise/San Diegonot reported151,700 (2023)9.5% calculatednot reported
not reportedBlue Shield of California Promise-San Diegonot reported122,809 (2022)8.6% calculatednot reported
not reportedBlue Shield of California Promise/San Diegonot reported196,938 (2024)12.4% calculated5 sanctions, 369 appeals resolved
Blue Shield of CaliforniaBlue Shield of California Promise/San Diegonot reported108,737 (2021)8.3% calculatednot reported
Blue Shield of CaliforniaCare 1st Healthplan/San Diegonot reported85,201 (2017)7.2% calculatednot reported
not reportedBrandman Centers for Senior Care/Los Angelesnot reported361 (2024)1.6% calculatednot reported
not reportedCentral California Alliance for Health/ Mariposanot reported5,620 (2024)0.2% calculatednot reported
not reportedCentral California Alliance for Health Mercednot reported149,461 (2024)5.0% calculatednot reported
not reportedCentral California Alliance for Health/Mercednot reported153,483 (2023)5.8% calculatednot reported
not reportedCentral California Alliance for Health/Montereynot reported191,326 (2023)7.2% calculatednot reported
not reportedCentral California Alliance for Health/Santa Cruz and Montereynot reported193,497 (2024)6.5% calculated11 sanctions, 443 appeals resolved
not reportedCentral California Alliance for Health/San Benitonot reported20,645 (2024)0.7% calculatednot reported
Contra Costa Health PlanContra Costa Health Plan/Contra Costanot reported258,365 (2024)29.4% calculatednot reported
not reportedCalifornia Health and Wellness (CH&W) Plan/Imperialnot reported72,106 (2022)16.1% calculatednot reported
not reportedKaiser Permanente/Amadornot reported296 (2024)0.7% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Calaverasnot reported6,428 (2023)1.5% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Sutternot reported16,037 (2023)3.8% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Tuolumnenot reported6,978 (2023)1.6% calculatednot reported
not reportedCalifornia Health & Wellness-Region 1not reported91,748 (2022)20.5% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Buttenot reported54,666 (2023)12.9% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Colusanot reported4,896 (2023)1.2% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Glennnot reported10,261 (2023)2.4% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Plumasnot reported3,015 (2023)0.7% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Sierranot reported342 (2023)0.1% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Tehamanot reported17,157 (2023)4.0% calculatednot reported
not reportedCalifornia Health & Wellness-Region 2not reported70,594 (2022)15.7% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Alpinenot reported82 (2023)0.0% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Amadornot reported2,095 (2023)0.5% calculatednot reported
not reportedCalifornia Health and Wellness Plan/El Doradonot reported21,578 (2023)5.1% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Inyonot reported2,388 (2023)0.6% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Mariposanot reported1,292 (2023)0.3% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Mononot reported1,156 (2023)0.3% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Nevadanot reported11,381 (2023)2.7% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Placernot reported16,342 (2023)3.9% calculatednot reported
not reportedCalifornia Health and Wellness Plan/Yubanot reported13,492 (2023)3.2% calculated4 sanctions, 526 appeals resolved
not reportedCommunity Health Group- San Diegonot reported323,981 (2022)22.7% calculatednot reported
not reportedCommunity Health Group/San Diegonot reported405,072 (2024)25.6% calculated2 sanctions, 73 appeals resolved
not reportedCommunity Health Plan of Imperial Valleynot reported96,485 (2024)11.0% calculated50 appeals resolved
CVS/AetnaAetna Better Health of CA/Sacramentonot reported2,410 (2018)0.2% calculatednot reported
CVS/AetnaAetna Better Health of CA/Sacramentonot reported15,363 (2021)1.2% calculatednot reported
CVS/AetnaAetna Better Health of CA/San Diegonot reported4,659 (2018)0.4% calculatednot reported
CVS/AetnaAetna Better Health of CA/San Diegonot reported20,942 (2021)1.6% calculatednot reported
CVS/AetnaAetna Better Health- Sacramentonot reported20,686 (2022)100.0% calculatednot reported
CVS/AetnaAetna Better Health-San Diegonot reported27,074 (2022)1.9% calculatednot reported
CVS/AetnaAetna Better Health/Sacramentonot reported29,770 (2023)1.9% calculatednot reported
CVS/AetnaAetna Better Health/San Diegonot reported39,673 (2023)2.5% calculated2 sanctions, 923 appeals resolved
CalOptimaCalOPTIMA PACE/Orangenot reported438 (2022)2.6% calculatednot reported
CalOptimaCalOptima PACE/Orangenot reported501 (2024)2.2% calculatednot reported
CalOptimaCalOptima/Orangenot reported829,357 (2021)35.0% calculatednot reported
CalOptimaCalOPTIMA/Orangenot reported903,642 (2022)37.1% calculatednot reported
CalOptimaCalOptima/Orangenot reported967,062 (2023)36.5% calculatednot reported
CalOptimaCalOptima/Orangenot reported892,359 (2024)29.9% calculated4 sanctions, 2,593 appeals resolved
not reportedCalViva Health/Fresnonot reported350,145 (2024)4.0% calculatednot reported
not reportedCalViva Health Kingsnot reported38,406 (2024)0.4% calculatednot reported
not reportedCalViva Health/Kingsnot reported39,593 (2023)0.4% calculatednot reported
not reportedCalViva Health/Maderanot reported48,401 (2023)0.5% calculatednot reported
not reportedCalViva Health/Fresnonot reported312,141 (2021)4.1% calculatednot reported
not reportedCalViva Health/Kingsnot reported32,618 (2021)0.4% calculatednot reported
not reportedCalViva Health/Maderanot reported41,602 (2021)0.6% calculatednot reported
not reportedCalViva Health/Maderanot reported44,238 (2022)0.5% calculatednot reported
not reportedCalViva Health/Maderanot reported49,272 (2024)0.6% calculated5 sanctions, 791 appeals resolved
CenCal HealthCenCal - San Luis Obisponot reported65,646 (2022)100.0% calculatednot reported
CenCal HealthCenCal/San Luis Obisponot reported67,129 (2024)2.2% calculated5 sanctions, 18 appeals resolved
CenCal HealthCenCal - Santa Barbaranot reported155,034 (2022)6.4% calculatednot reported
CenCal HealthCenCal Health/Santa Barbaranot reported164,468 (2023)6.2% calculatednot reported
CenCal HealthCenCal/Santa Barbaranot reported172,391 (2024)5.8% calculated8 sanctions, 95 appeals resolved
CenCal HealthCenCal Health/San Luis Obisponot reported70,016 (2023)2.6% calculatednot reported
CenCal HealthCenCal Health/Santa Barbaranot reported143,321 (2021)6.1% calculatednot reported
CenteneCalifornia Health & Wellness Plan/Imperialnot reported67,772 (2021)16.4% calculatednot reported
CenteneCalifornia Health & Wellness Plan/Region 1not reported85,309 (2021)20.6% calculatednot reported
CenteneCalifornia Health & Wellness Plan/Region 2not reported65,769 (2021)15.9% calculatednot reported
CenteneCalifornia Health & Wellness/Alpinenot reported101 (2017)0.0% calculatednot reported
CenteneCalifornia Health & Wellness/Amadornot reported1,000 (2017)0.3% calculatednot reported
CenteneCalifornia Health & Wellness/Buttenot reported35,434 (2017)9.1% calculatednot reported
CenteneCalifornia Health & Wellness/Calaverasnot reported5,737 (2017)1.5% calculatednot reported
CenteneCalifornia Health & Wellness/Colusanot reported2,553 (2017)0.7% calculatednot reported
CenteneCalifornia Health & Wellness/El Doradonot reported19,722 (2017)5.1% calculatednot reported
CenteneCalifornia Health & Wellness/Glennnot reported5,938 (2017)1.5% calculatednot reported
CenteneCalifornia Health & Wellness/Imperialnot reported61,265 (2017)15.8% calculatednot reported
CenteneCalifornia Health & Wellness/Inyonot reported1,872 (2017)0.5% calculatednot reported
CenteneCalifornia Health & Wellness/Mariposanot reported831 (2017)0.2% calculatednot reported
CenteneCalifornia Health & Wellness/Mononot reported1,022 (2017)0.3% calculatednot reported
CenteneCalifornia Health & Wellness/Nevadanot reported7,929 (2017)2.0% calculatednot reported
CenteneCalifornia Health & Wellness/Placernot reported9,219 (2017)2.4% calculatednot reported
CenteneCalifornia Health & Wellness/Plumasnot reported2,393 (2017)0.6% calculatednot reported
CenteneCalifornia Health & Wellness/Sierranot reported216 (2017)0.1% calculatednot reported
CenteneCalifornia Health & Wellness/Sutternot reported10,351 (2017)2.7% calculatednot reported
CenteneCalifornia Health & Wellness/Tehamanot reported10,989 (2017)2.8% calculatednot reported
CenteneCalifornia Health & Wellness/Tuolumnenot reported5,823 (2017)1.5% calculatednot reported
CenteneCalifornia Health & Wellness/Yubanot reported8,876 (2017)2.3% calculatednot reported
CenteneHealth Net Community Solution/San Joaquinnot reported32,894 (2023)0.4% calculatednot reported
CenteneHealth Net Community Solutions, Inc.not reported17,488 (2024)40.3% calculated7 sanctions, 2,215 appeals resolved
CenteneHealth Net Community Solutions/Kernnot reported96,567 (2023)1.1% calculatednot reported
CenteneHealth Net Community Solutions/Los Angelesnot reported1,177,460 (2024)13.4% calculatednot reported
CenteneHealth Net Community Solutions/Sacramentonot reported147,774 (2023)9.2% calculatednot reported
CenteneHealth Net Community Solutions/San Diegonot reported103,384 (2023)6.4% calculatednot reported
CenteneHealth Net Community Solutions/Tularenot reported133,333 (2023)1.5% calculatednot reported
CenteneHealth Net Dental Plan/Los Angelesnot reported216,086 (2024)51.1% calculatednot reported
CenteneHealth Net Dental Plan/Sacramentonot reported171,490 (2024)32.1% calculatednot reported
CenteneHealth Net of California Dental/Sacramentonot reported201,588 (2023)32.7% calculatednot reported
CenteneHealth Net of California/Los Angelesnot reported233,902 (2023)50.5% calculatednot reported
CenteneHealth Net-San Diegonot reported87,282 (2022)6.1% calculatednot reported
CenteneHealth Net/Kernnot reported72,169 (2021)1.0% calculatednot reported
CenteneHealth Net/Kernnot reported84,590 (2022)1.0% calculatednot reported
CenteneHealth Net/Los Angelesnot reported990,902 (2021)13.1% calculatednot reported
CenteneHealth Net/Los Angelesnot reported1,085,246 (2022)13.0% calculatednot reported
CenteneHealth Net/Sacramentonot reported120,339 (2021)9.2% calculatednot reported
CenteneHealth Net/Sacramentonot reported131,021 (2022)9.2% calculatednot reported
CenteneHealth Net/Sacramentonot reported146,866 (2024)9.3% calculatednot reported
CenteneHealth Net/San Diegonot reported68,083 (2021)5.2% calculatednot reported
CenteneHealth Net/San Joaquinnot reported22,149 (2021)0.3% calculatednot reported
CenteneHealth Net/San Joaquinnot reported33,711 (2024)0.4% calculatednot reported
CenteneHealth Net/Stanislausnot reported62,916 (2021)0.8% calculatednot reported
CenteneHealth Net/Stanislausnot reported68,257 (2024)0.8% calculatednot reported
CenteneHealth Net/Tularenot reported116,723 (2021)1.5% calculatednot reported
CenteneHealth Net/Tularenot reported139,186 (2024)1.6% calculated3 sanctions, 1,018 appeals resolved
not reportedCenter for Elders Independence/Alamedanot reported826 (2024)3.7% calculatednot reported
not reportedCenter for Elders Independence/Contra Costanot reported337 (2024)1.5% calculatednot reported
not reportedCentral California Alliance for Health/Mercednot reported135,932 (2021)5.7% calculatednot reported
not reportedCentral California Alliance for Health/Montereynot reported157,767 (2017)7.2% calculatednot reported
not reportedCentral California Alliance for Health/Monterey Santa Cruznot reported242,621 (2021)10.2% calculatednot reported
not reportedCentral California Alliance for Health/Santa Cruznot reported69,468 (2017)3.2% calculatednot reported
not reportedFresno PACEnot reported667 (2019)7.5% calculatednot reported
not reportedSt. Paul's PACEnot reported1,444 (2024)6.4% calculatednot reported
not reportedSt. Paul's PACE/San Diegonot reported1,443 (2023)7.3% calculatednot reported
not reportedSt. Paul’s PACE/San Diegonot reported1,111 (2021)8.4% calculatednot reported
Community Health GroupCommunity Health Group Partnership Plan/San Diegonot reported258,004 (2020)22.5% calculated3 sanctions, 111 appeals resolved
Community Health GroupCommunity Health Group/San Diegonot reported285,699 (2017)24.3% calculatednot reported
Community Health GroupCommunity Health Group-San Diegonot reported293,969 (2021)22.6% calculatednot reported
not reportedConcertoHealth PACE of Los Angelesnot reported43 (2024)0.2% calculatednot reported
not reportedConcertoHealth PACE of Los Angeles/Los Angelesnot reported19 (2023)0.1% calculatednot reported
Contra Costa Health PlanContra Costa Health Plannot reported232,586 (2022)2.8% calculated14 sanctions, 456 appeals resolved
ElevanceAnthem Blue Cross Partnership / Contra Costanot reported36,447 (2022)0.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan /not reported23,308 (2022)0.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan-Region 1not reported71,882 (2022)16.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan-Region 2not reported113,855 (2022)25.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Alamedanot reported67,685 (2021)0.9% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Alamedanot reported96,390 (2023)1.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Alpinenot reported141 (2017)0.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Alpinenot reported188 (2023)0.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Alpinenot reported236 (2024)0.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Amadornot reported5,403 (2017)1.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Amadornot reported6,913 (2023)1.6% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Buttenot reported30,867 (2017)7.9% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Buttenot reported28,922 (2023)6.8% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Calaverasnot reported3,722 (2017)1.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Colusanot reported4,702 (2017)1.2% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Colusanot reported5,981 (2023)1.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Contra Costanot reported32,462 (2021)0.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/El Doradonot reported8,915 (2017)2.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/El Doradonot reported16,144 (2023)3.8% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/El Doradonot reported26,547 (2024)0.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Fresnonot reported155,552 (2024)1.8% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Glennnot reported4,023 (2017)1.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Inyonot reported1,935 (2017)0.5% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Inyonot reported3,387 (2023)0.8% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Kernnot reported33,250 (2024)0.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Kingsnot reported24,920 (2024)0.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Kingsnot reported26,005 (2023)0.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Maderanot reported28,681 (2024)0.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Maderanot reported30,780 (2023)0.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Mariposanot reported2,931 (2017)0.8% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Mononot reported1,739 (2017)0.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Mononot reported2,187 (2023)0.5% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Nevadanot reported12,546 (2017)3.2% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Nevadanot reported16,711 (2023)3.9% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Placernot reported31,107 (2017)8.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Placernot reported44,347 (2023)10.5% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Plumasnot reported2,679 (2017)0.7% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Plumasnot reported3,415 (2023)0.8% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Region 1not reported67,336 (2021)16.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Region 2not reported102,896 (2021)24.8% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Region 2not reported25,625 (2024)59.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Sacramentonot reported196,275 (2021)15.1% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/San Benitonot reported9,558 (2021)2.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/San Francisconot reported20,357 (2021)0.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/San Francisconot reported34,872 (2024)0.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Santa Claranot reported74,036 (2021)1.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Santa Claranot reported98,878 (2024)1.1% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Sierranot reported399 (2017)0.1% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Sierranot reported456 (2023)0.1% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Sutternot reported22,696 (2017)5.8% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Sutternot reported27,794 (2023)6.6% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Tehamanot reported9,497 (2017)2.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Tehamanot reported12,898 (2023)3.0% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Tularenot reported108,099 (2021)1.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Tularenot reported146,544 (2024)1.7% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Tuolumnenot reported5,120 (2017)1.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Yubanot reported16,849 (2017)4.3% calculatednot reported
ElevanceAnthem Blue Cross Partnership Plan/Yubanot reported22,880 (2023)5.4% calculatednot reported
ElevanceAnthem Blue Cross Partnership-Sacramentonot reported213,329 (2022)14.9% calculatednot reported
ElevanceAnthem Blue Cross Partnership/Glennnot reported3,386 (2023)0.8% calculatednot reported
ElevanceAnthem Blue Cross Partnership/Mariposanot reported4,667 (2023)1.1% calculatednot reported
ElevanceAnthem Blue Cross Partnership/Sacramentonot reported251,425 (2024)15.9% calculatednot reported
ElevanceAnthem Blue Cross Partnership/Tuolumnenot reported8,471 (2023)2.0% calculatednot reported
ElevanceAnthem Blue Cross Partnerships Plan/Fresnonot reported158,319 (2023)1.7% calculatednot reported
ElevanceAnthem Blue Cross/Calaverasnot reported7,276 (2023)1.7% calculatednot reported
ElevanceAnthem Blue Cross/Sacramentonot reported241,272 (2023)15.0% calculatednot reported
ElevanceAnthem Blue Cross/San Benitonot reported10,833 (2022)2.4% calculatednot reported
ElevanceAnthem Blue Cross/San Francisconot reported33,878 (2023)0.4% calculatednot reported
ElevanceAnthem Blue Cross/Santa Claranot reported98,878 (2024)1.1% calculated10 sanctions, 912 appeals resolved
ElevanceAnthem Blue Cross/Tularenot reported138,929 (2023)1.5% calculatednot reported
not reportedFamily Health Centers of San Diegonot reported150 (2021)1.1% calculatednot reported
not reportedFamily Health Centers of San Diego/San Diegonot reported311 (2023)1.6% calculatednot reported
not reportedFamily Health Centers/San Diegonot reported360 (2024)1.6% calculatednot reported
not reportedGold Coast Health Plan Venturanot reported247,849 (2024)8.3% calculatednot reported
not reportedGold Coast Health Plan/Venturanot reported254,548 (2023)9.6% calculated4 sanctions, 249 appeals resolved
Gold Coast Health PlanGold Coast Health Plan/Venturanot reported223,159 (2021)9.4% calculatednot reported
not reportedCentral PACE/San Joaquinnot reported7 (2023)0.0% calculatednot reported
not reportedCentral PACE/Stanislausnot reported249 (2023)1.3% calculatednot reported
not reportedCentral Valley PACEnot reported0 (2020)0.0% calculatednot reported
not reportedCentral Valley PACE (San Joaquin)not reported0 (2021)0.0% calculatednot reported
not reportedCentral Valley PACE (Stanislaus)not reported93 (2021)0.7% calculatednot reported
not reportedCentral Valley PACE/ Stanislausnot reported382 (2024)1.7% calculatednot reported
not reportedCentral Valley PACE/San Joaquinnot reported20 (2024)0.1% calculatednot reported
not reportedCentral Valley PACE/Stanislausnot reported166 (2022)1.0% calculatednot reported
Health Plan of San JoaquinHealth Plan of San Joaquin/San Joaquinnot reported279,026 (2023)3.0% calculatednot reported
not reportedHealth Plan of San Joaquin/Stanislausnot reported178,081 (2023)1.9% calculatednot reported
not reportedHealth Plan of San Mateonot reported145,223 (2024)4.9% calculated3 sanctions, 232 appeals resolved
Health Plan of San JoaquinHealth Plan of San Joaquin/San Joaquinnot reported242,120 (2024)2.8% calculatednot reported
Health Plan of San JoaquinHealth Plan of San Joaquin/Stanislausnot reported169,954 (2024)1.9% calculated6 sanctions, 355 appeals resolved
not reportedHealth Plan of San Mateonot reported119,748 (2021)5.1% calculatednot reported
not reportedHealth Plan of San Mateo CCS Demonot reported0 (2018)not reportednot reported
not reportedHealth Net Community Solutions/Stanislausnot reported73,855 (2023)0.8% calculatednot reported
not reportedHumboldt Senior Resource Center, Inc./Humboldtnot reported304 (2024)1.3% calculatednot reported
not reportedHumboldt Senior Resource Center, Inc./Humboldtnot reported247 (2023)1.3% calculatednot reported
not reportedRedwood Coast PACE/Humboldtnot reported123 (2017)1.8% calculatednot reported
not reportedRedwood Coast Pace/Humboldtnot reported219 (2021)1.6% calculatednot reported
Inland Empire Health PlanInland Empire Health Plan/Riversidenot reported848,930 (2023)9.2% calculatednot reported
Inland Empire Health PlanInland Empire Health Plan/San Bernadinonot reported839,032 (2023)9.1% calculatednot reported
Inland Empire Health PlanInland Empire Health Plan/Riversidenot reported766,890 (2024)8.7% calculatednot reported
Inland Empire Health PlanInland Empire Health Plan/San Bernardinonot reported725,812 (2024)8.3% calculated7 sanctions, 2,853 appeals resolved
not reportedInnovAge California PACE/El Doradonot reported0 (2022)0.0% calculatednot reported
not reportedInnovAge PACE/El Doradonot reported2 (2023)0.0% calculatednot reported
not reportedInnovAge PACE/Placernot reported11 (2023)0.1% calculatednot reported
not reportedInnovAge PACE/Riversidenot reported379 (2024)1.7% calculatednot reported
not reportedInnovAge PACE/Sacramentonot reported126 (2023)0.6% calculatednot reported
not reportedInnovAge PACE/San Bernadinonot reported914 (2023)4.7% calculatednot reported
not reportedInnovAge PACE/San Bernardinonot reported313 (2017)4.6% calculatednot reported
not reportedInnovAge PACE/San Bernardino Countynot reported916 (2024)4.1% calculatednot reported
not reportedInnovAge PACE/Sutternot reported1 (2023)0.0% calculatednot reported
not reportedInnovAge PACE/Yubanot reported1 (2023)0.0% calculatednot reported
not reportedInnovAge California PACE/El Doradonot reported8 (2024)0.0% calculatednot reported
not reportedInnovAge California PACE/ Sacramentonot reported143 (2022)0.9% calculatednot reported
not reportedInnovAge California PACE/Placernot reported32 (2024)0.1% calculatednot reported
not reportedInnovAge California PACE/Sacramentonot reported312 (2024)1.4% calculatednot reported
not reportedInnovAge California PACE/San Joaquinnot reported1 (2024)0.0% calculatednot reported
not reportedInnovAge California PACE/Sutternot reported7 (2024)0.0% calculatednot reported
not reportedInnovAge California PACE/Yubanot reported3 (2024)0.0% calculatednot reported
not reportedInnovAge California PACE- El Doradonot reported0 (2020)0.0% calculatednot reported
not reportedInnovAge California PACE- Placernot reported1 (2020)0.0% calculatednot reported
not reportedInnovAge California PACE- Sacramento (Placer)not reported0 (2021)0.0% calculatednot reported
not reportedInnovAge California PACE Sacramento (San Joaquin)not reported0 (2021)0.0% calculatednot reported
not reportedInnovAge California PACE- Sacramentonot reported10 (2020)0.1% calculatednot reported
not reportedInnovAge California PACE- Sacramento (El Dorado)not reported0 (2021)0.0% calculatednot reported
not reportedInnovAge California PACE- Sacramento (Sutter)not reported0 (2021)0.0% calculatednot reported
not reportedInnovAge California PACE- Sacramento (Yuba)not reported1 (2021)0.0% calculatednot reported
not reportedInnovAge California PACE- Sacramento- Sacnot reported146 (2021)1.1% calculatednot reported
not reportedInnovAge California PACE- San Joaquinnot reported0 (2020)0.0% calculatednot reported
not reportedInnovAge California PACE- Sutternot reported0 (2020)0.0% calculatednot reported
not reportedInnovAge California PACE- Yubanot reported0 (2020)0.0% calculatednot reported
not reportedInnovative Integrated Health PACE/Orangenot reported165 (2024)0.7% calculatednot reported
not reportedBakersfield PACEnot reported0 (2020)0.0% calculatednot reported
not reportedBakersfield PACE (Kern)not reported187 (2021)1.4% calculatednot reported
not reportedBakersfield PACE (Tulare)not reported0 (2021)0.0% calculatednot reported
not reportedFresno PACEnot reported854 (2020)7.8% calculatednot reported
not reportedFresno PACEnot reported978 (2021)7.4% calculatednot reported
not reportedInnovative Integrated Health PACE/Orangenot reported100 (2023)0.5% calculatednot reported
not reportedInnovative Integrated Health, Inc. dba Bakersfield PACE/Kernnot reported483 (2023)2.5% calculatednot reported
not reportedInnovative Integrated Health, Inc. dba Bakersfield PACE/Tularenot reported1 (2023)0.0% calculatednot reported
not reportedInnovative Integrated Health, Inc./Fresnonot reported1,211 (2024)5.4% calculatednot reported
not reportedInnovative Integrated Health, Inc./Tularenot reported1 (2024)0.0% calculatednot reported
not reportedKP Cal LLC-Placernot reported10,612 (2021)0.8% calculatednot reported
Kaiser PermanenteKP Cal LLC-Amadornot reported187 (2021)0.0% calculatednot reported
Kaiser PermanenteKP Cal LLC-El Doradonot reported2,748 (2021)0.2% calculatednot reported
Kaiser PermanenteKP Cal LLC/Amadornot reported123 (2020)0.0% calculatednot reported
Kaiser PermanenteKP Cal LLC/El Doradonot reported2,258 (2020)0.6% calculatednot reported
Kaiser PermanenteKP Cal LLC/Placernot reported8,762 (2020)2.3% calculatednot reported
Kaiser PermanenteKP Cal LLC/Sacramentonot reported103,268 (2021)7.9% calculatednot reported
Kaiser PermanenteKP Cal LLC/San Diegonot reported59,262 (2021)4.5% calculatednot reported
Kaiser PermanenteKaiser Foundation/Sacramentonot reported114,244 (2022)8.0% calculatednot reported
Kaiser PermanenteKaiser Foundation/Sacramentonot reported132,688 (2024)8.4% calculated4 sanctions, 613 appeals resolved
Kaiser PermanenteKaiser Permanente/ Alamedanot reported68,249 (2024)7.8% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Contra Costanot reported54,509 (2024)6.2% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Marinnot reported6,808 (2024)0.2% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Mariposanot reported8 (2024)0.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Napanot reported7,478 (2024)0.3% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Orangenot reported67,923 (2024)2.3% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Placernot reported17,552 (2024)0.6% calculatednot reported
Kaiser PermanenteKaiser Permanente/ San Mateonot reported14,944 (2024)0.5% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Santa Cruznot reported386 (2024)0.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Solanonot reported37,239 (2024)1.2% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Sonomanot reported25,414 (2024)0.9% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Sutternot reported24 (2024)0.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Venturanot reported7,774 (2024)0.3% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Yolonot reported5,653 (2024)0.2% calculatednot reported
Kaiser PermanenteKaiser Permanente/ Yubanot reported626 (2024)0.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/Amadornot reported287 (2023)0.1% calculatednot reported
Kaiser PermanenteKaiser Permanente/El Doradonot reported3,396 (2023)0.8% calculatednot reported
Kaiser PermanenteKaiser Permanente/El Doradonot reported3,950 (2024)0.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/Fresnonot reported6,296 (2024)0.1% calculatednot reported
Kaiser PermanenteKaiser Permanente/Imperialnot reported15 (2024)0.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/Kernnot reported20,108 (2024)0.2% calculatednot reported
Kaiser PermanenteKaiser Permanente/Kingsnot reported113 (2024)0.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/Los Angelesnot reported589,634 (2024)6.7% calculatednot reported
Kaiser PermanenteKaiser Permanente/Maderanot reported1,053 (2024)0.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/Placernot reported14,531 (2023)3.4% calculatednot reported
Kaiser PermanenteKaiser Permanente/Riversidenot reported85,162 (2024)1.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/Sacramentonot reported131,156 (2023)8.2% calculatednot reported
Kaiser PermanenteKaiser Permanente/San Bernardinonot reported91,179 (2024)1.0% calculatednot reported
Kaiser PermanenteKaiser Permanente/San Diegonot reported73,108 (2023)4.6% calculatednot reported
Kaiser PermanenteKaiser Permanente/San Francisconot reported20,495 (2024)0.2% calculatednot reported
Kaiser PermanenteKaiser Permanente/San Joaquinnot reported23,954 (2024)0.3% calculated8 sanctions, 2 appeals resolved
Kaiser PermanenteKaiser Permanente/Santa Claranot reported44,693 (2024)0.5% calculatednot reported
Kaiser PermanenteKaiser Permanente/Stanislausnot reported5,732 (2024)0.1% calculatednot reported
Kaiser PermanenteKaiser Permanente/Tularenot reported39 (2024)0.0% calculated4 sanctions, 207 appeals resolved
Kaiser PermanenteKaiser-San Diegonot reported65,418 (2022)4.6% calculatednot reported
Kaiser PermanenteKaiser/Amadornot reported89 (2017)0.0% calculatednot reported
Kaiser PermanenteKaiser/Amadornot reported249 (2022)0.0% calculatednot reported
Kaiser PermanenteKaiser/El Doradonot reported1,876 (2017)0.5% calculatednot reported
Kaiser PermanenteKaiser/El Doradonot reported3,038 (2022)0.2% calculatednot reported
Kaiser PermanenteKaiser/Placernot reported6,603 (2017)1.7% calculatednot reported
Kaiser PermanenteKaiser/Placernot reported12,198 (2022)0.9% calculatednot reported
Kaiser PermanenteKaiser/Sacramentonot reported84,842 (2017)7.2% calculatednot reported
Kaiser PermanenteKaiser/San Diegonot reported52,911 (2017)4.5% calculatednot reported
Kaiser PermanenteKaiser/San Diegonot reported75,242 (2024)4.8% calculatednot reported
not reportedKern Health System/Kernnot reported372,618 (2023)4.1% calculated2 sanctions, 1,700 appeals resolved
not reportedKern Family Health Carenot reported402,077 (2024)4.6% calculated3 sanctions, 1,332 appeals resolved
L.A. CareL.A. Care Health Plannot reported2,056,248 (2017)29.3% calculated6 sanctions, 3,802 appeals resolved
L.A. CareL.A. Care Health Plan/ Los Angelesnot reported2,359,500 (2024)26.8% calculatednot reported
L.A. CareL.A. Care Health Plan/Los Angelesnot reported2,272,892 (2021)30.1% calculatednot reported
L.A. CareLA Care Health Plan/Los Angelesnot reported2,518,426 (2022)30.2% calculatednot reported
L.A. CareL.A. Care Health Plan/Los Angelesnot reported2,739,629 (2023)29.8% calculatednot reported
not reportedLIBERTY Dental Plan/Los Angelesnot reported71,016 (2021)17.6% calculatednot reported
not reportedLIBERTY Dental Plan/Sacramentonot reported185,156 (2021)38.4% calculatednot reported
not reportedLiberty Dental Plan of CA/Los Angelesnot reported92,245 (2023)19.9% calculatednot reported
not reportedLiberty Dental Plan of CA/Sacramentonot reported237,755 (2023)38.6% calculatednot reported
not reportedLiberty Dental Plan/Los Angelesnot reported87,881 (2024)20.8% calculatednot reported
not reportedLiberty Dental Plan/Sacramentonot reported214,328 (2024)40.2% calculated1 sanctions, 1,447 appeals resolved
not reportedMountain Valley Health Plan/Alpinenot reported36 (2024)0.0% calculatednot reported
not reportedMountain Valley Health Plan/El Doradonot reported8,478 (2024)0.1% calculatednot reported
MolinaMolina Healthcare of CA Partner Plan-Sacramentonot reported57,626 (2022)4.0% calculatednot reported
MolinaMolina Healthcare of CA Partner Plan-San Diegonot reported239,980 (2022)16.8% calculatednot reported
MolinaMolina Healthcare of CA Partner Plan/Imperialnot reported14,378 (2020)3.7% calculatednot reported
MolinaMolina Healthcare of CA Partner Plan/Riversidenot reported114,560 (2024)1.3% calculatednot reported
MolinaMolina Healthcare of CA Partner Plan/Sacramentonot reported53,171 (2021)4.1% calculatednot reported
MolinaMolina Healthcare of CA Partner Plan/Sacramentonot reported73,342 (2024)4.6% calculatednot reported
MolinaMolina Healthcare of CA Partner Plan/San Bernardinonot reported34,872 (2024)0.4% calculatednot reported
MolinaMolina Healthcare of CA Partner Plan/San Diegonot reported225,399 (2021)17.3% calculatednot reported
MolinaMolina Healthcare of CA Partner Plan/San Diegonot reported300,655 (2024)19.0% calculatednot reported
MolinaMolina Healthcare of CA-Imperialnot reported15,620 (2021)3.8% calculatednot reported
MolinaMolina Healthcare of California/Imperialnot reported17,285 (2022)3.9% calculatednot reported
MolinaMolina Healthcare of California/Riversidenot reported117,775 (2023)1.3% calculatednot reported
MolinaMolina Healthcare of California/Sacramentonot reported62,608 (2023)3.9% calculatednot reported
MolinaMolina Healthcare of California/San Bernadinonot reported112,836 (2023)1.2% calculatednot reported
MolinaMolina Healthcare of California/San Diegonot reported264,016 (2023)16.5% calculated9 sanctions, 1,374 appeals resolved
MolinaMolina Healthcare/Imperialnot reported15,622 (2017)4.0% calculatednot reported
MolinaMolina Healthcare/Riversidenot reported90,487 (2017)1.3% calculatednot reported
MolinaMolina Healthcare/Sacramentonot reported60,362 (2017)5.1% calculatednot reported
MolinaMolina Healthcare/San Bernardinonot reported78,153 (2017)1.1% calculatednot reported
MolinaMolina Healthcare/San Diegonot reported231,047 (2017)19.6% calculatednot reported
not reportedNeighborhood Healthcare PACE/Riversidenot reported152 (2024)0.7% calculatednot reported
not reportedNeighborhood Healthcare PACE/San Bernadinonot reported55 (2023)0.3% calculatednot reported
not reportedNeighborhood Healthcare PACE/San Bernardinonot reported80 (2024)0.4% calculatednot reported
not reportedNeighborhood PACE (Riverside)not reported0 (2021)0.0% calculatednot reported
not reportedNeighborhood PACE (San Bernardino)not reported0 (2021)0.0% calculatednot reported
not reportedAgeWell PACE/Marinnot reported6 (2023)0.0% calculatednot reported
not reportedAgeWell PACE/Sonomanot reported1 (2023)0.0% calculatednot reported
not reportedNorth East Medical Servicesnot reported24 (2021)0.2% calculatednot reported
not reportedNorth East Medical Services PACEnot reported150 (2024)0.7% calculatednot reported
not reportedNorth East Medical Services PACE/San Francisconot reported111 (2023)0.6% calculatednot reported
not reportedOn Lok Lifeways/Santa Claranot reported225 (2017)3.3% calculatednot reported
not reportedOn Lok Lifeways/Alamedanot reported381 (2024)1.7% calculatednot reported
not reportedOn Lok Lifeways/San Francisconot reported1,102 (2024)4.9% calculatednot reported
not reportedOn Lok Lifeways/Santa Claranot reported448 (2024)2.0% calculatednot reported
not reportedOn Lok Senior Health Services/Alamedanot reported358 (2023)1.8% calculatednot reported
not reportedOn Lok Senior Health Services/San Francisconot reported1,055 (2023)5.4% calculatednot reported
not reportedAgeWell PACE Marinnot reported7 (2024)0.0% calculatednot reported
not reportedCentral Valley PACE/Mercednot reported8 (2024)0.0% calculatednot reported
not reportedProvidence PACE/Napanot reported39 (2024)0.2% calculatednot reported
not reportedLoma Linda University Health PACE/Riversidenot reported7 (2024)0.0% calculatednot reported
not reportedLoma Linda University Health PACE/San Bernardinonot reported25 (2024)0.1% calculatednot reported
not reportedProvidence PACE/Solanonot reported3 (2024)0.0% calculatednot reported
not reportedAgeWell PACE Sonomanot reported59 (2024)0.3% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CAnot reported84,632 (2024)2.8% calculatednot reported
not reportedPartnership HealthPlan California/Trinitynot reported5,882 (2023)0.2% calculated3 sanctions, 1 appeals resolved
not reportedPartnership HealthPlan of CA/Northeastnot reported103,734 (2024)3.5% calculatednot reported
not reportedPartnership HealthPlan of California/Lassennot reported9,292 (2023)0.4% calculated9 sanctions
not reportedPartnership HealthPlan of California/Modocnot reported4,288 (2023)0.2% calculated7 sanctions
not reportedPartnership HealthPlan of California/Shastanot reported73,729 (2023)2.8% calculated9 sanctions, 1 appeals resolved
not reportedPartnership HealthPlan of California/Siskiyounot reported19,886 (2023)0.8% calculated7 sanctions
not reportedPartnership HealthPlan of CA/Northwestnot reported70,870 (2024)2.4% calculatednot reported
not reportedPartnership HealthPlan of California/Del Nortenot reported12,999 (2023)0.5% calculated3 sanctions, 2 appeals resolved
not reportedPartnership HealthPlan of California/Humboldtnot reported62,523 (2023)2.4% calculatednot reported
not reportedPartnership HP of CA/ Southeastnot reported167,214 (2022)6.9% calculatednot reported
not reportedPartnership HealthPlan of CA/Southeastnot reported128,389 (2024)4.3% calculatednot reported
not reportedPartnership HealthPlan of California/Napanot reported36,070 (2023)1.4% calculatednot reported
not reportedPartnership HealthPlan of California/Solanonot reported141,671 (2023)5.3% calculatednot reported
not reportedPartnership HealthPlan of California/Yolonot reported63,992 (2023)2.4% calculatednot reported
not reportedPartnership HealthPlan California/Lakenot reported35,910 (2023)1.4% calculated2 sanctions, 1 appeals resolved
not reportedPartnership HealthPlan of CA - Southwestnot reported250,328 (2022)10.3% calculatednot reported
not reportedPartnership HealthPlan of CA/Southwestnot reported232,181 (2024)7.8% calculated5 sanctions, 2,275 appeals resolved
not reportedPartnership HealthPlan of California/Marinnot reported52,565 (2023)2.0% calculatednot reported
not reportedPartnership HealthPlan of California/Mendocinonot reported42,496 (2023)1.6% calculated9 sanctions
not reportedPartnership HealthPlan of California/Sonomanot reported135,067 (2023)5.1% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership Health Plan/Southeastnot reported190,266 (2020)8.8% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership Health Plan/Southwestnot reported211,059 (2020)9.8% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Del Nortenot reported11,428 (2017)0.5% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Humboldtnot reported52,162 (2017)2.4% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Lakenot reported30,671 (2017)1.4% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Lassennot reported7,480 (2017)0.3% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Marinnot reported39,582 (2017)1.8% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Mendocinonot reported37,987 (2017)1.7% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Modocnot reported3,052 (2017)0.1% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Napanot reported28,732 (2017)1.3% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Northeastnot reported101,534 (2021)4.3% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Northwestnot reported69,376 (2021)2.9% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Shastanot reported59,639 (2017)2.7% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Siskiyounot reported17,696 (2017)0.8% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Solanonot reported110,849 (2017)5.1% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Sonomanot reported113,544 (2017)5.2% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Trinitynot reported4,399 (2017)0.2% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan of CA/Yolonot reported53,783 (2017)2.5% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan/Southeastnot reported209,555 (2021)8.9% calculatednot reported
Partnership HealthPlan of CaliforniaPartnership HealthPlan/Southwestnot reported232,085 (2021)9.8% calculatednot reported
not reportedMyPlace Health PACE/Los Angelesnot reported33 (2024)0.1% calculatednot reported
not reportedProvidence PACE/Napanot reported10 (2023)0.1% calculatednot reported
not reportedRady Children’s Hospital San Diego (RCHSD)not reported384 (2021)100.0% calculatednot reported
not reportedSCAN Health Plan - Los Angelesnot reported10,004 (2022)100.0% calculatednot reported
not reportedSCAN Health Plan/Los Angelesnot reported12,111 (2024)63.0% calculatednot reported
not reportedSCAN Health Plan/San Diegonot reported1,361 (2024)7.1% calculated3 sanctions, 6 appeals resolved
not reportedSCAN Health Plan/Riversidenot reported519 (2023)4.1% calculatednot reported
not reportedSCAN Health Plan/San Bernadinonot reported352 (2023)2.8% calculatednot reported
not reportedSCAN Health Plan (Nurs hm cert)/Los Angelesnot reported1,596 (2018)12.1% calculatednot reported
not reportedSCAN Health Plan (Nurs hm cert)/Riversidenot reported531 (2018)4.0% calculatednot reported
not reportedSCAN Health Plan (Nurs hm cert)/San Bernardinonot reported328 (2018)2.5% calculatednot reported
not reportedSCAN Health Plan Riverside/San Bernardinonot reported4,293 (2021)30.0% calculatednot reported
not reportedSCAN Health Plan/Los Angelesnot reported10,013 (2021)70.0% calculatednot reported
not reportedSCAN Health Plan/Riversidenot reported2,000 (2018)15.1% calculatednot reported
not reportedSCAN Health Plan/San Bernardinonot reported1,327 (2018)10.0% calculatednot reported
not reportedSCAN Health Plan - San Bernardinonot reported4,461 (2022)100.0% calculatednot reported
not reportedSCAN Health Plan/San Bernardinonot reported5,767 (2024)30.0% calculatednot reported
not reportedSanta Clara Family Health Plan/Santa Claranot reported335,046 (2023)3.6% calculatednot reported
not reportedSan Francisco Health Plan/San Francisconot reported194,673 (2023)2.1% calculatednot reported
not reportedSan Diego PACEnot reported1,590 (2021)12.0% calculatednot reported
not reportedSan Diego PACE/San Diegonot reported2,839 (2024)12.6% calculatednot reported
not reportedFamily Mosaic Project/San Francisconot reported7 (2020)100.0% calculatednot reported
San Francisco Health PlanFamily Mosaic Project/San Francisconot reported32 (2018)100.0% calculatednot reported
San Francisco Health PlanSan Francisco Health Plannot reported176,670 (2024)2.0% calculated14 sanctions, 353 appeals resolved
Santa Clara Family Health PlanSanta Clara Family Health Plannot reported292,148 (2024)3.3% calculated4 sanctions, 325 appeals resolved
not reportedSutter SeniorCare PACE/Sacramentonot reported507 (2024)2.2% calculatednot reported
not reportedSutter SeniorCare/Sacramentonot reported458 (2023)2.3% calculatednot reported
not reportedSutter SeniorCare PACE/Sacramentonot reported432 (2020)4.0% calculatednot reported
not reportedInnovAge PACE/Riversidenot reported245 (2020)2.2% calculatednot reported
not reportedInnovAge PACE/San Bernardino Countynot reported662 (2020)6.1% calculatednot reported
UnitedHealthUnited Health Care- San Diegonot reported30,763 (2022)2.2% calculatednot reported
UnitedHealthUnitedHealthcare Community Plan/Sacramentonot reported4,904 (2018)0.4% calculatednot reported
UnitedHealthUnitedHealthcare Community Plan/San Diegonot reported24,133 (2021)1.9% calculatednot reported
not reportedCoastline PACEnot reported137 (2021)1.0% calculatednot reported
not reportedCostline PACE/LAnot reported290 (2022)1.7% calculatednot reported
not reportedPacific PACE/Los Angelesnot reported346 (2022)2.1% calculatednot reported
not reportedSequioa PACE/Fresnonot reported374 (2022)2.3% calculatednot reported
not reportedSequioa PACE/Kingsnot reported4 (2022)0.0% calculatednot reported
not reportedSequioa PACE/Maderanot reported11 (2022)0.1% calculatednot reported
not reportedSequioa PACE/Tularenot reported12 (2022)0.1% calculatednot reported
not reportedSequoia PACEnot reported0 (2020)0.0% calculatednot reported
not reportedSequoia PACE (Fresno)not reported0 (2021)0.0% calculatednot reported
not reportedSequoia PACE (Kings)not reported0 (2021)0.0% calculatednot reported
not reportedSequoia PACE (Tulare)not reported0 (2021)0.0% calculatednot reported
not reportedSequoia PACE(Madera)not reported0 (2021)0.0% calculatednot reported
not reportedStockton PACE/San Joaquinnot reported434 (2022)2.6% calculatednot reported
not reportedStockton PACE/Stanislausnot reported83 (2022)0.5% calculatednot reported
not reportedLA Coast Coastline PACE/LAnot reported556 (2024)2.5% calculatednot reported
not reportedLA Coast PACE/Los Angelesnot reported445 (2023)2.3% calculatednot reported
not reportedPacific PACE/Los Angelesnot reported919 (2024)4.1% calculatednot reported
not reportedSequioa PACE /Kingsnot reported11 (2024)0.0% calculatednot reported
not reportedSequioa PACE/Fresnonot reported751 (2024)3.3% calculatednot reported
not reportedSequioa PACE/Maderanot reported45 (2024)0.2% calculatednot reported
not reportedSequioa PACE/Tularenot reported26 (2024)0.1% calculatednot reported
not reportedSequoia PACE/Fresnonot reported628 (2023)3.2% calculatednot reported
not reportedSequoia PACE/Kingsnot reported8 (2023)0.0% calculatednot reported
not reportedSequoia PACE/Maderanot reported28 (2023)0.1% calculatednot reported
not reportedSequoia PACE/Tularenot reported22 (2023)0.1% calculatednot reported
not reportedStockton PACE/San Joaquinnot reported677 (2024)3.0% calculatednot reported
not reportedStockton PACE/Stanislausnot reported321 (2024)1.4% calculatednot reported
not reportedWelbeHealth Bay Area PACE/Santa Claranot reported91 (2024)0.4% calculatednot reported
not reportedGary and Mary West PACE of N. San Diego/San Diegonot reported334 (2023)1.7% calculatednot reported
not reportedGary and Mary West PACE of Northern San Diegonot reported393 (2024)1.7% calculatednot reported
not reportedAccess Dental Plan/Los Angelesnot reported222,140 (2016)42.9% calculatednot reported
not reportedAccess Dental Plan/Sacramentonot reported143,408 (2016)33.2% calculatednot reported
not reportedAlameda Alliance for Healthnot reported257,935 (2016)3.8% calculatednot reported
not reportedAlta Med Health Senior Buenacare/Los Angelesnot reported2,006 (2016)33.1% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Alamedanot reported62,386 (2016)0.9% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Alpinenot reported147 (2016)0.0% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Amadornot reported5,413 (2016)1.4% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Buttenot reported31,074 (2016)8.1% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Calaverasnot reported3,449 (2016)0.9% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Colusanot reported4,691 (2016)1.2% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Contra Costanot reported29,627 (2016)0.4% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/El Doradonot reported8,902 (2016)2.3% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Fresnonot reported111,499 (2016)1.6% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Glennnot reported4,261 (2016)1.1% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Inyonot reported1,993 (2016)0.5% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Kingsnot reported19,593 (2016)0.3% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Maderanot reported19,359 (2016)0.3% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Mariposanot reported2,937 (2016)0.8% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Mononot reported1,693 (2016)0.4% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Nevadanot reported12,998 (2016)3.4% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Placernot reported31,756 (2016)8.3% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Plumasnot reported2,517 (2016)0.7% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Sacramentonot reported177,117 (2016)15.4% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/San Benitonot reported7,766 (2016)2.0% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/San Francisconot reported21,129 (2016)0.3% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Santa Claranot reported75,629 (2016)1.1% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Sierranot reported357 (2016)0.1% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Sutternot reported21,851 (2016)5.7% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Tehamanot reported9,709 (2016)2.5% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Tularenot reported94,547 (2016)1.4% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Tuolumnenot reported5,075 (2016)1.3% calculatednot reported
not reportedAnthem Blue Cross Partnership Plan/Yubanot reported15,986 (2016)4.2% calculatednot reported
not reportedBrandman Centers for Senior Care/Los Angelesnot reported186 (2016)3.1% calculatednot reported
not reportedCalOPTIMAnot reported777,443 (2016)35.3% calculatednot reported
not reportedCalOPTIMA PACE/Orangenot reported175 (2016)2.9% calculatednot reported
not reportedCalViva Health/Fresnonot reported295,439 (2016)4.3% calculatednot reported
not reportedCalViva Health/Kingsnot reported26,135 (2016)0.4% calculatednot reported
not reportedCalViva Health/Maderanot reported35,163 (2016)0.5% calculatednot reported
not reportedCalifornia Health & Wellness/Alpinenot reported123 (2016)0.0% calculatednot reported
not reportedCalifornia Health & Wellness/Amadornot reported1,059 (2016)0.3% calculatednot reported
not reportedCalifornia Health & Wellness/Buttenot reported35,023 (2016)9.1% calculatednot reported
not reportedCalifornia Health & Wellness/Calaverasnot reported6,231 (2016)1.6% calculatednot reported
not reportedCalifornia Health & Wellness/Colusanot reported2,424 (2016)0.6% calculatednot reported
not reportedCalifornia Health & Wellness/El Doradonot reported19,340 (2016)5.0% calculatednot reported
not reportedCalifornia Health & Wellness/Glennnot reported5,461 (2016)1.4% calculatednot reported
not reportedCalifornia Health & Wellness/Imperialnot reported58,917 (2016)15.3% calculatednot reported
not reportedCalifornia Health & Wellness/Inyonot reported2,023 (2016)0.5% calculatednot reported
not reportedCalifornia Health & Wellness/Mariposanot reported981 (2016)0.3% calculatednot reported
not reportedCalifornia Health & Wellness/Mononot reported970 (2016)0.3% calculatednot reported
not reportedCalifornia Health & Wellness/Nevadanot reported7,879 (2016)2.1% calculatednot reported
not reportedCalifornia Health & Wellness/Placernot reported10,211 (2016)2.7% calculatednot reported
not reportedCalifornia Health & Wellness/Sierranot reported220 (2016)0.1% calculatednot reported
not reportedCalifornia Health & Wellness/Sutternot reported10,954 (2016)2.9% calculatednot reported
not reportedCalifornia Health & Wellness/Tehamanot reported11,025 (2016)2.9% calculatednot reported
not reportedCalifornia Health & Wellness/Tuolumnenot reported6,137 (2016)1.6% calculatednot reported
not reportedCalifornia Health & Wellness/Yubanot reported9,074 (2016)2.4% calculatednot reported
not reportedCare 1st Healthplan/San Diegonot reported78,252 (2016)6.8% calculatednot reported
not reportedCenCal/San Luis Obisponot reported56,162 (2016)2.6% calculatednot reported
not reportedCenCal/Santa Barbaranot reported122,333 (2016)5.6% calculatednot reported
not reportedCenter for Elders Independence/Alamedanot reported617 (2016)10.2% calculatednot reported
not reportedCenter for Elders Independence/Contra Costanot reported68 (2016)1.1% calculatednot reported
not reportedCentral California Alliance for Health/Mercednot reported126,274 (2016)5.7% calculatednot reported
not reportedCentral California Alliance for Health/Montereynot reported154,383 (2016)7.0% calculatednot reported
not reportedCentral California Alliance for Health/Santa Cruznot reported70,468 (2016)3.2% calculatednot reported
not reportedCentral Valley Medical Services/Fresnonot reported255 (2016)4.2% calculatednot reported
not reportedCommunity Health Group/San Diegonot reported278,604 (2016)24.3% calculatednot reported
not reportedContra Costa Health Plannot reported182,138 (2016)2.7% calculatednot reported
not reportedFamily Mosaic Project/San Francisconot reported25 (2016)100.0% calculatednot reported
not reportedGold Coast Health Plannot reported209,032 (2016)9.5% calculatednot reported
not reportedHealth Net Dental/Los Angelesnot reported223,094 (2016)43.1% calculatednot reported
not reportedHealth Net Dental/Sacramentonot reported130,672 (2016)30.3% calculatednot reported
not reportedHealth Net/Kernnot reported78,463 (2016)1.2% calculatednot reported
not reportedHealth Net/Los Angelesnot reported1,020,862 (2016)15.0% calculatednot reported
not reportedHealth Net/Sacramentonot reported124,304 (2016)10.8% calculatednot reported
not reportedHealth Net/San Diegonot reported74,807 (2016)6.5% calculatednot reported
not reportedHealth Net/San Joaquinnot reported25,255 (2016)0.4% calculatednot reported
not reportedHealth Net/Stanislausnot reported75,389 (2016)1.1% calculatednot reported
not reportedHealth Net/Tularenot reported111,388 (2016)1.6% calculatednot reported
not reportedHealth Plan of San Joaquin/San Joaquinnot reported217,146 (2016)3.2% calculatednot reported
not reportedHealth Plan of San Joaquin/Stanislausnot reported119,266 (2016)1.7% calculatednot reported
not reportedHealth Plan of San Mateonot reported113,147 (2016)5.1% calculatednot reported
not reportedHealth Plan of San Mateo CCS Demonot reported1,651 (2016)100.0% calculatednot reported
not reportedInland Empire Health Plan/Riversidenot reported584,529 (2016)8.6% calculatednot reported
not reportedInland Empire Health Plan/San Bernardinonot reported594,657 (2016)8.7% calculatednot reported
not reportedInnovage PACE/Riversidenot reported79 (2016)1.3% calculatednot reported
not reportedInnovage PACE/San Bernardinonot reported190 (2016)3.1% calculatednot reported
not reportedKaiser/Amadornot reported75 (2016)0.0% calculatednot reported
not reportedKaiser/El Doradonot reported1,538 (2016)0.4% calculatednot reported
not reportedKaiser/Placernot reported5,669 (2016)1.5% calculatednot reported
not reportedKaiser/Sacramentonot reported80,411 (2016)7.0% calculatednot reported
not reportedKaiser/San Diegonot reported52,649 (2016)4.6% calculatednot reported
not reportedKern Health Systemsnot reported235,170 (2016)3.4% calculatednot reported
not reportedLA Carenot reported1,961,103 (2016)28.8% calculatednot reported
not reportedLiberty Dental Plan/Los Angelesnot reported72,397 (2016)14.0% calculatednot reported
not reportedLiberty Dental Plan/Sacramentonot reported157,880 (2016)36.5% calculatednot reported
not reportedMolina Healthcare/Imperialnot reported16,298 (2016)4.2% calculatednot reported
not reportedMolina Healthcare/Riversidenot reported86,633 (2016)1.3% calculatednot reported
not reportedMolina Healthcare/Sacramentonot reported61,014 (2016)5.3% calculatednot reported
not reportedMolina Healthcare/San Bernardinonot reported81,546 (2016)1.2% calculatednot reported
not reportedMolina Healthcare/San Diegonot reported220,190 (2016)19.2% calculatednot reported
not reportedMultiple Primary Care Providersnot reported771 (2016)100.0% calculatednot reported
not reportedONLOK Lifeways/Alamedanot reported214 (2016)3.5% calculatednot reported
not reportedONLOK Lifeways/San Francisconot reported994 (2016)16.4% calculatednot reported
not reportedONLOK Lifeways/Santa Claranot reported244 (2016)4.0% calculatednot reported
not reportedPartnership HealthPlan of CA/Del Nortenot reported11,369 (2016)0.5% calculatednot reported
not reportedPartnership HealthPlan of CA/Humboldtnot reported51,838 (2016)2.4% calculatednot reported
not reportedPartnership HealthPlan of CA/Lakenot reported29,624 (2016)1.3% calculatednot reported
not reportedPartnership HealthPlan of CA/Lassennot reported7,169 (2016)0.3% calculatednot reported
not reportedPartnership HealthPlan of CA/Marinnot reported37,244 (2016)1.7% calculatednot reported
not reportedPartnership HealthPlan of CA/Mendocinonot reported37,774 (2016)1.7% calculatednot reported
not reportedPartnership HealthPlan of CA/Modocnot reported3,001 (2016)0.1% calculatednot reported
not reportedPartnership HealthPlan of CA/Napanot reported28,899 (2016)1.3% calculatednot reported
not reportedPartnership HealthPlan of CA/Shastanot reported61,183 (2016)2.8% calculatednot reported
not reportedPartnership HealthPlan of CA/Siskiyounot reported17,308 (2016)0.8% calculatednot reported
not reportedPartnership HealthPlan of CA/Solanonot reported113,876 (2016)5.2% calculatednot reported
not reportedPartnership HealthPlan of CA/Sonomanot reported113,467 (2016)5.2% calculatednot reported
not reportedPartnership HealthPlan of CA/Trinitynot reported4,571 (2016)0.2% calculatednot reported
not reportedPartnership HealthPlan of CA/Yolonot reported53,602 (2016)2.4% calculatednot reported
not reportedRedwood Coast PACE/Humboldtnot reported89 (2016)1.5% calculatednot reported
not reportedSCAN Health Plan (Nurs hm cert)/Los Angelesnot reported1,607 (2016)12.9% calculatednot reported
not reportedSCAN Health Plan (Nurs hm cert)/Riversidenot reported534 (2016)4.3% calculatednot reported
not reportedSCAN Health Plan (Nurs hm cert)/San Bernardinonot reported320 (2016)2.6% calculatednot reported
not reportedSCAN Health Plan/Los Angelesnot reported6,889 (2016)55.2% calculatednot reported
not reportedSCAN Health Plan/Riversidenot reported1,869 (2016)15.0% calculatednot reported
not reportedSCAN Health Plan/San Bernardinonot reported1,272 (2016)10.2% calculatednot reported
not reportedSCAN Health Plan/San Diegonot reported80 (2023)0.6% calculatednot reported
not reportedSan Diego PACEnot reported145 (2016)2.4% calculatednot reported
not reportedSan Diego PACEnot reported322 (2018)4.1% calculatednot reported
not reportedSan Francisco Health Plannot reported132,591 (2016)1.9% calculatednot reported
not reportedSanta Clara Family Health Plannot reported265,248 (2016)3.9% calculatednot reported
not reportedSt. Paul's PACE/San Diegonot reported535 (2016)8.8% calculatednot reported
not reportedSutter SeniorCare PACE/Sacramentonot reported256 (2016)4.2% calculatednot reported

CMS reported enrollment

CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.

National market share

COHS Model (Comprehensive MCO + MLTSS)

COHS Model (Comprehensive MCO + MLTSS) 10
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
CalOPTIMA/OrangeCalOptima-OrangeCalOptima-OrangeOrange Countynot reportednot reportednot reportednot reported2022: 903,642
CenCal - Santa BarbaraCenCal - Santa BarbaraCenCal - Santa BarbaraSanta Barbaranot reportednot reportednot reportednot reported2022: 155,034
Central California Alliance for Health MercedCCAH - MercedCCAH - MercedMercednot reportednot reportednot reportednot reported2022: 146,275
Central California Alliance for Health/Santa Cruz and MontereyCCAH - Monterey/Santa CruzCCAH - Monterey/Santa CruzMonterey/Santa Cruznot reportednot reportednot reportednot reported2022: 259,983
Gold Coast Health Plan VenturaGCHP - VenturaGCHP - VenturaVenturanot reportednot reportednot reportednot reported2022: 239,901
show all 10
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Health Plan of San MateoHPSM - San MateoHPSM - San MateoSan Mateonot reportednot reportednot reportednot reported2022: 134,481
Partnership HP of CA/ SoutheastPartnership - SoutheastPartnership -SoutheastSolano and Napanot reportednot reportednot reportednot reported2022: 167,214
Partnership HealthPlan of CA - SouthwestPartnership - SouthwestPartnership -SouthwestMarin, Lake, Mendocino, and Sonomanot reportednot reportednot reportednot reported2022: 250,328
Partnership HealthPlan of CA/NortheastPartnership - NortheastPartnership -NortheastLassen, Modoc, Shasta, Siskiyou, and Trinitynot reportednot reportednot reportednot reported2022: 107,191
Partnership HealthPlan of CA/NorthwestPartnership - NorthwestPartnership -NorthwestHumboldt, Del Nortenot reportednot reportednot reportednot reported2022: 72,461

County Organized Health Systems (COHS) Model (Comprehensive MCO + MLTSS)

County Organized Health Systems (COHS) Model (Comprehensive MCO + MLTSS) 66
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
CalOPTIMAnot reportedunmatchedOrangenot reportednot reportednot reportednot reported2016: 777,443
CalOptima/OrangeCalOptimaCalOptimaOrange Countynot reportednot reportednot reportednot reported2017: 771,588; 2018: 758,859; 2019: 735,150; 2020: 752,091
CalOptima/OrangeCalOptimaCalOptimaOrange countynot reportednot reportednot reportednot reported2021: 829,357
CenCal - San Luis ObispoCenCal - San Luis ObispoCenCal - San Luis ObispoSan Luis Obisponot reportednot reportednot reportednot reported2022: 65,646
CenCal Health/San Luis ObispoCenCal HealthCenCal HealthSan Luis Obispo Countynot reportednot reportednot reportednot reported2017: 54,566; 2018: 53,114; 2019: 51,655; 2020: 54,007
show all 66
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
CenCal Health/San Luis ObispoCenCal HealthCenCal HealthSan Luis Obispo countynot reportednot reportednot reportednot reported2021: 60,649
CenCal Health/Santa BarbaraCenCal HealthCenCal HealthSanta Barbara Countynot reportednot reportednot reportednot reported2017: 124,507; 2018: 125,185; 2019: 124,278; 2020: 130,437
CenCal Health/Santa BarbaraCenCal HealthCenCal HealthSanta Barbara countynot reportednot reportednot reportednot reported2021: 143,321
CenCal/San Luis Obisponot reportedunmatchedSan Luis Obisponot reportednot reportednot reportednot reported2016: 56,162
CenCal/Santa Barbaranot reportedunmatchedSanta Barbaranot reportednot reportednot reportednot reported2016: 122,333
Central California Alliance for Health/MercedCentral California Alliance for HealthCentral California Alliance for HealthMerced Countynot reportednot reportednot reportednot reported2017: 127,512; 2018: 123,937; 2019: 120,434; 2020: 125,258
Central California Alliance for Health/MercedCentral California Alliance for HealthCentral California Alliance for HealthMerced countynot reportednot reportednot reportednot reported2021: 135,932
Central California Alliance for Health/Mercednot reportedunmatchedMercednot reportednot reportednot reportednot reported2016: 126,274
Central California Alliance for Health/Monterey Santa CruzCentral California Alliance for HealthCentral California Alliance for HealthMonterey and Santa Cruz Countiesnot reportednot reportednot reportednot reported2018: 225,255; 2019: 216,824; 2020: 226,273
Central California Alliance for Health/Monterey Santa CruzCentral California Alliance for HealthCentral California Alliance for HealthMonterey and Santa Cruz countiesnot reportednot reportednot reportednot reported2021: 242,621
Central California Alliance for Health/MontereyCentral California Alliance for HealthCentral California Alliance for HealthMonterey Countynot reportednot reportednot reportednot reported2017: 157,767
Central California Alliance for Health/Montereynot reportedunmatchedMontereynot reportednot reportednot reportednot reported2016: 154,383
Central California Alliance for Health/Santa CruzCentral California Alliance for HealthCentral California Alliance for HealthSanta Cruz Countynot reportednot reportednot reportednot reported2017: 69,468
Central California Alliance for Health/Santa Cruznot reportedunmatchedSanta Cruznot reportednot reportednot reportednot reported2016: 70,468
Gold Coast Health Plan/VenturaGold Coast Health PlanGold Coast Health PlanVentura Countynot reportednot reportednot reportednot reported2017: 204,294; 2018: 199,207; 2019: 195,952; 2020: 203,365
Gold Coast Health Plan/VenturaGold Coast Health PlanGold Coast Health PlanVentura countynot reportednot reportednot reportednot reported2021: 223,159
Gold Coast Health Plannot reportedunmatchedVenturanot reportednot reportednot reportednot reported2016: 209,032
Health Plan of San MateoHealth Plan of San MateoHealth Plan of San MateoSan Mateo Countynot reportednot reportednot reportednot reported2018: 108,681; 2019: 102,270; 2020: 107,100
Health Plan of San MateoHealth Plan of San MateoHealth Plan of San MateoSan Mateo countynot reportednot reportednot reportednot reported2021: 119,748
Health Plan of San MateoHealth Plan of San MateoHealth Plan of San MateoSan Mateonot reportednot reportednot reportednot reported2016: 113,147; 2017: 112,114
Partnership Health Plan/SoutheastPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaNapa, Solano and Yolo Countiesnot reportednot reportednot reportednot reported2019: 184,974; 2020: 190,266
Partnership Health Plan/SoutheastPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaNapa, Solano, and Yolo Countiesnot reportednot reportednot reportednot reported2018: 189,827
Partnership Health Plan/SouthwestPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaLake, Marin, Mendocino and Sonoma Countiesnot reportednot reportednot reportednot reported2019: 208,737
Partnership Health Plan/SouthwestPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaLake, Marin, Mendocino, and Sonoma Countiesnot reportednot reportednot reportednot reported2018: 215,403; 2020: 211,059
Partnership HealthPlan of CA/Del NortePartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaDel Norte Countynot reportednot reportednot reportednot reported2017: 11,428
Partnership HealthPlan of CA/Del Nortenot reportedunmatchedDel Nortenot reportednot reportednot reportednot reported2016: 11,369
Partnership HealthPlan of CA/HumboldtPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaHumboldt Countynot reportednot reportednot reportednot reported2017: 52,162
Partnership HealthPlan of CA/Humboldtnot reportedunmatchedHumboldtnot reportednot reportednot reportednot reported2016: 51,838
Partnership HealthPlan of CA/LakePartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaLake Countynot reportednot reportednot reportednot reported2017: 30,671
Partnership HealthPlan of CA/Lakenot reportedunmatchedLakenot reportednot reportednot reportednot reported2016: 29,624
Partnership HealthPlan of CA/LassenPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaLassen Countynot reportednot reportednot reportednot reported2017: 7,480
Partnership HealthPlan of CA/Lassennot reportedunmatchedLassennot reportednot reportednot reportednot reported2016: 7,169
Partnership HealthPlan of CA/MarinPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaMarin Countynot reportednot reportednot reportednot reported2017: 39,582
Partnership HealthPlan of CA/Marinnot reportedunmatchedMarinnot reportednot reportednot reportednot reported2016: 37,244
Partnership HealthPlan of CA/MendocinoPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaMendocino Countynot reportednot reportednot reportednot reported2017: 37,987
Partnership HealthPlan of CA/Mendocinonot reportedunmatchedMendocinonot reportednot reportednot reportednot reported2016: 37,774
Partnership HealthPlan of CA/ModocPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaModoc Countynot reportednot reportednot reportednot reported2017: 3,052
Partnership HealthPlan of CA/Modocnot reportedunmatchedModocnot reportednot reportednot reportednot reported2016: 3,001
Partnership HealthPlan of CA/NapaPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaNapa Countynot reportednot reportednot reportednot reported2017: 28,732
Partnership HealthPlan of CA/Napanot reportedunmatchedNapanot reportednot reportednot reportednot reported2016: 28,899
Partnership HealthPlan of CA/NortheastPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaLassen, Mocdoc, Shasta, Siskiyou, and Trinity Countiesnot reportednot reportednot reportednot reported2019: 90,062
Partnership HealthPlan of CA/NortheastPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaLassen, Modoc, Shasta, Siskiyou, Trinity Countiesnot reportednot reportednot reportednot reported2020: 93,058
Partnership HealthPlan of CA/NortheastPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaLassen, Modoc, Shasta, Siskiyou, and Trinity Countiesnot reportednot reportednot reportednot reported2018: 92,017
Partnership HealthPlan of CA/NortheastPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaLassen, Modoc, Shasta, Siskiyou, and Trinity countiesnot reportednot reportednot reportednot reported2021: 101,534
Partnership HealthPlan of CA/NorthwestPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaDel Norte County and Humboldt Countynot reportednot reportednot reportednot reported2020: 64,904
Partnership HealthPlan of CA/NorthwestPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaDel Norte and Humboldt Countiesnot reportednot reportednot reportednot reported2018: 63,634; 2019: 63,180
Partnership HealthPlan of CA/NorthwestPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaDel Norte and Humboldt countiesnot reportednot reportednot reportednot reported2021: 69,376
Partnership HealthPlan of CA/ShastaPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaShasta Countynot reportednot reportednot reportednot reported2017: 59,639
Partnership HealthPlan of CA/Shastanot reportedunmatchedShastanot reportednot reportednot reportednot reported2016: 61,183
Partnership HealthPlan of CA/SiskiyouPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaSiskiyou Countynot reportednot reportednot reportednot reported2017: 17,696
Partnership HealthPlan of CA/Siskiyounot reportedunmatchedSiskiyounot reportednot reportednot reportednot reported2016: 17,308
Partnership HealthPlan of CA/SolanoPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaSolano Countynot reportednot reportednot reportednot reported2017: 110,849
Partnership HealthPlan of CA/Solanonot reportedunmatchedSolanonot reportednot reportednot reportednot reported2016: 113,876
Partnership HealthPlan of CA/SonomaPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaSonoma Countynot reportednot reportednot reportednot reported2017: 113,544
Partnership HealthPlan of CA/Sonomanot reportedunmatchedSonomanot reportednot reportednot reportednot reported2016: 113,467
Partnership HealthPlan of CA/TrinityPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaTrinity Countynot reportednot reportednot reportednot reported2017: 4,399
Partnership HealthPlan of CA/Trinitynot reportedunmatchedTrinitynot reportednot reportednot reportednot reported2016: 4,571
Partnership HealthPlan of CA/YoloPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaYolo Countynot reportednot reportednot reportednot reported2017: 53,783
Partnership HealthPlan of CA/Yolonot reportedunmatchedYolonot reportednot reportednot reportednot reported2016: 53,602
Partnership HealthPlan/SoutheastPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaNapa, Solano, and Yolo countriesnot reportednot reportednot reportednot reported2021: 209,555
Partnership HealthPlan/SouthwestPartnership HealthPlan of CaliforniaPartnership HealthPlan of CaliforniaLake, Marin, Mendocino, and Sonoma countiesnot reportednot reportednot reportednot reported2021: 232,085

County Organized Health Systems Model (Comprehensive MCO + MLTSS)

County Organized Health Systems Model (Comprehensive MCO + MLTSS) 56
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
CalOptima/OrangeCalOptima-OrangeCalOptima-OrangeOrangeCMS reported 892,359 (2024)29.9%-74,703 (-7.7%)-6.6 pts2023: 967,062; 2024: 892,359
CenCal Health/San Luis ObispoCenCal HealthCenCal HealthSan Luis Obisponot reportednot reportednot reportednot reported2023: 70,016
CenCal Health/Santa BarbaraCenCal - Santa BarbaraCenCal - Santa BarbaraSanta Barbaranot reportednot reportednot reportednot reported2023: 164,468
CenCal/San Luis ObispoCenCal - San Luis ObispoCenCal - San Luis ObispoSan Luis ObispoCMS reported 67,129 (2024)2.2%not reportednot reported2024: 67,129
CenCal/Santa BarbaraCenCal - Santa BarbaraCenCal - Santa BarbaraSanta BarbaraCMS reported 172,391 (2024)5.8%not reportednot reported2024: 172,391
show all 56
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Central California Alliance for Health MercedCCAH - MercedCCAH - MercedMercedCMS reported 149,461 (2024)5.0%not reportednot reported2024: 149,461
Central California Alliance for Health/ MariposaCCAH - MariposaCCAH - MariposaMariposaCMS reported 5,620 (2024)0.2%not reportednot reported2024: 5,620
Central California Alliance for Health/MercedCCAH - MercedCCAH - MercedMercednot reportednot reportednot reportednot reported2023: 153,483
Central California Alliance for Health/MontereyCCAH -Monterey/Santa CruzCCAH - Monterey/Santa CruzSanta Cruznot reportednot reportednot reportednot reported2023: 191,326
Central California Alliance for Health/San BenitoCCAH - San BenitoCCAH - San BenitoSan BenitoCMS reported 20,645 (2024)0.7%not reportednot reported2024: 20,645
Central California Alliance for Health/Santa Cruz and MontereyCCAH - Monterey/Santa CruzCCAH - Monterey/Santa CruzMonterey/Santa CruzCMS reported 193,497 (2024)6.5%not reportednot reported2024: 193,497
Gold Coast Health Plan VenturaGCHP - VenturaGCHP - VenturaVenturaCMS reported 247,849 (2024)8.3%not reportednot reported2024: 247,849
Gold Coast Health Plan/VenturaGCHP - VenturaGCHP - VenturaVenturanot reportednot reportednot reportednot reported2023: 254,548
Health Plan of San MateoHPSM - San MateoHPSM - San MateoSan MateoCMS reported 145,223 (2024)4.9%-7,426 (-4.9%)-0.9 pts2023: 152,649; 2024: 145,223
Kaiser Permanente/ MarinKaiser Permanente - MarinKaiser PermanenteMarinCMS reported 6,808 (2024)0.2%not reportednot reported2024: 6,808
Kaiser Permanente/ MariposaKaiser Permanente - MariposaKaiser PermanenteMariposaCMS reported 8 (2024)0.0%not reportednot reported2024: 8
Kaiser Permanente/ NapaKaiser Permanente - NapaKaiser PermanenteNapaCMS reported 7,478 (2024)0.3%not reportednot reported2024: 7,478
Kaiser Permanente/ OrangeKaiser Permanente - OrangeKaiser PermanenteOrangeCMS reported 67,923 (2024)2.3%not reportednot reported2024: 67,923
Kaiser Permanente/ PlacerKaiser Permanente - PlacerKaiser PermanentePlacerCMS reported 17,552 (2024)0.6%not reportednot reported2024: 17,552
Kaiser Permanente/ San MateoKaiser Permanente - San MateoKaiser PermanenteSan MateoCMS reported 14,944 (2024)0.5%not reportednot reported2024: 14,944
Kaiser Permanente/ Santa CruzKaiser Permanente - Santa CruzKaiser PermanenteSanta CruzCMS reported 386 (2024)0.0%not reportednot reported2024: 386
Kaiser Permanente/ SolanoKaiser Permanente - SolanoKaiser PermanenteSolanoCMS reported 37,239 (2024)1.2%not reportednot reported2024: 37,239
Kaiser Permanente/ SonomaKaiser Permanente - SonomaKaiser PermanenteSonomaCMS reported 25,414 (2024)0.9%not reportednot reported2024: 25,414
Kaiser Permanente/ SutterKaiser Permanente - SutterKaiser PermanenteSutterCMS reported 24 (2024)0.0%not reportednot reported2024: 24
Kaiser Permanente/ VenturaKaiser Permanente - VenturaKaiser PermanenteVenturaCMS reported 7,774 (2024)0.3%not reportednot reported2024: 7,774
Kaiser Permanente/ YoloKaiser Permanente - YoloKaiser PermanenteYoloCMS reported 5,653 (2024)0.2%not reportednot reported2024: 5,653
Kaiser Permanente/ YubaKaiser Permanente - YubaKaiser PermanenteYubaCMS reported 626 (2024)0.0%not reportednot reported2024: 626
Partnership HealthPlan California/LakePartnership -SouthwestPartnership -SouthwestLakenot reportednot reportednot reportednot reported2023: 35,910
Partnership HealthPlan California/TrinityPartnership - NortheastPartnership -NortheastTrinitynot reportednot reportednot reportednot reported2023: 5,882
Partnership HealthPlan of CA/NortheastPartnership - NortheastPartnership -NortheastLassen, Modoc, Shasta, Siskiyou, TrinityCMS reported 103,734 (2024)3.5%not reportednot reported2024: 103,734
Partnership HealthPlan of CA/NorthwestPartnership - NorthwestPartnership -NorthwestHumboldt, Del NorteCMS reported 70,870 (2024)2.4%not reportednot reported2024: 70,870
Partnership HealthPlan of CA/SoutheastPartnership - SoutheastPartnership -SoutheastSolano, NapaCMS reported 128,389 (2024)4.3%not reportednot reported2024: 128,389
Partnership HealthPlan of CA/SoutheastPartnership - SoutheastPartnership -SoutheastYoloCMS reported 52,977 (2024)1.8%not reportednot reported2024: 52,977
Partnership HealthPlan of CA/SouthwestPartnership - SouthwestPartnership -SouthwestMarin, Lake, Mendocino, SonomaCMS reported 232,181 (2024)7.8%not reportednot reported2024: 232,181
Partnership HealthPlan of CAPartnershipPartnershipButteCMS reported 84,632 (2024)2.8%not reportednot reported2024: 84,632
Partnership HealthPlan of CAPartnershipPartnershipColusaCMS reported 10,116 (2024)0.3%not reportednot reported2024: 10,116
Partnership HealthPlan of CAPartnershipPartnershipGlennCMS reported 13,532 (2024)0.5%not reportednot reported2024: 13,532
Partnership HealthPlan of CAPartnershipPartnershipNevadaCMS reported 28,292 (2024)0.9%not reportednot reported2024: 28,292
Partnership HealthPlan of CAPartnershipPartnershipPlacerCMS reported 59,524 (2024)2.0%not reportednot reported2024: 59,524
Partnership HealthPlan of CAPartnershipPartnershipPlumasCMS reported 5,927 (2024)0.2%not reportednot reported2024: 5,927
Partnership HealthPlan of CAPartnershipPartnershipSierraCMS reported 850 (2024)0.0%not reportednot reported2024: 850
Partnership HealthPlan of CAPartnershipPartnershipSutterCMS reported 43,363 (2024)1.5%not reportednot reported2024: 43,363
Partnership HealthPlan of CAPartnershipPartnershipTehamaCMS reported 30,151 (2024)1.0%not reportednot reported2024: 30,151
Partnership HealthPlan of CAPartnershipPartnershipYubaCMS reported 35,538 (2024)1.2%not reportednot reported2024: 35,538
Partnership HealthPlan of California/Del NortePartnership -NorthwestPartnership -NorthwestDel Nortenot reportednot reportednot reportednot reported2023: 12,999
Partnership HealthPlan of California/HumboldtPartnership -NorthwestPartnership -NorthwestHumboldtnot reportednot reportednot reportednot reported2023: 62,523
Partnership HealthPlan of California/LassenPartnership -NortheastPartnership -NortheastLassennot reportednot reportednot reportednot reported2023: 9,292
Partnership HealthPlan of California/MarinPartnership -SouthwestPartnership -SouthwestMarinnot reportednot reportednot reportednot reported2023: 52,565
Partnership HealthPlan of California/MendocinoPartnership -SouthwestPartnership -SouthwestMendocinonot reportednot reportednot reportednot reported2023: 42,496
Partnership HealthPlan of California/ModocPartnership -NortheastPartnership -NortheastModocnot reportednot reportednot reportednot reported2023: 4,288
Partnership HealthPlan of California/NapaPartnership -SoutheastPartnership -SoutheastNapanot reportednot reportednot reportednot reported2023: 36,070
Partnership HealthPlan of California/ShastaPartnership -NortheastPartnership -NortheastShastanot reportednot reportednot reportednot reported2023: 73,729
Partnership HealthPlan of California/SiskiyouPartnership -NortheastPartnership -NortheastSiskiyounot reportednot reportednot reportednot reported2023: 19,886
Partnership HealthPlan of California/SolanoPartnership -SoutheastPartnership -SoutheastSolanonot reportednot reportednot reportednot reported2023: 141,671
Partnership HealthPlan of California/SonomaPartnership -SouthwestPartnership -SouthwestSonomanot reportednot reportednot reportednot reported2023: 135,067
Partnership HealthPlan of California/YoloPartnership -SoutheastPartnership -SoutheastYolonot reportednot reportednot reportednot reported2023: 63,992

Dental Managed Care/Los Angeles (Dental only (PAHP))

Dental Managed Care/Los Angeles (Dental only (PAHP)) 11
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Access Dental Plan/Los AngelesAccess DentalAccess DentalLos Angeles Countynot reportednot reportednot reportednot reported2017: 199,336; 2018: 169,545; 2019: 144,901; 2020: 133,853
Access Dental Plan/Los AngelesAccess DentalAccess DentalLos AngelesCMS reported 119,258 (2024)28.2%-17,322 (-12.7%)-1.3 pts2016: 222,140; 2021: 134,153; 2023: 136,580; 2024: 119,258
Health Net Dental Plan/Los AngelesHealth NetCenteneLos Angeles Countynot reportednot reportednot reportednot reported2017: 203,528; 2018: 188,009; 2019: 173,579; 2020: 175,845
Health Net Dental Plan/Los AngelesHealth NetCenteneLos Angeles countynot reportednot reportednot reportednot reported2021: 199,457
Health Net Dental Plan/Los AngelesHealth NetCenteneLos AngelesCMS reported 216,086 (2024)51.1%not reportednot reported2024: 216,086
show all 11
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Health Net Dental/Los Angelesnot reportedunmatchedLos Angelesnot reportednot reportednot reportednot reported2016: 223,094
Health Net of California/Los AngelesCentene CorporationCenteneLos Angelesnot reportednot reportednot reportednot reported2023: 233,902
LIBERTY Dental Plan/Los AngelesLIBERTY Dental PlanLIBERTY Dental PlanLos Angeles Countynot reportednot reportednot reportednot reported2017: 67,396; 2018: 64,205; 2019: 62,306; 2020: 63,156
LIBERTY Dental Plan/Los AngelesLIBERTY Dental PlanLIBERTY Dental PlanLos Angeles countynot reportednot reportednot reportednot reported2021: 71,016
Liberty Dental Plan of CA/Los AngelesLiberty Dental Plan CorporationLIBERTY Dental PlanLos Angelesnot reportednot reportednot reportednot reported2023: 92,245
Liberty Dental Plan/Los AngelesLiberty Dental PlanLIBERTY Dental PlanLos AngelesCMS reported 87,881 (2024)20.8%not reportednot reported2016: 72,397; 2024: 87,881

Dental Managed Care/Los Angeles (Dental only PAHP)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Access Dental Plan/Los AngelesAccess DentalAccess DentalLos Angelesnot reportednot reportednot reportednot reported2022: 136,990
Health Net Dental Plan/Los AngelesHealth NetCenteneLos Angelesnot reportednot reportednot reportednot reported2022: 218,933
Liberty Dental Plan/Los AngelesLiberty Dental PlanLIBERTY Dental PlanLos Angelesnot reportednot reportednot reportednot reported2022: 81,711

Dental Managed Care/Sacramento (Dental only (PAHP))

Dental Managed Care/Sacramento (Dental only (PAHP)) 12
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Access Dental Plan/SacramentoAccess Dental PlanAccess Dental PlanSacramentoCMS reported 147,811 (2024)27.7%-28,491 (-16.2%)-0.9 pts2016: 143,408; 2023: 176,302; 2024: 147,811
Access Dental Plan/SacramentoAccess DentalAccess DentalSacramento Countynot reportednot reportednot reportednot reported2017: 141,010; 2018: 133,615; 2019: 127,109; 2020: 127,923
Access Dental Plan/SacramentoAccess DentalAccess DentalSacramento countynot reportednot reportednot reportednot reported2021: 141,516
Health Net Dental Plan/SacramentoHealth NetCenteneSacramento Countynot reportednot reportednot reportednot reported2017: 130,240; 2018: 127,698; 2019: 127,923; 2020: 134,839
Health Net Dental Plan/SacramentoHealth NetCenteneSacramento countynot reportednot reportednot reportednot reported2021: 155,143
show all 12
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Health Net Dental Plan/SacramentoHealth NetCenteneSacramentoCMS reported 171,490 (2024)32.1%not reportednot reported2024: 171,490
Health Net Dental/Sacramentonot reportedunmatchedSacramentonot reportednot reportednot reportednot reported2016: 130,672
Health Net of California Dental/SacramentoCentene CorporationCenteneSacramentonot reportednot reportednot reportednot reported2023: 201,588
LIBERTY Dental Plan/SacramentoLIBERTY Dental PlanLIBERTY Dental PlanSacramento Countynot reportednot reportednot reportednot reported2017: 162,481; 2018: 162,724; 2019: 164,538; 2020: 170,042
LIBERTY Dental Plan/SacramentoLIBERTY Dental PlanLIBERTY Dental PlanSacramento countynot reportednot reportednot reportednot reported2021: 185,156
Liberty Dental Plan of CA/SacramentoLiberty Dental Plan CorporationLIBERTY Dental PlanSacramentonot reportednot reportednot reportednot reported2023: 237,755
Liberty Dental Plan/SacramentoLiberty Dental PlanLIBERTY Dental PlanSacramentoCMS reported 214,328 (2024)40.2%not reportednot reported2016: 157,880; 2024: 214,328

Dental Managed Care/Sacramento (Dental only PAHP)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Access Dental Plan/SacramentoAccess Dental PlanAccess Dental PlanSacramentonot reportednot reportednot reportednot reported2022: 150,272
Health Net Dental Plan/SacramentoHealth NetCenteneSacramentonot reportednot reportednot reportednot reported2022: 170,347
Liberty Dental Plan/SacramentoLiberty Dental PlanLIBERTY Dental PlanSacramentonot reportednot reportednot reportednot reported2022: 202,028

Family Mosaic Program/San Francisco (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Family Mosaic Project/San FranciscoSan Francisco CountySan Francisco CountySan Francisco Countynot reportednot reportednot reportednot reported2017: 23
Family Mosaic Project/San FranciscoSan Francisco CountySan Francisco CountySan Francisconot reportednot reportednot reportednot reported2018: 32; 2019: 26; 2020: 7

Family Mosaic Project/ San Francisco (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Family Mosaic Project/San Francisconot reportedunmatchedSan Francisconot reportednot reportednot reportednot reported2016: 25

GMC Model (Comprehensive MCO + MLTSS)

GMC Model (Comprehensive MCO + MLTSS) 14
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Aetna Better Health-San DiegoAetna - San DiegoCVS/AetnaSan Diegonot reportednot reportednot reportednot reported2022: 27,074
Anthem Blue Cross Partnership-SacramentoAnthem - SacramentoElevanceSacramentonot reportednot reportednot reportednot reported2022: 213,329
Blue Shield of California Promise-San DiegoBlue Shield - San DiegoBlue Shield - San DiegoSan Diegonot reportednot reportednot reportednot reported2022: 122,809
Community Health Group- San DiegoCHG - San DiegoCHG - San DiegoSan Diegonot reportednot reportednot reportednot reported2022: 323,981
Health Net-San DiegoHealth Net - San DiegoCenteneSan Diegonot reportednot reportednot reportednot reported2022: 87,282
show all 14
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Health Net/SacramentoHealth Net - SacramentoCenteneSacramentonot reportednot reportednot reportednot reported2022: 131,021
Kaiser Foundation/SacramentoKaiser - SacKaiser PermanenteSacramentonot reportednot reportednot reportednot reported2022: 114,244
Kaiser-San DiegoKaiser - San DiegoKaiser PermanenteSan Diegonot reportednot reportednot reportednot reported2022: 65,418
Kaiser/AmadorKaiser - KP NorthKaiser PermanenteAmadornot reportednot reportednot reportednot reported2022: 249
Kaiser/El DoradoKaiser - KP NorthKaiser PermanenteEl Doradonot reportednot reportednot reportednot reported2022: 3,038
Kaiser/PlacerKaiser - KP NorthKaiser PermanentePlacernot reportednot reportednot reportednot reported2022: 12,198
Molina Healthcare of CA Partner Plan-SacramentoMolina - SacramentoMolinaSacramentonot reportednot reportednot reportednot reported2022: 57,626
Molina Healthcare of CA Partner Plan-San DiegoMolina - San DiegoMolinaSan Diegonot reportednot reportednot reportednot reported2022: 239,980
United Health Care- San DiegoUnited Health Care- San DiegoUnitedHealthSan Diegonot reportednot reportednot reportednot reported2022: 30,763

Geographic Managed Care (GMC) Model (Comprehensive MCO + MLTSS)

Geographic Managed Care (GMC) Model (Comprehensive MCO + MLTSS) 45
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Aetna Better Health of CA/SacramentoAetna MedicaidCVS/AetnaSacramento Countynot reportednot reportednot reportednot reported2018: 2,410; 2019: 7,397; 2020: 10,781
Aetna Better Health of CA/SacramentoAetna MedicaidCVS/AetnaSacramento countynot reportednot reportednot reportednot reported2021: 15,363
Aetna Better Health of CA/San DiegoAetna MedicaidCVS/AetnaSan Diego Countynot reportednot reportednot reportednot reported2018: 4,659; 2019: 9,818; 2020: 14,225
Aetna Better Health of CA/San DiegoAetna MedicaidCVS/AetnaSan Diego countynot reportednot reportednot reportednot reported2021: 20,942
Aetna Better Health- SacramentoAetna - SacramentoCVS/AetnaSacramentonot reportednot reportednot reportednot reported2022: 20,686
show all 45
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Anthem Blue Cross Partnership Plan/SacramentoAnthem Insurance Companies, Inc.ElevanceSacramento Countynot reportednot reportednot reportednot reported2017: 182,733; 2018: 177,818; 2019: 177,785; 2020: 181,621
Anthem Blue Cross Partnership Plan/SacramentoAnthem Insurance Companies, Inc.ElevanceSacramento countynot reportednot reportednot reportednot reported2021: 196,275
Anthem Blue Cross Partnership Plan/Sacramentonot reportedunmatchedSacramentonot reportednot reportednot reportednot reported2016: 177,117
Blue Shield of California Promise/San DiegoBlue Shield of CaliforniaBlue Shield of CaliforniaSan Diego Countynot reportednot reportednot reportednot reported2019: 81,160; 2020: 88,318
Blue Shield of California Promise/San DiegoBlue Shield of CaliforniaBlue Shield of CaliforniaSan Diego countynot reportednot reportednot reportednot reported2021: 108,737
Care 1st Healthplan/San DiegoBlue Shield of CaliforniaBlue Shield of CaliforniaSan Diego Countynot reportednot reportednot reportednot reported2017: 85,201
Care 1st Healthplan/San Diegonot reportedunmatchedSan Diegonot reportednot reportednot reportednot reported2016: 78,252
Care 1st Partner Plan/San DiegoBlue Cross Blue ShieldBlue Cross Blue ShieldSan Diego Countynot reportednot reportednot reportednot reported2018: 84,487
Community Health Group Partnership Plan/San DiegoCommunity Health GroupCommunity Health GroupSan Diego Countynot reportednot reportednot reportednot reported2018: 274,149; 2019: 256,461; 2020: 258,004
Community Health Group-San DiegoCommunity Health Group FoundationCommunity Health Group FoundationSan Diegonot reportednot reportednot reportednot reported2021: 293,969
Community Health Group/San DiegoCommunity Health GroupCommunity Health GroupSan Diego Countynot reportednot reportednot reportednot reported2017: 285,699
Community Health Group/San Diegonot reportedunmatchedSan Diegonot reportednot reportednot reportednot reported2016: 278,604
Health Net/SacramentoCentene CorporationCenteneSacramento Countynot reportednot reportednot reportednot reported2017: 116,591; 2018: 107,198; 2019: 106,137; 2020: 108,585
Health Net/SacramentoCentene CorporationCenteneSacramento countynot reportednot reportednot reportednot reported2021: 120,339
Health Net/Sacramentonot reportedunmatchedSacramentonot reportednot reportednot reportednot reported2016: 124,304
Health Net/San DiegoCentene CorporationCenteneSan Diego Countynot reportednot reportednot reportednot reported2017: 77,255; 2018: 73,215; 2019: 67,652; 2020: 68,083
Health Net/San DiegoCentene CorporationCenteneSan Diego countynot reportednot reportednot reportednot reported2021: 68,083
Health Net/San Diegonot reportedunmatchedSan Diegonot reportednot reportednot reportednot reported2016: 74,807
KP Cal LLC-AmadorKaiser-KP NorthKaiser PermanenteAmadornot reportednot reportednot reportednot reported2021: 187
KP Cal LLC-El DoradoKaiser-KP NorthKaiser PermanenteEl Dorado countynot reportednot reportednot reportednot reported2021: 2,748
KP Cal LLC-PlacerKP Cal, LLCKP Cal, LLCPlacer countynot reportednot reportednot reportednot reported2021: 10,612
KP Cal LLC/SacramentoKaiser PermanenteKaiser PermanenteSacramento Countynot reportednot reportednot reportednot reported2018: 85,924; 2019: 87,810; 2020: 91,421
KP Cal LLC/SacramentoKaiser PermanenteKaiser PermanenteSacramento countynot reportednot reportednot reportednot reported2021: 103,268
KP Cal LLC/San DiegoKaiser PermanenteKaiser PermanenteSan Diego Countynot reportednot reportednot reportednot reported2018: 51,876; 2019: 49,621; 2020: 50,539
KP Cal LLC/San DiegoKaiser PermanenteKaiser PermanenteSan Diego countynot reportednot reportednot reportednot reported2021: 59,262
Kaiser/SacramentoKaiser PermanenteKaiser PermanenteSacramento Countynot reportednot reportednot reportednot reported2017: 84,842
Kaiser/Sacramentonot reportedunmatchedSacramentonot reportednot reportednot reportednot reported2016: 80,411
Kaiser/San DiegoKaiser PermanenteKaiser PermanenteSan Diego Countynot reportednot reportednot reportednot reported2017: 52,911
Kaiser/San Diegonot reportedunmatchedSan Diegonot reportednot reportednot reportednot reported2016: 52,649
Molina Healthcare of CA Partner Plan/SacramentoMolina HealthcareMolinaSacramento Countynot reportednot reportednot reportednot reported2018: 56,507; 2019: 50,645; 2020: 49,500
Molina Healthcare of CA Partner Plan/SacramentoMolina HealthcareMolinaSacramento countynot reportednot reportednot reportednot reported2021: 53,171
Molina Healthcare of CA Partner Plan/San DiegoMolina HealthcareMolinaSan Diego Countynot reportednot reportednot reportednot reported2018: 227,647; 2019: 217,062; 2020: 210,813
Molina Healthcare of CA Partner Plan/San DiegoMolina HealthcareMolinaSan Diego countynot reportednot reportednot reportednot reported2021: 225,399
Molina Healthcare/SacramentoMolina HealthcareMolinaSacramento Countynot reportednot reportednot reportednot reported2017: 60,362
Molina Healthcare/Sacramentonot reportedunmatchedSacramentonot reportednot reportednot reportednot reported2016: 61,014
Molina Healthcare/San DiegoMolina HealthcareMolinaSan Diego Countynot reportednot reportednot reportednot reported2017: 231,047
Molina Healthcare/San Diegonot reportedunmatchedSan Diegonot reportednot reportednot reportednot reported2016: 220,190
UnitedHealthcare Community Plan/SacramentoUnitedHealthcareUnitedHealthSacramento Countynot reportednot reportednot reportednot reported2018: 4,904
UnitedHealthcare Community Plan/San DiegoUnitedHealthcareUnitedHealthSan Diego Countynot reportednot reportednot reportednot reported2018: 6,126; 2019: 11,193; 2020: 16,228
UnitedHealthcare Community Plan/San DiegoUnitedHealthcareUnitedHealthSan Diego countynot reportednot reportednot reportednot reported2021: 24,133

Geographic Managed Care Model (Comprehensive MCO + MLTSS)

Geographic Managed Care Model (Comprehensive MCO + MLTSS) 18
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Aetna Better Health/SacramentoAetna -SacramentoCVS/AetnaSacramentonot reportednot reportednot reportednot reported2023: 29,770
Aetna Better Health/San DiegoAetna - San DiegoCVS/AetnaSan Diegonot reportednot reportednot reportednot reported2023: 39,673
Anthem Blue Cross Partnership/SacramentoAnthem -SacramentoElevanceSacramentoCMS reported 251,425 (2024)15.9%not reportednot reported2024: 251,425
Anthem Blue Cross/SacramentoAnthem -SacramentoElevanceSacramentonot reportednot reportednot reportednot reported2023: 241,272
Blue Shield California Promise/San DiegoBlue Shield - San DiegoBlue Shield - San DiegoSan Diegonot reportednot reportednot reportednot reported2023: 151,700
show all 18
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Blue Shield of California Promise/San DiegoBlue Shield - San DiegoBlue Shield - San DiegoSan DiegoCMS reported 196,938 (2024)12.4%not reportednot reported2024: 196,938
Community Health Group/San DiegoCHG - San DiegoCHG - San DiegoSan DiegoCMS reported 405,072 (2024)25.6%+45,560 (+12.7%)+3.2 pts2023: 359,512; 2024: 405,072
Health Net Community Solutions/SacramentoHealth Net -SacramentoCenteneSacramentonot reportednot reportednot reportednot reported2023: 147,774
Health Net Community Solutions/San DiegoHealth Net - San DiegoCenteneSan Diegonot reportednot reportednot reportednot reported2023: 103,384
Health Net/SacramentoHealth Net -SacramentoCenteneSacramentoCMS reported 146,866 (2024)9.3%not reportednot reported2024: 146,866
Kaiser Foundation/SacramentoKaiser -SacramentoKaiser PermanenteSacramentoCMS reported 132,688 (2024)8.4%not reportednot reported2024: 132,688
Kaiser Permanente/SacramentoKaiser - KP NorthKaiser PermanenteSacramentonot reportednot reportednot reportednot reported2023: 131,156
Kaiser Permanente/San DiegoKaiser - San DiegoKaiser PermanenteSan Diegonot reportednot reportednot reportednot reported2023: 73,108
Kaiser/San DiegoKaiser - San DiegoKaiser PermanenteSan DiegoCMS reported 75,242 (2024)4.8%not reportednot reported2024: 75,242
Molina Healthcare of CA Partner Plan/SacramentoMolina -SacramentoMolinaSacramentoCMS reported 73,342 (2024)4.6%not reportednot reported2024: 73,342
Molina Healthcare of CA Partner Plan/San DiegoMolina - San DiegoMolinaSan DiegoCMS reported 300,655 (2024)19.0%not reportednot reported2024: 300,655
Molina Healthcare of California/SacramentoMolina -SacramentoMolinaSacramentonot reportednot reportednot reportednot reported2023: 62,608
Molina Healthcare of California/San DiegoMolina - San DiegoMolinaSan Diegonot reportednot reportednot reportednot reported2023: 264,016

Health Plan of San Mateo CCS Demo/San Mateo (Comprehensive MCO)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Health Plan of San Mateo CCS DemoHealth Plan of San MateoHealth Plan of San MateoSan Mateo Countynot reportednot reportednot reportednot reported2017: 1,610; 2018: 0
Health Plan of San Mateo CCS Demonot reportedunmatchedSan Mateonot reportednot reportednot reportednot reported2016: 1,651

Positive Healthcare/Los Angeles (Comprehensive MCO)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Positive Healthcare/Los AngelesAIDS Healthcare Foundation (AHF)AIDS Healthcare Foundation (AHF)Los Angeles Countynot reportednot reportednot reportednot reported2020: 632
Positive Healthcare/Los AngelesAIDS Healthcare Foundation (AHF)AIDS Healthcare Foundation (AHF)Los Angeles countynot reportednot reportednot reportednot reported2021: 712
Positive Healthcare/Los AngelesAIDS Healthcare Foundation (AHF)AIDS Healthcare Foundation (AHF)Los Angelesnot reportednot reportednot reportednot reported2022: 790; 2023: 790

Positive Healthcare/Los Angeles (Other Prepaid Health Plan (PHP) (limited benefits))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Multiple Primary Care Providersnot reportedunmatchedLos Angelesnot reportednot reportednot reportednot reported2016: 771
Positive Healthcare/Los AngelesAIDS Healthcare Foundation (AHF)AIDS Healthcare Foundation (AHF)Los Angeles Countynot reportednot reportednot reportednot reported2017: 681; 2019: 595
Positive Healthcare/Los AngelesAIDS Healthcare FoundationAIDS Healthcare FoundationLos Angelesnot reportednot reportednot reportednot reported2018: 670

Program of All-Inclusive Care for the Elderly (PACE)

Program of All-Inclusive Care for the Elderly (PACE) 118
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
AgeWell PACE MarinPACE MarinPACE MarinMarinCMS reported 7 (2024)0.0%not reportednot reported2024: 7
AgeWell PACE SonomaPACE SonomaPACE SonomaSonomaCMS reported 59 (2024)0.3%not reportednot reported2024: 59
AgeWell PACE/MarinNo parent organizationNo parent organizationMarinnot reportednot reportednot reportednot reported2023: 6
AgeWell PACE/SonomaNo parent organizationNo parent organizationSonomanot reportednot reportednot reportednot reported2023: 1
AltaMed Health Senior Buenacare/Los AngelesAltaMed Health Servies CorporationAltaMed Health Servies CorporationLos Angelesnot reportednot reportednot reportednot reported2023: 4,139
show all 118
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
AltaMed Senior Buena Care/OrangeAltaMed Health Services CorporationAltaMed Health Services CorporationOrangenot reportednot reportednot reportednot reported2022: 215; 2023: 343
AltaMed Senior Buenacare/LAAltaMed Health Services CorporationAltaMed Health Services CorporationLos AngelesCMS reported 4,346 (2024)19.2%not reportednot reported2022: 3,654; 2024: 4,346
AltaMed Senior Buenacare/Los AngelesAltaMed Health Services CorporationAltaMed Health Services CorporationLos Angeles Countynot reportednot reportednot reportednot reported2020: 2,874
AltaMed Senior Buenacare/OrangeAltaMed Health Services CorporationAltaMed Health Services CorporationOrangeCMS reported 449 (2024)2.0%not reportednot reported2024: 449
Bakersfield PACEInnovative Integrated Health, Inc.Innovative Integrated Health, Inc.Kernnot reportednot reportednot reportednot reported2020: 62
Bakersfield PACEInnovative Integrated Health, Inc.Innovative Integrated Health, Inc.Tularenot reportednot reportednot reportednot reported2020: 0
Brandman Centers for Senior Care/Los AngelesBrandman Centers for Senior CareBrandman Centers for Senior CareLos Angeles Countynot reportednot reportednot reportednot reported2020: 260
Brandman Centers for Senior Care/Los AngelesBrandman Centers for Senior CareBrandman Centers for Senior CareLos AngelesCMS reported 361 (2024)1.6%+33 (+10.1%)-0.1 pts2022: 308; 2023: 328; 2024: 361
CalOPTIMA PACE/OrangeCalOptimaCalOptimaOrangenot reportednot reportednot reportednot reported2022: 438
CalOptima PACE/OrangeCalOptimaCalOptimaOrange Countynot reportednot reportednot reportednot reported2020: 379
CalOptima PACE/OrangeCalOptimaCalOptimaOrangeCMS reported 501 (2024)2.2%+70 (+16.2%)+0.0 pts2023: 431; 2024: 501
Center for Elders Independence/AlamedaCenter for Elders IndependenceCenter for Elders IndependenceAlameda Countynot reportednot reportednot reportednot reported2020: 715
Center for Elders Independence/AlamedaCenter for Elders IndependenceCenter for Elders IndependenceAlamedaCMS reported 826 (2024)3.7%-2 (-0.2%)-0.6 pts2022: 792; 2023: 828; 2024: 826
Center for Elders Independence/Contra CostaCenter for Elders IndependenceCenter for Elders IndependenceContra Costa Countynot reportednot reportednot reportednot reported2020: 101
Center for Elders Independence/Contra CostaCenter for Elders IndependenceCenter for Elders IndependenceContra CostaCMS reported 337 (2024)1.5%+53 (+18.7%)+0.0 pts2022: 204; 2023: 284; 2024: 337
Central PACE/San JoaquinGolden Valley Health CentersGolden Valley Health CentersSan Joaquinnot reportednot reportednot reportednot reported2023: 7
Central PACE/StanislausGolden Valley Health CentersGolden Valley Health CentersStanislausnot reportednot reportednot reportednot reported2023: 249
Central Valley PACE/ StanislausGolden Valley Health CentersGolden Valley Health CentersStanislausCMS reported 382 (2024)1.7%not reportednot reported2024: 382
Central Valley PACE/MercedPACE MercedPACE MercedMercedCMS reported 8 (2024)0.0%not reportednot reported2024: 8
Central Valley PACE/San JoaquinGolden Valley Health CentersGolden Valley Health CentersSan JoaquinCMS reported 20 (2024)0.1%not reportednot reported2022: 2; 2024: 20
Central Valley PACE/StanislausGolden Valley Health CentersGolden Valley Health CentersStanislausnot reportednot reportednot reportednot reported2022: 166
Central Valley PACEGolden Valley Health CentersGolden Valley Health CentersSan Joaquin Countynot reportednot reportednot reportednot reported2020: 0
Central Valley PACEGolden Valley Health CentersGolden Valley Health CentersStanislaus Countynot reportednot reportednot reportednot reported2020: 0
Coastline PACEWelbe HealthWelbe HealthLos Angeles Countynot reportednot reportednot reportednot reported2020: 17
ConcertoHealth PACE of Los Angeles/Los AngelesConcertoHealth PACEConcertoHealth PACELos Angelesnot reportednot reportednot reportednot reported2023: 19
ConcertoHealth PACE of Los AngelesConcertoHealth PACEConcertoHealth PACELos AngelesCMS reported 43 (2024)0.2%not reportednot reported2022: 0; 2024: 43
Costline PACE/LAWelbe HealthWelbe HealthLos Angelesnot reportednot reportednot reportednot reported2022: 290
Family Health Centers of San Diego/San DiegoFamily Health Centers of San DiegoFamily Health Centers of San DiegoSan Diegonot reportednot reportednot reportednot reported2023: 311
Family Health Centers of San DiegoFamily Health Centers of San DiegoFamily Health Centers of San DiegoSan Diego Countynot reportednot reportednot reportednot reported2020: 51
Family Health Centers/San DiegoFamily Health Centers of San DiegoFamily Health Centers of San DiegoSan DiegoCMS reported 360 (2024)1.6%not reportednot reported2022: 208; 2024: 360
Fresno PACEInnovative Integrated Health, Inc.Innovative Integrated Health, Inc.Fresno Countynot reportednot reportednot reportednot reported2020: 854
Gary and Mary West PACE of N. San Diego/San DiegoWest HealthWest HealthSan Diegonot reportednot reportednot reportednot reported2023: 334
Gary and Mary West PACE of Northern San DiegoWest HealthWest HealthSan Diego Countynot reportednot reportednot reportednot reported2020: 76
Gary and Mary West PACE of Northern San DiegoWest HealthWest HealthSan DiegoCMS reported 393 (2024)1.7%not reportednot reported2022: 246; 2024: 393
Humboldt Senior Resource Center, Inc./HumboldtHumboldt Senior Resource CenterHumboldt Senior Resource CenterHumboldtCMS reported 304 (2024)1.3%+57 (+23.1%)+0.1 pts2022: 250; 2023: 247; 2024: 304
InnovAge California PACE- El DoradoInnovAge California PACE- El DoradoInnovAge California PACE- El DoradoEl Dorado Countynot reportednot reportednot reportednot reported2020: 0
InnovAge California PACE- PlacerInnovAge California PACE- PlacerInnovAge California PACE- PlacerPlacer Countynot reportednot reportednot reportednot reported2020: 1
InnovAge California PACE- SacramentoInnovAge California PACE- SacramentoInnovAge California PACE- SacramentoSacramento Countynot reportednot reportednot reportednot reported2020: 10
InnovAge California PACE- San JoaquinInnovAge California PACE- San JoaquinInnovAge California PACE- San JoaquinSan Joaquin Countynot reportednot reportednot reportednot reported2020: 0
InnovAge California PACE- SutterInnovAge California PACE- SutterInnovAge California PACE- SutterSutter Countynot reportednot reportednot reportednot reported2020: 0
InnovAge California PACE- YubaInnovAge California PACE- YubaInnovAge California PACE- YubaYuba Countynot reportednot reportednot reportednot reported2020: 0
InnovAge California PACE/ SacramentoInnovAge California PACEInnovAge California PACESacramentonot reportednot reportednot reportednot reported2022: 143
InnovAge California PACE/El DoradoInnovAge CaliforniaInnovAge CaliforniaEl DoradoCMS reported 8 (2024)0.0%not reportednot reported2022: 0; 2024: 8
InnovAge California PACE/PlacerInnovAge California PACEInnovAge California PACEPlacerCMS reported 32 (2024)0.1%not reportednot reported2022: 15; 2024: 32
InnovAge California PACE/SacramentoInnovAge California PACEInnovAge California PACESacramentoCMS reported 312 (2024)1.4%not reportednot reported2024: 312
InnovAge California PACE/San JoaquinInnovAge California PACEInnovAge California PACESan JoaquinCMS reported 1 (2024)0.0%not reportednot reported2022: 0; 2024: 1
InnovAge California PACE/SutterInnovAge California PACEInnovAge California PACESutterCMS reported 7 (2024)0.0%not reportednot reported2022: 1; 2024: 7
InnovAge California PACE/YubaInnovAge California PACEInnovAge California PACEYubaCMS reported 3 (2024)0.0%not reportednot reported2022: 1; 2024: 3
InnovAge PACE/El DoradoInnovAgeInnovAgeEl Doradonot reportednot reportednot reportednot reported2023: 2
InnovAge PACE/PlacerInnovAgeInnovAgePlacernot reportednot reportednot reportednot reported2023: 11
InnovAge PACE/RiversideInnovAgeInnovAgeRiversideCMS reported 379 (2024)1.7%-6 (-1.6%)-0.3 pts2022: 365; 2023: 385; 2024: 379
InnovAge PACE/RiversideTotal Longterm Care, Inc.Total Longterm Care, Inc.Riverside Countynot reportednot reportednot reportednot reported2020: 245
InnovAge PACE/SacramentoInnovAgeInnovAgeSacramentonot reportednot reportednot reportednot reported2023: 126
InnovAge PACE/San BernadinoInnovAgeInnovAgeSan Bernadinonot reportednot reportednot reportednot reported2023: 914
InnovAge PACE/San Bernardino CountyInnovAgeInnovAgeSan BernardinoCMS reported 916 (2024)4.1%not reportednot reported2022: 839; 2024: 916
InnovAge PACE/San Bernardino CountyTotal Longterm Care, Inc.Total Longterm Care, Inc.San Bernardino Countynot reportednot reportednot reportednot reported2020: 662
InnovAge PACE/SutterInnovAgeInnovAgeSutternot reportednot reportednot reportednot reported2023: 1
InnovAge PACE/YubaInnovAgeInnovAgeYubanot reportednot reportednot reportednot reported2023: 1
Innovative Integrated Health PACE/OrangeInnovative Integrated Health PACEInnovative Integrated Health PACEOrangeCMS reported 165 (2024)0.7%+65 (+65.0%)+0.2 pts2022: 28; 2023: 100; 2024: 165
Innovative Integrated Health, Inc. dba Bakersfield PACE/KernInnovative Integrated Health, Inc.Innovative Integrated Health, Inc.Kernnot reportednot reportednot reportednot reported2023: 483
Innovative Integrated Health, Inc. dba Bakersfield PACE/TulareInnovative Integrated Health, Inc.Innovative Integrated Health, Inc.Tularenot reportednot reportednot reportednot reported2023: 1
Innovative Integrated Health, Inc./FresnoInnovative Integrated Health, Inc.Innovative Integrated Health, Inc.FresnoCMS reported 1,211 (2024)5.4%+41 (+3.5%)-0.6 pts2022: 1,125; 2023: 1,170; 2024: 1,211
Innovative Integrated Health, Inc./Kern043-IIH, Inc. dba Bakersfield PACE - Kern043-IIH, Inc. dba Bakersfield PACE - KernKernCMS reported 549 (2024)2.4%not reportednot reported2022: 347; 2024: 549
Innovative Integrated Health, Inc./TulareInnovative Integrated Health, Inc.Innovative Integrated Health, Inc.TulareCMS reported 1 (2024)0.0%not reportednot reported2022: 0; 2024: 1
LA Coast Coastline PACE/LAWelbeHealthWelbeHealthLos AngelesCMS reported 556 (2024)2.5%not reportednot reported2024: 556
LA Coast PACE/Los AngelesWelbeHealthWelbeHealthLos Angelesnot reportednot reportednot reportednot reported2023: 445
Loma Linda University Health PACE/RiversidePACE RiversidePACE RiversideRiversideCMS reported 7 (2024)0.0%not reportednot reported2024: 7
Loma Linda University Health PACE/San BernardinoPACE San BernardinoPACE San BernardinoSan BernardinoCMS reported 25 (2024)0.1%not reportednot reported2024: 25
MyPlace Health PACE/Los AngelesProsper Services, LLCProsper Services, LLCLos AngelesCMS reported 33 (2024)0.1%not reportednot reported2024: 33
Neighborhood Healthcare PACE/RiversideNeighborhood Healthcare PACENeighborhood Healthcare PACERiversideCMS reported 152 (2024)0.7%+27 (+21.6%)+0.0 pts2022: 52; 2023: 125; 2024: 152
Neighborhood Healthcare PACE/San BernadinoNeighborhood Healthcare PACENeighborhood Healthcare PACESan Bernadinonot reportednot reportednot reportednot reported2023: 55
Neighborhood Healthcare PACE/San BernardinoNeighborhood Healthcare PACENeighborhood Healthcare PACESan BernardinoCMS reported 80 (2024)0.4%not reportednot reported2022: 33; 2024: 80
North East Medical Services PACE/San FranciscoNorth East Medical ServicesNorth East Medical ServicesSan Francisconot reportednot reportednot reportednot reported2023: 111
North East Medical Services PACENorth East Medical ServicesNorth East Medical ServicesSan FranciscoCMS reported 150 (2024)0.7%not reportednot reported2022: 69; 2024: 150
On Lok Lifeways/AlamedaOn Lok LifewaysOn Lok LifewaysAlameda Countynot reportednot reportednot reportednot reported2020: 272
On Lok Lifeways/AlamedaOn Lok LifewaysOn Lok LifewaysAlamedaCMS reported 381 (2024)1.7%not reportednot reported2022: 330; 2024: 381
On Lok Lifeways/San FranciscoOn Lok LifewaysOn Lok LifewaysSan Francisco Countynot reportednot reportednot reportednot reported2020: 990
On Lok Lifeways/San FranciscoOn Lok LifewaysOn Lok LifewaysSan FranciscoCMS reported 1,102 (2024)4.9%not reportednot reported2022: 1,036; 2024: 1,102
On Lok Lifeways/Santa ClaraOn Lok LifewaysOn Lok LifewaysSanta Clara Countynot reportednot reportednot reportednot reported2020: 328
On Lok Lifeways/Santa ClaraOn Lok LifewaysOn Lok LifewaysSanta ClaraCMS reported 448 (2024)2.0%+56 (+14.3%)-0.0 pts2022: 366; 2023: 392; 2024: 448
On Lok Senior Health Services/AlamedaOn Lok LifewaysOn Lok LifewaysAlamedanot reportednot reportednot reportednot reported2023: 358
On Lok Senior Health Services/San FranciscoOn Lok LifewaysOn Lok LifewaysSan Franscisconot reportednot reportednot reportednot reported2023: 1,055
Pacific PACE/Los AngelesWelbe HealthWelbe HealthLos Angeles Countynot reportednot reportednot reportednot reported2020: 95
Pacific PACE/Los AngelesWelbeHealthWelbeHealthLos AngelesCMS reported 919 (2024)4.1%+452 (+96.8%)+1.7 pts2022: 346; 2023: 467; 2024: 919
Providence PACE/NapaPACE NapaPACE NapaNapaCMS reported 39 (2024)0.2%+29 (+290.0%)+0.1 pts2023: 10; 2024: 39
Providence PACE/SolanoPACE SolanoPACE SolanoSolanoCMS reported 3 (2024)0.0%not reportednot reported2024: 3
Redwood Coast Pace/HumboldtHumboldt Senior Resource CenterHumboldt Senior Resource CenterHumboldt Countynot reportednot reportednot reportednot reported2020: 203
San Diego PACE/San DiegoSan Diego PACESan Diego PACESan DiegoCMS reported 2,839 (2024)12.6%+283 (+11.1%)-0.4 pts2022: 2,079; 2023: 2,556; 2024: 2,839
San Diego PACESan Diego PACESan Diego PACESan Diego Countynot reportednot reportednot reportednot reported2020: 1,079
Sequioa PACE /KingsWelbeHealthWelbeHealthKingsCMS reported 11 (2024)0.0%not reportednot reported2024: 11
Sequioa PACE/FresnoWelbeHealthWelbeHealthFresnoCMS reported 751 (2024)3.3%not reportednot reported2022: 374; 2024: 751
Sequioa PACE/KingsWelbe HealthWelbe HealthKingsnot reportednot reportednot reportednot reported2022: 4
Sequioa PACE/MaderaWelbeHealthWelbeHealthMaderaCMS reported 45 (2024)0.2%not reportednot reported2022: 11; 2024: 45
Sequioa PACE/TulareWelbeHealthWelbeHealthTulareCMS reported 26 (2024)0.1%not reportednot reported2022: 12; 2024: 26
Sequoia PACE/FresnoWelbeHealthWelbeHealthFresnonot reportednot reportednot reportednot reported2023: 628
Sequoia PACE/KingsWelbeHealthWelbeHealthKingsnot reportednot reportednot reportednot reported2023: 8
Sequoia PACE/MaderaWelbeHealthWelbeHealthMaderanot reportednot reportednot reportednot reported2023: 28
Sequoia PACE/TulareWelbeHealthWelbeHealthTularenot reportednot reportednot reportednot reported2023: 22
Sequoia PACEWelbe HealthWelbe HealthFresno Countynot reportednot reportednot reportednot reported2020: 0
Sequoia PACEWelbe HealthWelbe HealthKings Countynot reportednot reportednot reportednot reported2020: 0
Sequoia PACEWelbe HealthWelbe HealthMadera Countynot reportednot reportednot reportednot reported2020: 0
Sequoia PACEWelbe HealthWelbe HealthTulare Countynot reportednot reportednot reportednot reported2020: 0
St. Paul's PACE/San DiegoCommunity Eldercare of San DiegoCommunity Eldercare of San DiegoSan Diego Countynot reportednot reportednot reportednot reported2020: 1,008
St. Paul's PACE/San DiegoCommunity Eldercare of San DiegoCommunity Eldercare of San DiegoSan Diegonot reportednot reportednot reportednot reported2023: 1,443
St. Paul's PACECommunity Eldercare of San DiegoCommunity Eldercare of San DiegoSan DiegoCMS reported 1,444 (2024)6.4%not reportednot reported2022: 1,264; 2024: 1,444
Stockton PACE/San JoaquinWelbe HealthWelbe HealthSan Joaquin Countynot reportednot reportednot reportednot reported2020: 177
Stockton PACE/San JoaquinWelbeHealthWelbeHealthSan JoaquinCMS reported 677 (2024)3.0%+121 (+21.8%)+0.2 pts2022: 434; 2023: 556; 2024: 677
Stockton PACE/StanislausWelbe HealthWelbe HealthStanislaus Countynot reportednot reportednot reportednot reported2020: 18
Stockton PACE/StanislausWelbeHealthWelbeHealthStanislausCMS reported 321 (2024)1.4%+117 (+57.4%)+0.4 pts2022: 83; 2023: 204; 2024: 321
Sutter SeniorCare PACE/SacramentoSutter HealthSutter HealthSacramentoCMS reported 507 (2024)2.2%not reportednot reported2022: 451; 2024: 507
Sutter SeniorCare PACE/SacramentoSutter Valley HospitalsSutter Valley HospitalsSacramento Countynot reportednot reportednot reportednot reported2020: 432
Sutter SeniorCare/SacramentoSutter HealthSutter HealthSacramentonot reportednot reportednot reportednot reported2023: 458
WelbeHealth Bay Area PACE/Santa ClaraWelbeHealthWelbeHealthSanta ClaraCMS reported 91 (2024)0.4%not reportednot reported2024: 91

Program of All-Inclusive Care for the Elderly (PACE) (Program of All-inclusive Care for the Elderly (PACE))

Program of All-Inclusive Care for the Elderly (PACE) (Program of All-inclusive Care for the Elderly (PACE)) 76
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Alta Med Health Senior Buenacare/Los Angelesnot reportedunmatchedLos Angelesnot reportednot reportednot reportednot reported2016: 2,006
AltaMed Senior Buenacare/Los AngelesAltaMed Health Services CorporationAltaMed Health Services CorporationLos Angeles Countynot reportednot reportednot reportednot reported2017: 2,310; 2018: 2,531; 2019: 2,616
AltaMed Senior Buenacare/Los AngelesAltaMed Health Services CorporationAltaMed Health Services CorporationLos Angeles countynot reportednot reportednot reportednot reported2021: 3,233
AltaMed Senior Buenacare/OrangeAltaMed Health Services CorporationAltaMed Health Services CorporationOrange countynot reportednot reportednot reportednot reported2021: 0
Bakersfield PACE (Kern)Innovative Integrated Health Inc.Innovative Integrated Health, Inc.Kern countynot reportednot reportednot reportednot reported2021: 187
show all 76
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Bakersfield PACE (Tulare)Innovative Integrated Health Inc.Innovative Integrated Health, Inc.Tularenot reportednot reportednot reportednot reported2021: 0
Brandman Centers for Senior Care/Los AngelesBrandman Centers for Senior CareBrandman Centers for Senior CareLos Angeles Countynot reportednot reportednot reportednot reported2017: 209; 2018: 229; 2019: 244
Brandman Centers for Senior Care/Los AngelesBrandman Centers for Senior CareBrandman Centers for Senior CareLos Angeles countynot reportednot reportednot reportednot reported2021: 251
Brandman Centers for Senior Care/Los Angelesnot reportedunmatchedLos Angelesnot reportednot reportednot reportednot reported2016: 186
CalOPTIMA PACE/Orangenot reportedunmatchedOrangenot reportednot reportednot reportednot reported2016: 175
CalOptima PACE/OrangeCalOptimaCalOptimaOrange Countynot reportednot reportednot reportednot reported2017: 214; 2018: 274; 2019: 335
CalOptima PACE/OrangeCalOptimaCalOptimaOrange countynot reportednot reportednot reportednot reported2021: 404
Center for Elders Independence/AlamedaCenter for Elders IndependenceCenter for Elders IndependenceAlameda Countynot reportednot reportednot reportednot reported2017: 635; 2018: 626; 2019: 664
Center for Elders Independence/AlamedaCenter for Elders IndependenceCenter for Elders IndependenceAlameda countynot reportednot reportednot reportednot reported2021: 768
Center for Elders Independence/Alamedanot reportedunmatchedAlamedanot reportednot reportednot reportednot reported2016: 617
Center for Elders Independence/Contra CostaCenter for Elders IndependenceCenter for Elders IndependenceContra Costa Countynot reportednot reportednot reportednot reported2017: 74; 2018: 80; 2019: 98
Center for Elders Independence/Contra CostaCenter for Elders IndependenceCenter for Elders IndependenceContra Costa countynot reportednot reportednot reportednot reported2021: 127
Center for Elders Independence/Contra Costanot reportedunmatchedContra Costanot reportednot reportednot reportednot reported2016: 68
Central Valley Medical Services/Fresnonot reportedunmatchedFresnonot reportednot reportednot reportednot reported2016: 255
Central Valley PACE (San Joaquin)Golden Valley Health CentersGolden Valley Health CentersSan Joaquin countynot reportednot reportednot reportednot reported2021: 0
Central Valley PACE (Stanislaus)Golden Valley Health CentersGolden Valley Health CentersStanislaus countynot reportednot reportednot reportednot reported2021: 93
Coastline PACEWelbe HealthWelbe HealthLos Angeles countynot reportednot reportednot reportednot reported2021: 137
Family Health Centers of San DiegoFamily Health Centers of San DiegoFamily Health Centers of San DiegoSan Diego Countynot reportednot reportednot reportednot reported2019: 1
Family Health Centers of San DiegoFamily Health Centers of San DiegoFamily Health Centers of San DiegoSan Diego countynot reportednot reportednot reportednot reported2021: 150
Fresno PACECentral Valley Medical Services CorporationCentral Valley Medical Services CorporationFresno Countynot reportednot reportednot reportednot reported2017: 336; 2018: 520; 2019: 667
Fresno PACEInnovative Integrated Health IncInnovative Integrated Health, Inc.Fresno countynot reportednot reportednot reportednot reported2021: 978
Gary and Mary West PACE of Northern San DiegoWest HealthWest HealthSan Diego Countynot reportednot reportednot reportednot reported2019: 1
Gary and Mary West PACE of Northern San DiegoWest HealthWest HealthSan Diego countynot reportednot reportednot reportednot reported2021: 151
InnovAge California PACE Sacramento (San Joaquin)InnovAge California PACE-SacramentoInnovAge California PACE- SacramentoSan Joaquinnot reportednot reportednot reportednot reported2021: 0
InnovAge California PACE- Sacramento (El Dorado)InnovAge California PACE- SacramentoInnovAge California PACE- SacramentoEl Dorado countynot reportednot reportednot reportednot reported2021: 0
InnovAge California PACE- Sacramento (Placer)InnovAge California PACE- PlacerInnovAge California PACE- PlacerPlacer countynot reportednot reportednot reportednot reported2021: 0
InnovAge California PACE- Sacramento (Sutter)InnovAge California PACE- SacramentoInnovAge California PACE- SacramentoSutternot reportednot reportednot reportednot reported2021: 0
InnovAge California PACE- Sacramento (Yuba)InnovAge California PACE- SacramentoInnovAge California PACE- SacramentoYubanot reportednot reportednot reportednot reported2021: 1
InnovAge California PACE- Sacramento- SacInnovAge California PACE- SacramentoInnovAge California PACE- SacramentoSacramento countynot reportednot reportednot reportednot reported2021: 146
InnovAge PACE/RiversideInnovAgeInnovAgeRiverside Countynot reportednot reportednot reportednot reported2017: 113; 2018: 141; 2019: 191
InnovAge PACE/RiversideInnovAgeInnovAgeRiverside countynot reportednot reportednot reportednot reported2021: 319
InnovAge PACE/San Bernardino CountyInnovAgeInnovAgeSan Bernardino Countynot reportednot reportednot reportednot reported2018: 384; 2019: 530
InnovAge PACE/San Bernardino CountyInnovAgeInnovAgeSan Bernardino countynot reportednot reportednot reportednot reported2021: 750
InnovAge PACE/San BernardinoInnovAgeInnovAgeSan Bernardino Countynot reportednot reportednot reportednot reported2017: 313
Innovage PACE/Riversidenot reportedunmatchedRiversidenot reportednot reportednot reportednot reported2016: 79
Innovage PACE/San Bernardinonot reportedunmatchedSan Bernardinonot reportednot reportednot reportednot reported2016: 190
Neighborhood PACE (Riverside)Neighborhood Healthcare PACENeighborhood Healthcare PACERiversidenot reportednot reportednot reportednot reported2021: 0
Neighborhood PACE (San Bernardino)Neighborhood Healthcare PACENeighborhood Healthcare PACESan Bernardinonot reportednot reportednot reportednot reported2021: 0
North East Medical ServicesNorth East Medical ServicesNorth East Medical ServicesSan Francisco countynot reportednot reportednot reportednot reported2021: 24
ONLOK Lifeways/Alamedanot reportedunmatchedAlamedanot reportednot reportednot reportednot reported2016: 214
ONLOK Lifeways/San Francisconot reportedunmatchedSan Francisconot reportednot reportednot reportednot reported2016: 994
ONLOK Lifeways/Santa Claranot reportedunmatchedSanta Claranot reportednot reportednot reportednot reported2016: 244
On Lok Lifeways/AlamedaOn Lok LifewaysOn Lok LifewaysAlameda Countynot reportednot reportednot reportednot reported2017: 214; 2018: 250; 2019: 278
On Lok Lifeways/AlamedaOn Lok LifewaysOn Lok LifewaysAlameda countynot reportednot reportednot reportednot reported2021: 302
On Lok Lifeways/San FranciscoOn Lok LifewaysOn Lok LifewaysSan Francisco Countynot reportednot reportednot reportednot reported2017: 986; 2018: 993; 2019: 997
On Lok Lifeways/San FranciscoOn Lok LifewaysOn Lok LifewaysSan Francisco countynot reportednot reportednot reportednot reported2021: 1,014
On Lok Lifeways/Santa ClaraOn Lok LifewaysOn Lok LifewaysSanta Clara Countynot reportednot reportednot reportednot reported2017: 225; 2018: 256; 2019: 300
On Lok Lifeways/Santa ClaraOn Lok LifewaysOn Lok LifewaysSanta Clara countynot reportednot reportednot reportednot reported2021: 347
Pacific PACE/Los AngelesWelbe HealthWelbe HealthLos Angeles Countynot reportednot reportednot reportednot reported2019: 3
Pacific PACE/Los AngelesWelbe HealthWelbe HealthLos Angeles countynot reportednot reportednot reportednot reported2021: 208
Redwood Coast PACE/HumboldtHumboldt Senior Resource CenterHumboldt Senior Resource CenterHumboldt Countynot reportednot reportednot reportednot reported2017: 123
Redwood Coast PACE/Humboldtnot reportedunmatchedHumboldtnot reportednot reportednot reportednot reported2016: 89
Redwood Coast Pace/HumboldtHumboldt Senior Resource CenterHumboldt Senior Resource CenterHumboldt Countynot reportednot reportednot reportednot reported2018: 155; 2019: 171
Redwood Coast Pace/HumboldtHumboldt Senior Resource CenterHumboldt Senior Resource CenterHumboldt countynot reportednot reportednot reportednot reported2021: 219
San Diego PACESan Diego PACESan Diego PACESan Diego Countynot reportednot reportednot reportednot reported2017: 214; 2018: 322; 2019: 514
San Diego PACESan Diego PACESan Diego PACESan Diego countynot reportednot reportednot reportednot reported2021: 1,590
San Diego PACEnot reportedunmatchedSan Diegonot reportednot reportednot reportednot reported2016: 145
Sequoia PACE (Fresno)Welbe HealthWelbe HealthFresno countynot reportednot reportednot reportednot reported2021: 0
Sequoia PACE (Kings)Welbe HealthWelbe HealthKings countynot reportednot reportednot reportednot reported2021: 0
Sequoia PACE (Tulare)Welbe HealthWelbe HealthTulare countynot reportednot reportednot reportednot reported2021: 0
Sequoia PACE(Madera)Welbe HealthWelbe HealthMadera countynot reportednot reportednot reportednot reported2021: 0
St. Paul's PACE/San DiegoCommunity Eldercare of San DiegoCommunity Eldercare of San DiegoSan Diego Countynot reportednot reportednot reportednot reported2017: 618; 2018: 729; 2019: 885
St. Paul's PACE/San Diegonot reportedunmatchedSan Diegonot reportednot reportednot reportednot reported2016: 535
St. Paul’s PACE/San DiegoCommunity Eldercare of San DiegoCommunity Eldercare of San DiegoSan Diego countynot reportednot reportednot reportednot reported2021: 1,111
Stockton PACE/San JoaquinWelbe HealthWelbe HealthSan Joaquin Countynot reportednot reportednot reportednot reported2019: 66
Stockton PACE/San JoaquinWelbe HealthWelbe HealthSan Joaquin countynot reportednot reportednot reportednot reported2021: 274
Stockton PACE/StanislausWelbe HealthWelbe HealthStanislaus Countynot reportednot reportednot reportednot reported2019: 7
Stockton PACE/StanislausWelbe HealthWelbe HealthStanislaus countynot reportednot reportednot reportednot reported2021: 48
Sutter SeniorCare PACE/SacramentoSutter HealthSutter HealthSacramento Countynot reportednot reportednot reportednot reported2017: 274; 2018: 294; 2019: 378
Sutter SeniorCare PACE/SacramentoSutter HealthSutter HealthSacramento countynot reportednot reportednot reportednot reported2021: 463
Sutter SeniorCare PACE/Sacramentonot reportedunmatchedSacramentonot reportednot reportednot reportednot reported2016: 256

Rady Children's Hospital San Diego (RCHSD) (Comprehensive MCO)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Rady Children’s Hospital San Diego (RCHSD)Rady Children’s Hospital San Diego (RCHSD)Rady Children’s Hospital San Diego (RCHSD)San Diego, Imperial, and Riverside countynot reportednot reportednot reportednot reported2021: 384

Rady Children’s Hospital San Diego (RCHSD) (Comprehensive MCO)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Rady Children’s Hospital San Diego (RCHSD)Rady Children’s Hospital San Diego (RCHSD)Rady Children’s Hospital San Diego (RCHSD)San Diego County, Imperial County, Riverside Countynot reportednot reportednot reportednot reported2018: 0; 2020: 373
Rady Children’s Hospital San Diego (RCHSD)Rady Children’s Hospital San Diego (RCHSD)Rady Children’s Hospital San Diego (RCHSD)San Diego, Imperial, and Riverside Countiesnot reportednot reportednot reportednot reported2019: 363

Regional Model (Comprehensive MCO)

Regional Model (Comprehensive MCO) 134
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Anthem Blue Cross Partnership Plan-Region 1Anthem - Region 1ElevanceButte, Colusa, Glenn, Plumas, Sierra, Sutter, and Tehama Countiesnot reportednot reportednot reportednot reported2022: 71,882
Anthem Blue Cross Partnership Plan-Region 2Anthem - Region 2ElevanceAmador, Calaveras, Alpine, El Dorado, Inyo, Mariposa, Mono, Nevada, Placer, Tuolumne, and Yuba Countiesnot reportednot reportednot reportednot reported2022: 113,855
Anthem Blue Cross Partnership Plan/AlpineAnthem - Region 2ElevanceAlpinenot reportednot reportednot reportednot reported2016: 147; 2023: 188
Anthem Blue Cross Partnership Plan/AlpineAnthem Insurance Companies, Inc.ElevanceAlpine Countynot reportednot reportednot reportednot reported2017: 141
Anthem Blue Cross Partnership Plan/AmadorAnthem - Region 2ElevanceAmadornot reportednot reportednot reportednot reported2016: 5,413; 2023: 6,913
show all 134
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Anthem Blue Cross Partnership Plan/AmadorAnthem Insurance Companies, Inc.ElevanceAmador Countynot reportednot reportednot reportednot reported2017: 5,403
Anthem Blue Cross Partnership Plan/ButteAnthem - Region 2ElevanceButenot reportednot reportednot reportednot reported2023: 28,922
Anthem Blue Cross Partnership Plan/ButteAnthem Insurance Companies, Inc.ElevanceButte Countynot reportednot reportednot reportednot reported2017: 30,867
Anthem Blue Cross Partnership Plan/Buttenot reportedunmatchedButtenot reportednot reportednot reportednot reported2016: 31,074
Anthem Blue Cross Partnership Plan/CalaverasAnthem Insurance Companies, Inc.ElevanceCalaveras Countynot reportednot reportednot reportednot reported2017: 3,722
Anthem Blue Cross Partnership Plan/Calaverasnot reportedunmatchedCalaverasnot reportednot reportednot reportednot reported2016: 3,449
Anthem Blue Cross Partnership Plan/ColusaAnthem - Region 1ElevanceColusanot reportednot reportednot reportednot reported2016: 4,691; 2023: 5,981
Anthem Blue Cross Partnership Plan/ColusaAnthem Insurance Companies, Inc.ElevanceColusa Countynot reportednot reportednot reportednot reported2017: 4,702
Anthem Blue Cross Partnership Plan/El DoradoAnthem - Region 2ElevanceEl Doradonot reportednot reportednot reportednot reported2016: 8,902; 2023: 16,144
Anthem Blue Cross Partnership Plan/El DoradoAnthem Insurance Companies, Inc.ElevanceEl Dorado Countynot reportednot reportednot reportednot reported2017: 8,915
Anthem Blue Cross Partnership Plan/GlennAnthem Insurance Companies, Inc.ElevanceGlenn Countynot reportednot reportednot reportednot reported2017: 4,023
Anthem Blue Cross Partnership Plan/Glennnot reportedunmatchedGlennnot reportednot reportednot reportednot reported2016: 4,261
Anthem Blue Cross Partnership Plan/InyoAnthem - Region 2ElevanceInyonot reportednot reportednot reportednot reported2016: 1,993; 2023: 3,387
Anthem Blue Cross Partnership Plan/InyoAnthem Insurance Companies, Inc.ElevanceInyo Countynot reportednot reportednot reportednot reported2017: 1,935
Anthem Blue Cross Partnership Plan/MariposaAnthem Insurance Companies, Inc.ElevanceMariposa countynot reportednot reportednot reportednot reported2017: 2,931
Anthem Blue Cross Partnership Plan/Mariposanot reportedunmatchedMariposanot reportednot reportednot reportednot reported2016: 2,937
Anthem Blue Cross Partnership Plan/MonoAnthem - Region 2ElevanceMononot reportednot reportednot reportednot reported2016: 1,693; 2023: 2,187
Anthem Blue Cross Partnership Plan/MonoAnthem Insurance Companies, Inc.ElevanceMono Countynot reportednot reportednot reportednot reported2017: 1,739
Anthem Blue Cross Partnership Plan/NevadaAnthem - Region 2ElevanceNevadanot reportednot reportednot reportednot reported2016: 12,998; 2023: 16,711
Anthem Blue Cross Partnership Plan/NevadaAnthem Insurance Companies, Inc.ElevanceNevada Countynot reportednot reportednot reportednot reported2017: 12,546
Anthem Blue Cross Partnership Plan/PlacerAnthem - Region 2ElevancePlacernot reportednot reportednot reportednot reported2016: 31,756; 2023: 44,347
Anthem Blue Cross Partnership Plan/PlacerAnthem Insurance Companies, Inc.ElevancePlacer Countynot reportednot reportednot reportednot reported2017: 31,107
Anthem Blue Cross Partnership Plan/PlumasAnthem - Region 1ElevancePlumasnot reportednot reportednot reportednot reported2016: 2,517; 2023: 3,415
Anthem Blue Cross Partnership Plan/PlumasAnthem Insurance Companies, Inc.ElevancePlumas Countynot reportednot reportednot reportednot reported2017: 2,679
Anthem Blue Cross Partnership Plan/Region 1Anthem Insurance Companies, Inc.ElevanceButte, Colusa, Glenn, Plumas, Sierra, Sutter, and Tehama Countiesnot reportednot reportednot reportednot reported2018: 68,028; 2019: 62,620; 2020: 63,112
Anthem Blue Cross Partnership Plan/Region 1Anthem Insurance Companies, Inc.ElevanceButte, Colusa, Glenn, Plumas, Sierra, Sutter, and Tehama countiesnot reportednot reportednot reportednot reported2021: 67,336
Anthem Blue Cross Partnership Plan/Region 2Anthem - Region 2ElevanceAmador, Calaveras, Inyo, Mono, TuolumneCMS reported 25,625 (2024)59.0%not reportednot reported2024: 25,625
Anthem Blue Cross Partnership Plan/Region 2Anthem Insurance Companies, Inc.ElevanceAlpine, Amador, Calaveras, El Dorado, Inyo, Mariposa, Mono, Nevada, Placer, Tuolumne, and Yuba Countiesnot reportednot reportednot reportednot reported2018: 87,129; 2019: 83,297; 2020: 89,267
Anthem Blue Cross Partnership Plan/Region 2Anthem Insurance Companies, Inc.ElevanceAlpine, Amador, Calaveras, El Dorado, Inyo, Mariposa, Mono, Nevada, Placer, Tuolumne, and Yuba countiesnot reportednot reportednot reportednot reported2021: 102,896
Anthem Blue Cross Partnership Plan/San BenitoAnthem Insurance Companies, Inc.ElevanceSan Benito Countynot reportednot reportednot reportednot reported2017: 8,207; 2019: 7,846; 2020: 8,301
Anthem Blue Cross Partnership Plan/San BenitoAnthem Insurance Companies, Inc.ElevanceSan Benito countynot reportednot reportednot reportednot reported2021: 9,558
Anthem Blue Cross Partnership Plan/San Benitonot reportedunmatchedSan Benitonot reportednot reportednot reportednot reported2016: 7,766
Anthem Blue Cross Partnership Plan/SierraAnthem - Region 1ElevanceSierranot reportednot reportednot reportednot reported2016: 357; 2023: 456
Anthem Blue Cross Partnership Plan/SierraAnthem Insurance Companies, Inc.ElevanceSierra Countynot reportednot reportednot reportednot reported2017: 399
Anthem Blue Cross Partnership Plan/SutterAnthem - Region 1ElevanceSutternot reportednot reportednot reportednot reported2016: 21,851; 2023: 27,794
Anthem Blue Cross Partnership Plan/SutterAnthem Insurance Companies, Inc.ElevanceSutter Countynot reportednot reportednot reportednot reported2017: 22,696
Anthem Blue Cross Partnership Plan/TehamaAnthem - Region 1ElevanceTehamanot reportednot reportednot reportednot reported2016: 9,709; 2023: 12,898
Anthem Blue Cross Partnership Plan/TehamaAnthem Insurance Companies, Inc.ElevanceTehama Countynot reportednot reportednot reportednot reported2017: 9,497
Anthem Blue Cross Partnership Plan/TuolumneAnthem Insurance Companies, Inc.ElevanceTuolumne Countynot reportednot reportednot reportednot reported2017: 5,120
Anthem Blue Cross Partnership Plan/Tuolumnenot reportedunmatchedTuolumnenot reportednot reportednot reportednot reported2016: 5,075
Anthem Blue Cross Partnership Plan/YubaAnthem - Region 2ElevanceYubanot reportednot reportednot reportednot reported2016: 15,986; 2023: 22,880
Anthem Blue Cross Partnership Plan/YubaAnthem Insurance Companies, Inc.ElevanceYuba Countynot reportednot reportednot reportednot reported2017: 16,849
Anthem Blue Cross Partnership/GlennAnthem - Region 1ElevanceGlennnot reportednot reportednot reportednot reported2023: 3,386
Anthem Blue Cross Partnership/MariposaAnthem Region - 2ElevanceMariposanot reportednot reportednot reportednot reported2023: 4,667
Anthem Blue Cross Partnership/TuolumneAnthem - Region 2ElevanceTuolumnenot reportednot reportednot reportednot reported2023: 8,471
Anthem Blue Cross/CalaverasAnthem - Region 2ElevanceCalaverasnot reportednot reportednot reportednot reported2023: 7,276
Anthem Blue Cross/San BenitoAnthem - San BenitoElevanceSan Benitonot reportednot reportednot reportednot reported2022: 10,833
California Health & Wellness Plan/ImperialCentene CorporationCenteneImperial Countynot reportednot reportednot reportednot reported2018: 61,816; 2019: 61,927; 2020: 63,184
California Health & Wellness Plan/ImperialCentene CorporationCenteneImperial countynot reportednot reportednot reportednot reported2021: 67,772
California Health & Wellness Plan/Region 1Centene CorporationCenteneButte, Colusa, Glenn, Plumas, Sierra, Sutter, and Tehama Countiesnot reportednot reportednot reportednot reported2018: 73,254; 2019: 75,077; 2020: 77,265
California Health & Wellness Plan/Region 1Centene CorporationCenteneButte, Colusa, Glenn, Plumas, Sierra, Sutter, and Tehama countiesnot reportednot reportednot reportednot reported2021: 85,309
California Health & Wellness Plan/Region 2Centene CorporationCenteneAlpine, Amador, Calaveras, El Dorado, Inyo, Mariposa, Mono, Nevada, Placer, Tuolumne, and Yuba Countiesnot reportednot reportednot reportednot reported2018: 62,342; 2019: 61,753; 2020: 60,750
California Health & Wellness Plan/Region 2Centene CorporationCenteneAlpine, Amador, Calaveras, El Dorado, Inyo, Mariposa, Mono, Nevada, Placer, Tuolumne, and Yuba countiesnot reportednot reportednot reportednot reported2021: 65,769
California Health & Wellness-Region 1CH&W - Region 1CH&W - Region 1Glenn, Butte, Colusa, Plumas, Sierra, Sutter, and Tehama Countiesnot reportednot reportednot reportednot reported2022: 91,748
California Health & Wellness-Region 2CH&W - Region 2CH&W - Region 2Alpine, Amador, Calaveras, El Dorado, Inyo, Mariposa, Mono, Nevada, Placer, Tuolumne, and Yuba Countiesnot reportednot reportednot reportednot reported2022: 70,594
California Health & Wellness/AlpineCentene CorporationCenteneAlpine Countynot reportednot reportednot reportednot reported2017: 101
California Health & Wellness/Alpinenot reportedunmatchedAlpinenot reportednot reportednot reportednot reported2016: 123
California Health & Wellness/AmadorCentene CorporationCenteneAmador Countynot reportednot reportednot reportednot reported2017: 1,000
California Health & Wellness/Amadornot reportedunmatchedAmadornot reportednot reportednot reportednot reported2016: 1,059
California Health & Wellness/ButteCentene CorporationCenteneButte Countynot reportednot reportednot reportednot reported2017: 35,434
California Health & Wellness/Buttenot reportedunmatchedButtenot reportednot reportednot reportednot reported2016: 35,023
California Health & Wellness/CalaverasCentene CorporationCenteneCalaveras Countynot reportednot reportednot reportednot reported2017: 5,737
California Health & Wellness/Calaverasnot reportedunmatchedCalaverasnot reportednot reportednot reportednot reported2016: 6,231
California Health & Wellness/ColusaCentene CorporationCenteneColusa Countynot reportednot reportednot reportednot reported2017: 2,553
California Health & Wellness/Colusanot reportedunmatchedColusanot reportednot reportednot reportednot reported2016: 2,424
California Health & Wellness/El DoradoCentene CorporationCenteneEl Dorado Countynot reportednot reportednot reportednot reported2017: 19,722
California Health & Wellness/El Doradonot reportedunmatchedEl Doradonot reportednot reportednot reportednot reported2016: 19,340
California Health & Wellness/GlennCentene CorporationCenteneGlenn Countynot reportednot reportednot reportednot reported2017: 5,938
California Health & Wellness/Glennnot reportedunmatchedGlennnot reportednot reportednot reportednot reported2016: 5,461
California Health & Wellness/ImperialCentene CorporationCenteneImperial Countynot reportednot reportednot reportednot reported2017: 61,265
California Health & Wellness/Imperialnot reportedunmatchedImperialnot reportednot reportednot reportednot reported2016: 58,917
California Health & Wellness/InyoCentene CorporationCenteneInyo Countynot reportednot reportednot reportednot reported2017: 1,872
California Health & Wellness/Inyonot reportedunmatchedInoynot reportednot reportednot reportednot reported2016: 2,023
California Health & Wellness/MariposaCentene CorporationCenteneMariposa Countynot reportednot reportednot reportednot reported2017: 831
California Health & Wellness/Mariposanot reportedunmatchedMariposanot reportednot reportednot reportednot reported2016: 981
California Health & Wellness/MonoCentene CorporationCenteneMono Countynot reportednot reportednot reportednot reported2017: 1,022
California Health & Wellness/Mononot reportedunmatchedMononot reportednot reportednot reportednot reported2016: 970
California Health & Wellness/NevadaCentene CorporationCenteneNevada Countynot reportednot reportednot reportednot reported2017: 7,929
California Health & Wellness/Nevadanot reportedunmatchedNevadanot reportednot reportednot reportednot reported2016: 7,879
California Health & Wellness/PlacerCentene CorporationCentenePlacer Countynot reportednot reportednot reportednot reported2017: 9,219
California Health & Wellness/Placernot reportedunmatchedPlacernot reportednot reportednot reportednot reported2016: 10,211
California Health & Wellness/PlumasCentene CorporationCentenePlumas Countynot reportednot reportednot reportednot reported2017: 2,393
California Health & Wellness/SierraCentene CorporationCenteneSierra Countynot reportednot reportednot reportednot reported2017: 216
California Health & Wellness/Sierranot reportedunmatchedSierranot reportednot reportednot reportednot reported2016: 220
California Health & Wellness/SutterCalifornia Health & Wellness Centene CorporationCenteneSutter Countynot reportednot reportednot reportednot reported2017: 10,351
California Health & Wellness/Sutternot reportedunmatchedSutternot reportednot reportednot reportednot reported2016: 10,954
California Health & Wellness/TehamaCentene CorporationCenteneTehama Countynot reportednot reportednot reportednot reported2017: 10,989
California Health & Wellness/Tehamanot reportedunmatchedTehamanot reportednot reportednot reportednot reported2016: 11,025
California Health & Wellness/TuolumneCentene CorporationCenteneTuolumne Countynot reportednot reportednot reportednot reported2017: 5,823
California Health & Wellness/Tuolumnenot reportedunmatchedTuolumnenot reportednot reportednot reportednot reported2016: 6,137
California Health & Wellness/YubaCentene CorporationCenteneYuba Countynot reportednot reportednot reportednot reported2017: 8,876
California Health & Wellness/Yubanot reportedunmatchedYubanot reportednot reportednot reportednot reported2016: 9,074
California Health and Wellness (CH&W) Plan/ImperialCH&W - ImperialCH&W - ImperialImperial Countynot reportednot reportednot reportednot reported2022: 72,106
California Health and Wellness Plan/AlpineCH&W - Region 2CH&W - Region 2Alpinenot reportednot reportednot reportednot reported2023: 82
California Health and Wellness Plan/AmadorCH&W - Region 2CH&W - Region 2Amadornot reportednot reportednot reportednot reported2023: 2,095
California Health and Wellness Plan/ButteCH&W - Region 1CH&W - Region 1Buttenot reportednot reportednot reportednot reported2023: 54,666
California Health and Wellness Plan/CalaverasCH&W - RegionCH&W - RegionCalaverasnot reportednot reportednot reportednot reported2023: 6,428
California Health and Wellness Plan/ColusaCH&W - Region 1CH&W - Region 1Colusanot reportednot reportednot reportednot reported2023: 4,896
California Health and Wellness Plan/El DoradoCH&W - Region 2CH&W - Region 2El Doradonot reportednot reportednot reportednot reported2023: 21,578
California Health and Wellness Plan/GlennCH&W - Region 1CH&W - Region 1Glennnot reportednot reportednot reportednot reported2023: 10,261
California Health and Wellness Plan/InyoCH&W - Region 2CH&W - Region 2Inyonot reportednot reportednot reportednot reported2023: 2,388
California Health and Wellness Plan/MariposaCH&W - Region 2CH&W - Region 2Mariposanot reportednot reportednot reportednot reported2023: 1,292
California Health and Wellness Plan/MonoCH&W - Region 2CH&W - Region 2Mononot reportednot reportednot reportednot reported2023: 1,156
California Health and Wellness Plan/NevadaCH&W - Region 2CH&W - Region 2Nevadanot reportednot reportednot reportednot reported2023: 11,381
California Health and Wellness Plan/PlacerCH&W - Region 2CH&W - Region 2Placernot reportednot reportednot reportednot reported2023: 16,342
California Health and Wellness Plan/PlumasCH&W - Region 1CH&W - Region 1Plumasnot reportednot reportednot reportednot reported2023: 3,015
California Health and Wellness Plan/SierraCH&W - Region 1CH&W - Region 1Sierranot reportednot reportednot reportednot reported2023: 342
California Health and Wellness Plan/SutterCH&W - RegionCH&W - RegionSutternot reportednot reportednot reportednot reported2023: 16,037
California Health and Wellness Plan/TehamaCH&W - Region 1CH&W - Region 1Tehamanot reportednot reportednot reportednot reported2023: 17,157
California Health and Wellness Plan/TuolumneCH&W - RegionCH&W - RegionTuolumnenot reportednot reportednot reportednot reported2023: 6,978
California Health and Wellness Plan/YubaCH&W - Region 2CH&W - Region 2Yubanot reportednot reportednot reportednot reported2023: 13,492
Health Net Community Solutions, Inc.Health Net - Region 2CenteneAmador, Calaveras, Inyo, Mono, TuolumneCMS reported 17,488 (2024)40.3%not reportednot reported2024: 17,488
KP Cal LLC/AmadorKaiser PermanenteKaiser PermanenteAmador Countynot reportednot reportednot reportednot reported2018: 94; 2019: 109; 2020: 123
KP Cal LLC/El DoradoKaiser PermanenteKaiser PermanenteEl Dorado Countynot reportednot reportednot reportednot reported2018: 1,998; 2019: 2,100; 2020: 2,258
KP Cal LLC/PlacerKaiser PermanenteKaiser PermanentePlacer Countynot reportednot reportednot reportednot reported2018: 7,364; 2019: 7,908; 2020: 8,762
Kaiser Permanente/AmadorCH&W - ImperialCH&W - ImperialAmadorCMS reported 296 (2024)0.7%+9 (+3.1%)+0.6 pts2023: 287; 2024: 296
Kaiser Permanente/El DoradoKaiser - KP NorthKaiser PermanenteEl Doradonot reportednot reportednot reportednot reported2023: 3,396
Kaiser Permanente/PlacerKaiser - KP NorthKaiser PermanentePlacernot reportednot reportednot reportednot reported2023: 14,531
Kaiser/AmadorKaiser PermanenteKaiser PermanenteAmador Countynot reportednot reportednot reportednot reported2017: 89
Kaiser/Amadornot reportedunmatchedAmadornot reportednot reportednot reportednot reported2016: 75
Kaiser/El DoradoKaiser PermanenteKaiser PermanenteEl Dorado Countynot reportednot reportednot reportednot reported2017: 1,876
Kaiser/El Doradonot reportedunmatchedEl Doradonot reportednot reportednot reportednot reported2016: 1,538
Kaiser/PlacerKaiser PermanenteKaiser PermanentePlacer Countynot reportednot reportednot reportednot reported2017: 6,603
Kaiser/Placernot reportedunmatchedPlacernot reportednot reportednot reportednot reported2016: 5,669
Molina Healthcare of CA Partner Plan/ImperialMolina HealthcareMolinaImperial Countynot reportednot reportednot reportednot reported2018: 14,966; 2019: 14,279; 2020: 14,378
Molina Healthcare of CA-ImperialMolina HealthcareMolinaImperial countynot reportednot reportednot reportednot reported2021: 15,620
Molina Healthcare of California/ImperialMolina - ImperialMolinaImperial Countynot reportednot reportednot reportednot reported2022: 17,285
Molina Healthcare/ImperialMolina HealthcareMolinaImperial Countynot reportednot reportednot reportednot reported2017: 15,622
Molina Healthcare/Imperialnot reportedunmatchedImperialnot reportednot reportednot reportednot reported2016: 16,298

SCAN (Comprehensive MCO + MLTSS)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
SCAN Health Plan - San BernardinoSCAN Riverside and San BernardinoSCAN Riverside and San BernardinoRiverside and San Bernardinonot reportednot reportednot reportednot reported2022: 4,461

Senior Action Care Network (SCAN) (Comprehensive MCO + MLTSS)

Senior Action Care Network (SCAN) (Comprehensive MCO + MLTSS) 6
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
SCAN Health Plan (Nurs hm cert)/Los AngelesSCAN Health PlanSCAN Health PlanLos Angeles Countynot reportednot reportednot reportednot reported2017: 1,589
SCAN Health Plan (Nurs hm cert)/RiversideSCAN Health PlanSCAN Health PlanRiverside Countynot reportednot reportednot reportednot reported2017: 543
SCAN Health Plan (Nurs hm cert)/San BernardinoSCAN Health PlanSCAN Health PlanSan Bernardino Countynot reportednot reportednot reportednot reported2017: 343
SCAN Health Plan/Los AngelesSCAN Health PlanSCAN Health PlanLos Angeles Countynot reportednot reportednot reportednot reported2017: 7,274
SCAN Health Plan/RiversideSCAN Health PlanSCAN Health PlanRiverside Countynot reportednot reportednot reportednot reported2017: 1,986
show all 6
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
SCAN Health Plan/San BernardinoSCAN Health PlanSCAN Health PlanSan Bernardino Countynot reportednot reportednot reportednot reported2017: 1,331

Senior Care Action Network (SCAN) (Comprehensive MCO + MLTSS)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
SCAN Health Plan - Los AngelesSCAN - Los AngelesSCAN - Los AngelesLos Angelesnot reportednot reportednot reportednot reported2022: 10,004

Senior Care Action Network (Comprehensive MCO + MLTSS)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
SCAN Health Plan/Los AngelesSCAN - Los AngelesSCAN - Los AngelesLos AngelesCMS reported 12,111 (2024)63.0%not reportednot reported2024: 12,111
SCAN Health Plan/San BernardinoSCAN - Riverside and San BernardinoSCAN Riverside and San BernardinoRiverside, San BernardinoCMS reported 5,767 (2024)30.0%not reportednot reported2024: 5,767
SCAN Health Plan/San DiegoSCAN - San DiegoSCAN - San DiegoSan DiegoCMS reported 1,361 (2024)7.1%not reportednot reported2024: 1,361

Senior Care Action Network (SCAN) (Comprehensive MCO + MLTSS)

Senior Care Action Network (SCAN) (Comprehensive MCO + MLTSS) 16
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
SCAN Health Plan (Nurs hm cert)/Los AngelesSCAN Health PlanSCAN Health PlanLos Angeles Countynot reportednot reportednot reportednot reported2018: 1,596
SCAN Health Plan (Nurs hm cert)/Los Angelesnot reportedunmatchedLos Angelesnot reportednot reportednot reportednot reported2016: 1,607
SCAN Health Plan (Nurs hm cert)/RiversideSCAN Health PlanSCAN Health PlanRiverside Countynot reportednot reportednot reportednot reported2018: 531
SCAN Health Plan (Nurs hm cert)/Riversidenot reportedunmatchedRiversidenot reportednot reportednot reportednot reported2016: 534
SCAN Health Plan (Nurs hm cert)/San BernardinoSCAN Health PlanSCAN Health PlanSan Bernardino Countynot reportednot reportednot reportednot reported2018: 328
show all 16
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
SCAN Health Plan (Nurs hm cert)/San Bernardinonot reportedunmatchedSan Bernardinonot reportednot reportednot reportednot reported2016: 320
SCAN Health Plan Riverside/San BernardinoSCAN Health PlanSCAN Health PlanRiverside County and San Bernardino Countynot reportednot reportednot reportednot reported2020: 4,293
SCAN Health Plan Riverside/San BernardinoSCAN Health PlanSCAN Health PlanRiverside and San Bernardino Countiesnot reportednot reportednot reportednot reported2019: 4,249
SCAN Health Plan Riverside/San BernardinoSCAN Health PlanSCAN Health PlanRiverside and San Bernardino countiesnot reportednot reportednot reportednot reported2021: 4,293
SCAN Health Plan/Los AngelesSCAN Health PlanSCAN Health PlanLos Angeles Countynot reportednot reportednot reportednot reported2018: 7,423; 2019: 9,111; 2020: 9,700
SCAN Health Plan/Los AngelesSCAN Health PlanSCAN Health PlanLos Angeles countynot reportednot reportednot reportednot reported2021: 10,013
SCAN Health Plan/Los Angelesnot reportedunmatchedLos Angelesnot reportednot reportednot reportednot reported2016: 6,889
SCAN Health Plan/RiversideSCAN Health PlanSCAN Health PlanRiverside Countynot reportednot reportednot reportednot reported2018: 2,000
SCAN Health Plan/Riversidenot reportedunmatchedRiversidenot reportednot reportednot reportednot reported2016: 1,869
SCAN Health Plan/San BernardinoSCAN Health PlanSCAN Health PlanSan Bernardino Countynot reportednot reportednot reportednot reported2018: 1,327
SCAN Health Plan/San Bernardinonot reportedunmatchedSan Bernardinonot reportednot reportednot reportednot reported2016: 1,272

Senior Care Action Network Model (Comprehensive MCO + MLTSS)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
SCAN Health Plan/Los AngelesSCAN - Los AngelesSCAN - Los AngelesLos Angelesnot reportednot reportednot reportednot reported2023: 11,557
SCAN Health Plan/RiversideSCAN -Riverside/San BernadinoSCAN -Riverside/San BernadinoRiversidenot reportednot reportednot reportednot reported2023: 519
SCAN Health Plan/San BernadinoSCAN -Riverside/San BernadinoSCAN -Riverside/San BernadinoSan Bernadinonot reportednot reportednot reportednot reported2023: 352
SCAN Health Plan/San DiegoN/AunmatchedSan Diegonot reportednot reportednot reportednot reported2023: 80

Single-Plan Model (Comprehensive MCO + MLTSS)

Single-Plan Model (Comprehensive MCO + MLTSS) 6
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Alameda Alliance for Health/AlamedaAAFH - AlamedaAAFH - AlamedaAlamedaCMS reported 400,062 (2024)45.6%not reportednot reported2024: 400,062
Community Health Plan of Imperial ValleyCHP - ImperialCHP - ImperialImperialCMS reported 96,485 (2024)11.0%not reportednot reported2024: 96,485
Contra Costa Health Plan/Contra CostaCCHP - Contra CostaCCHP - Contra CostaContra CostaCMS reported 258,365 (2024)29.4%not reportednot reported2024: 258,365
Kaiser Permanente/ AlamedaKaiser Permanente -AlamedaKaiser PermanenteAlamedaCMS reported 68,249 (2024)7.8%not reportednot reported2024: 68,249
Kaiser Permanente/ Contra CostaKaiser Permanente - Contra CostaKaiser PermanenteContra CostaCMS reported 54,509 (2024)6.2%not reportednot reported2024: 54,509
show all 6
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Kaiser Permanente/ImperialKaiser Permanente -ImperialKaiser PermanenteImperialCMS reported 15 (2024)0.0%not reportednot reported2024: 15

Two-Plan Model (Comprehensive MCO + MLTSS)

Two-Plan Model (Comprehensive MCO + MLTSS) 133
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Alameda Alliance for Health/AlamedaAAH - AlamedaAAH - AlamedaAlamedanot reportednot reportednot reportednot reported2023: 353,821
Alameda Alliance for HealthAlameda Alliance for HealthAlameda Alliance for HealthAlameda Countynot reportednot reportednot reportednot reported2017: 264,927; 2018: 262,201; 2019: 252,467; 2020: 255,463
Alameda Alliance for HealthAlameda Alliance for HealthAlameda Alliance for HealthAlameda countynot reportednot reportednot reportednot reported2021: 284,481
Alameda Alliance for HealthAlameda Alliance for HealthAlameda Alliance for HealthAlamedanot reportednot reportednot reportednot reported2016: 257,935; 2022: 312,306
Anthem Blue Cross Partnership / Contra CostaAnthem - Contra CostaElevanceContra Costanot reportednot reportednot reportednot reported2022: 36,447
show all 133
PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
Anthem Blue Cross Partnership Plan /Anthem - San FranciscoElevanceSan Francisconot reportednot reportednot reportednot reported2022: 23,308
Anthem Blue Cross Partnership Plan/AlamedaAnthem - AlamedaElevanceAlamedanot reportednot reportednot reportednot reported2016: 62,386; 2022: 77,588; 2023: 96,390
Anthem Blue Cross Partnership Plan/AlamedaAnthem Insurance Companies, Inc.ElevanceAlameda Countynot reportednot reportednot reportednot reported2017: 64,378; 2018: 60,685; 2019: 58,850; 2020: 59,951
Anthem Blue Cross Partnership Plan/AlamedaAnthem Insurance Companies, Inc.ElevanceAlameda countynot reportednot reportednot reportednot reported2021: 67,685
Anthem Blue Cross Partnership Plan/AlpineAnthemElevanceAlpineCMS reported 236 (2024)0.0%not reportednot reported2024: 236
Anthem Blue Cross Partnership Plan/Contra CostaAnthem Insurance Companies, Inc.ElevanceContra Costa Countynot reportednot reportednot reportednot reported2017: 28,450; 2018: 27,152; 2019: 26,588; 2020: 27,650
Anthem Blue Cross Partnership Plan/Contra CostaAnthem Insurance Companies, Inc.ElevanceContra Costa countynot reportednot reportednot reportednot reported2021: 32,462
Anthem Blue Cross Partnership Plan/Contra Costanot reportedunmatchedContra Costanot reportednot reportednot reportednot reported2016: 29,627
Anthem Blue Cross Partnership Plan/El DoradoAnthemElevanceEl DoradoCMS reported 26,547 (2024)0.3%not reportednot reported2024: 26,547
Anthem Blue Cross Partnership Plan/FresnoAnthem Insurance Companies, Inc.ElevanceFresno Countynot reportednot reportednot reportednot reported2017: 112,497; 2018: 108,802; 2019: 106,085; 2020: 110,256
Anthem Blue Cross Partnership Plan/FresnoAnthem Insurance Companies, Inc.ElevanceFresno countynot reportednot reportednot reportednot reported2021: 124,635
Anthem Blue Cross Partnership Plan/FresnoAnthem Insurance Companies, Inc.ElevanceFresnoCMS reported 155,552 (2024)1.8%not reportednot reported2016: 111,499; 2022: 138,912; 2024: 155,552
Anthem Blue Cross Partnership Plan/KernAnthemElevanceKernCMS reported 33,250 (2024)0.4%not reportednot reported2024: 33,250
Anthem Blue Cross Partnership Plan/KingsAnthem Insurance Companies, Inc.ElevanceKings Countynot reportednot reportednot reportednot reported2017: 19,961; 2018: 19,744; 2019: 19,268; 2020: 19,683
Anthem Blue Cross Partnership Plan/KingsAnthem Insurance Companies, Inc.ElevanceKings countynot reportednot reportednot reportednot reported2021: 21,460
Anthem Blue Cross Partnership Plan/KingsAnthem Insurance Companies, Inc.ElevanceKingsCMS reported 24,920 (2024)0.3%-1,085 (-4.2%)+0.0 pts2016: 19,593; 2022: 23,548; 2023: 26,005; 2024: 24,920
Anthem Blue Cross Partnership Plan/MaderaAnthem Insurance Companies, Inc.ElevanceMadera Countynot reportednot reportednot reportednot reported2017: 19,252; 2018: 19,382; 2019: 19,584; 2020: 20,752
Anthem Blue Cross Partnership Plan/MaderaAnthem Insurance Companies, Inc.ElevanceMadera countynot reportednot reportednot reportednot reported2021: 23,457
Anthem Blue Cross Partnership Plan/MaderaAnthem Insurance Companies, Inc.ElevanceMaderaCMS reported 28,681 (2024)0.3%-2,099 (-6.8%)-0.0 pts2016: 19,359; 2022: 26,710; 2023: 30,780; 2024: 28,681
Anthem Blue Cross Partnership Plan/San FranciscoAnthem - San FranciscoElevanceSan FranciscoCMS reported 34,872 (2024)0.4%not reportednot reported2016: 21,129; 2024: 34,872
Anthem Blue Cross Partnership Plan/San FranciscoAnthem Insurance Companies, Inc.ElevanceSan Francisco Countynot reportednot reportednot reportednot reported2017: 20,333; 2018: 18,940; 2019: 18,087; 2020: 18,634
Anthem Blue Cross Partnership Plan/San FranciscoAnthem Insurance Companies, Inc.ElevanceSan Francisco countynot reportednot reportednot reportednot reported2021: 20,357
Anthem Blue Cross Partnership Plan/Santa ClaraAnthem - Santa ClaraElevanceSanta ClaraCMS reported 98,878 (2024)1.1%not reportednot reported2016: 75,629; 2022: 83,422; 2024: 98,878
Anthem Blue Cross Partnership Plan/Santa ClaraAnthem Insurance Companies, Inc.ElevanceSanta Clara Countynot reportednot reportednot reportednot reported2017: 75,519; 2018: 70,989; 2019: 66,460; 2020: 67,422
Anthem Blue Cross Partnership Plan/Santa ClaraAnthem Insurance Companies, Inc.ElevanceSanta Clara countynot reportednot reportednot reportednot reported2021: 74,036
Anthem Blue Cross Partnership Plan/TulareAnthem - TulareElevanceTulareCMS reported 146,544 (2024)1.7%not reportednot reported2016: 94,547; 2022: 121,641; 2024: 146,544
Anthem Blue Cross Partnership Plan/TulareAnthem Insurance Companies, Inc.ElevanceTulare Countynot reportednot reportednot reportednot reported2017: 95,843; 2018: 92,776; 2019: 93,017; 2020: 98,561
Anthem Blue Cross Partnership Plan/TulareAnthem Insurance Companies, Inc.ElevanceTulare countynot reportednot reportednot reportednot reported2021: 108,099
Anthem Blue Cross Partnerships Plan/FresnoAnthem - FresnoElevanceFresnonot reportednot reportednot reportednot reported2023: 158,319
Anthem Blue Cross/San FranciscoAnthem - San FranciscoElevanceSan Francisconot reportednot reportednot reportednot reported2023: 33,878
Anthem Blue Cross/Santa ClaraAnthem - Santa ClaraElevanceSanta ClaraCMS reported 98,878 (2024)1.1%+2,920 (+3.0%)+0.1 pts2023: 95,958; 2024: 98,878
Anthem Blue Cross/TulareAnthem - TulareElevanceTularenot reportednot reportednot reportednot reported2023: 138,929
CalViva Health KingsCalViva - KingsCalViva - KingsKingsCMS reported 38,406 (2024)0.4%not reportednot reported2022: 35,094; 2024: 38,406
CalViva Health/FresnoCalViva - FresnoCalViva - FresnoFresnoCMS reported 350,145 (2024)4.0%-5,813 (-1.6%)+0.1 pts2016: 295,439; 2022: 330,598; 2023: 355,958; 2024: 350,145
CalViva Health/FresnoCalViva HealthCalViva HealthFresno Countynot reportednot reportednot reportednot reported2017: 301,815; 2018: 297,237; 2019: 292,249; 2020: 293,150
CalViva Health/FresnoCalViva HealthCalViva HealthFresno countynot reportednot reportednot reportednot reported2021: 312,141
CalViva Health/KingsCalViva - KingsCalViva - KingsKingsnot reportednot reportednot reportednot reported2016: 26,135; 2023: 39,593
CalViva Health/KingsCalViva HealthCalViva HealthKings Countynot reportednot reportednot reportednot reported2017: 27,111; 2018: 28,277; 2019: 29,364; 2020: 30,686
CalViva Health/KingsCalViva HealthCalViva HealthKings countynot reportednot reportednot reportednot reported2021: 32,618
CalViva Health/MaderaCalViva Health -MaderaCalViva Health -MaderaMaderaCMS reported 49,272 (2024)0.6%+871 (+1.8%)+0.0 pts2016: 35,163; 2022: 44,238; 2023: 48,401; 2024: 49,272
CalViva Health/MaderaCalViva HealthCalViva HealthMadera Countynot reportednot reportednot reportednot reported2017: 36,434; 2018: 37,010; 2019: 37,194; 2020: 38,799
CalViva Health/MaderaCalViva HealthCalViva HealthMadera countynot reportednot reportednot reportednot reported2021: 41,602
Contra Costa Health Plan/Contra CostaCCHP - Contra CostaCCHP - Contra CostaContra Costanot reportednot reportednot reportednot reported2023: 267,639
Contra Costa Health PlanContra Costa Health PlanContra Costa Health PlanContra Costa Countynot reportednot reportednot reportednot reported2017: 183,874; 2018: 182,221; 2019: 177,458; 2020: 181,153
Contra Costa Health PlanContra Costa Health PlanContra Costa Health PlanContra Costa countynot reportednot reportednot reportednot reported2021: 208,064
Contra Costa Health PlanContra Costa Health PlanContra Costa Health PlanContra Costanot reportednot reportednot reportednot reported2016: 182,138; 2022: 232,586
Health Net Community Solution/San JoaquinHealth Net - San JoaquinCenteneSan Joaquinnot reportednot reportednot reportednot reported2023: 32,894
Health Net Community Solutions/KernHealth Net - KernCenteneKernnot reportednot reportednot reportednot reported2023: 96,567
Health Net Community Solutions/Los AngelesHealth Net - Los AngelesCenteneLos AngelesCMS reported 1,177,460 (2024)13.4%-15,744 (-1.3%)+0.4 pts2023: 1,193,204; 2024: 1,177,460
Health Net Community Solutions/StanislausHeath Net -StanislausHeath Net -StanislausStanislausnot reportednot reportednot reportednot reported2023: 73,855
Health Net Community Solutions/TulareHealth Net - TulareCenteneTularenot reportednot reportednot reportednot reported2023: 133,333
Health Net/KernCentene CorporationCenteneKern Countynot reportednot reportednot reportednot reported2017: 77,473; 2018: 73,759; 2019: 66,641; 2020: 65,810
Health Net/KernCentene CorporationCenteneKern countynot reportednot reportednot reportednot reported2021: 72,169
Health Net/KernHealth NetCenteneKernnot reportednot reportednot reportednot reported2016: 78,463; 2022: 84,590
Health Net/Los AngelesCentene CorporationCenteneLos Angeles Countynot reportednot reportednot reportednot reported2017: 1,018,696; 2018: 1,000,167; 2019: 954,415; 2020: 944,689
Health Net/Los AngelesCentene CorporationCenteneLos Angeles countynot reportednot reportednot reportednot reported2021: 990,902
Health Net/Los AngelesHealth NetCenteneLos Angelesnot reportednot reportednot reportednot reported2016: 1,020,862; 2022: 1,085,246
Health Net/San JoaquinCentene CorporationCenteneSan Joaquin Countynot reportednot reportednot reportednot reported2017: 22,822; 2018: 21,076; 2019: 20,203; 2020: 19,875
Health Net/San JoaquinCentene CorporationCenteneSan Joaquin countynot reportednot reportednot reportednot reported2021: 22,149
Health Net/San JoaquinHealth NetCenteneSan JoaquinCMS reported 33,711 (2024)0.4%not reportednot reported2016: 25,255; 2022: 25,660; 2024: 33,711
Health Net/StanislausCentene CorporationCenteneStanislaus Countynot reportednot reportednot reportednot reported2017: 75,509; 2018: 68,269; 2019: 62,878; 2020: 60,896
Health Net/StanislausCentene CorporationCenteneStanislaus countynot reportednot reportednot reportednot reported2021: 62,916
Health Net/StanislausHealth NetCenteneStanislausCMS reported 68,257 (2024)0.8%not reportednot reported2016: 75,389; 2022: 66,151; 2024: 68,257
Health Net/TulareCentene CorporationCenteneTulare Countynot reportednot reportednot reportednot reported2017: 114,117; 2018: 114,479; 2019: 111,285; 2020: 111,685
Health Net/TulareCentene CorporationCenteneTulare countynot reportednot reportednot reportednot reported2021: 116,723
Health Net/TulareHealth NetCenteneTulareCMS reported 139,186 (2024)1.6%not reportednot reported2016: 111,388; 2022: 123,971; 2024: 139,186
Health Plan of San Joaquin/San JoaquinHealth Plan of San JoaquinHealth Plan of San JoaquinSan Joaquin Countynot reportednot reportednot reportednot reported2017: 220,853; 2018: 218,009; 2019: 211,555; 2020: 213,302
Health Plan of San Joaquin/San JoaquinHealth Plan of San JoaquinHealth Plan of San JoaquinSan Joaquin countynot reportednot reportednot reportednot reported2021: 234,128
Health Plan of San Joaquin/San JoaquinHealth Plan of San JoaquinHealth Plan of San JoaquinSan JoaquinCMS reported 242,120 (2024)2.8%-36,906 (-13.2%)-0.3 pts2016: 217,146; 2022: 252,961; 2023: 279,026; 2024: 242,120
Health Plan of San Joaquin/StanislausHealth Plan of San JoaquinHealth Plan of San JoaquinStanislaus Countynot reportednot reportednot reportednot reported2017: 128,314; 2018: 128,056; 2019: 128,382; 2020: 134,364
Health Plan of San Joaquin/StanislausHealth Plan of San JoaquinHealth Plan of San JoaquinStanislaus countynot reportednot reportednot reportednot reported2021: 145,730
Health Plan of San Joaquin/StanislausHealth Plan of San JoaquinHealth Plan of San JoaquinStanislausCMS reported 169,954 (2024)1.9%-8,127 (-4.6%)-0.0 pts2016: 119,266; 2022: 158,813; 2023: 178,081; 2024: 169,954
Inland Empire Health Plan/RiversideIEHP -Riverside/San BernadinoIEHP -Riverside/San BernadinoSan Bernadinonot reportednot reportednot reportednot reported2023: 848,930
Inland Empire Health Plan/RiversideInland Empire Health PlanInland Empire Health PlanRiverside Countynot reportednot reportednot reportednot reported2017: 607,209; 2018: 609,560; 2019: 611,124; 2020: 638,428
Inland Empire Health Plan/RiversideInland Empire Health PlanInland Empire Health PlanRiverside countynot reportednot reportednot reportednot reported2021: 702,332
Inland Empire Health Plan/RiversideInland Empire Health PlanInland Empire Health PlanRiversideCMS reported 766,890 (2024)8.7%not reportednot reported2016: 584,529; 2022: 769,147; 2024: 766,890
Inland Empire Health Plan/San BernadinoIEHP - Riverside/San BernadinoIEHP -Riverside/San BernadinoSan Bernadinonot reportednot reportednot reportednot reported2023: 839,032
Inland Empire Health Plan/San BernardinoInland Empire Health PlanInland Empire Health PlanSan Bernardino Countynot reportednot reportednot reportednot reported2017: 634,058; 2018: 621,123; 2019: 618,642; 2020: 632,737
Inland Empire Health Plan/San BernardinoInland Empire Health PlanInland Empire Health PlanSan Bernardino countynot reportednot reportednot reportednot reported2021: 682,544
Inland Empire Health Plan/San BernardinoInland Empire Health PlanInland Empire Health PlanSan BernardinoCMS reported 725,812 (2024)8.3%not reportednot reported2016: 594,657; 2022: 763,473; 2024: 725,812
Kaiser Permanente/El DoradoKaiser PermanenteKaiser PermanenteEl DoradoCMS reported 3,950 (2024)0.0%not reportednot reported2024: 3,950
Kaiser Permanente/FresnoKaiser PermanenteKaiser PermanenteFresnoCMS reported 6,296 (2024)0.1%not reportednot reported2024: 6,296
Kaiser Permanente/KernKaiser PermanenteKaiser PermanenteKernCMS reported 20,108 (2024)0.2%not reportednot reported2024: 20,108
Kaiser Permanente/KingsKaiser PermanenteKaiser PermanenteKingsCMS reported 113 (2024)0.0%not reportednot reported2024: 113
Kaiser Permanente/Los AngelesKaiser PermanenteKaiser PermanenteLos AngelesCMS reported 589,634 (2024)6.7%not reportednot reported2024: 589,634
Kaiser Permanente/MaderaKaiser PermanenteKaiser PermanenteMaderaCMS reported 1,053 (2024)0.0%not reportednot reported2024: 1,053
Kaiser Permanente/RiversideKaiser PermanenteKaiser PermanenteRiversideCMS reported 85,162 (2024)1.0%not reportednot reported2024: 85,162
Kaiser Permanente/San BernardinoKaiser PermanenteKaiser PermanenteSan BernardinoCMS reported 91,179 (2024)1.0%not reportednot reported2024: 91,179
Kaiser Permanente/San FranciscoKaiser PermanenteKaiser PermanenteSan FranciscoCMS reported 20,495 (2024)0.2%not reportednot reported2024: 20,495
Kaiser Permanente/San JoaquinKaiser PermanenteKaiser PermanenteSan JoaquinCMS reported 23,954 (2024)0.3%not reportednot reported2024: 23,954
Kaiser Permanente/Santa ClaraKaiser PermanenteKaiser PermanenteSanta ClaraCMS reported 44,693 (2024)0.5%not reportednot reported2024: 44,693
Kaiser Permanente/StanislausKaiser PermanenteKaiser PermanenteStanislausCMS reported 5,732 (2024)0.1%not reportednot reported2024: 5,732
Kaiser Permanente/TulareKaiser PermanenteKaiser PermanenteTulareCMS reported 39 (2024)0.0%not reportednot reported2024: 39
Kern Family Health CareKern Health SystemsKern Health SystemsKern Countynot reportednot reportednot reportednot reported2017: 249,213; 2018: 256,425; 2019: 258,358; 2020: 272,505
Kern Family Health CareKern Health SystemsKern Health SystemsKern countynot reportednot reportednot reportednot reported2021: 302,860
Kern Family Health CareKern Health SystemsKern Health SystemsKernCMS reported 402,077 (2024)4.6%not reportednot reported2022: 336,963; 2024: 402,077
Kern Health System/KernKern - KernKern - KernKernnot reportednot reportednot reportednot reported2023: 372,618
Kern Health Systemsnot reportedunmatchedKernnot reportednot reportednot reportednot reported2016: 235,170
L.A. Care Health Plan/ Los AngelesL.A. CareL.A. CareLos AngelesCMS reported 2,359,500 (2024)26.8%not reportednot reported2024: 2,359,500
L.A. Care Health Plan/Los AngelesL.A. Care - Los AngelesL.A. Care - Los AngelesLos Angelesnot reportednot reportednot reportednot reported2023: 2,739,629
L.A. Care Health Plan/Los AngelesL.A. CareL.A. CareLos Angeles Countynot reportednot reportednot reportednot reported2018: 2,077,864; 2019: 2,024,201; 2020: 2,080,538
L.A. Care Health Plan/Los AngelesL.A. CareL.A. CareLos Angeles countynot reportednot reportednot reportednot reported2021: 2,272,892
L.A. Care Health PlanL.A. CareL.A. CareLos Angeles Countynot reportednot reportednot reportednot reported2017: 2,056,248
LA Care Health Plan/Los AngelesLA CareL.A. CareLos Angelesnot reportednot reportednot reportednot reported2022: 2,518,426
LA Carenot reportedunmatchedLos Angelesnot reportednot reportednot reportednot reported2016: 1,961,103
Molina Healthcare of CA Partner Plan/RiversideMolina HealthcareMolinaRiverside Countynot reportednot reportednot reportednot reported2018: 84,297; 2019: 81,310; 2020: 84,609
Molina Healthcare of CA Partner Plan/RiversideMolina HealthcareMolinaRiverside countynot reportednot reportednot reportednot reported2021: 93,742
Molina Healthcare of CA Partner Plan/RiversideMolina HealthcareMolinaRiversideCMS reported 114,560 (2024)1.3%not reportednot reported2022: 106,960; 2024: 114,560
Molina Healthcare of CA Partner Plan/San BernardinoMolina HealthcareMolinaSan Bernardino Countynot reportednot reportednot reportednot reported2018: 72,339; 2019: 66,280; 2020: 68,652
Molina Healthcare of CA Partner Plan/San BernardinoMolina HealthcareMolinaSan Bernardino countynot reportednot reportednot reportednot reported2021: 77,023
Molina Healthcare of CA Partner Plan/San BernardinoMolina HealthcareMolinaSan BernardinoCMS reported 106,100 (2024)1.2%not reportednot reportednot reported
Molina Healthcare of CA Partner Plan/San BernardinoMolina HealthcareMolinaSan BernardinoCMS reported 34,872 (2024)0.4%not reportednot reportednot reported
Molina Healthcare of California/RiversideMolina -Riverside/San BernadinoMolinaSan Bernadinonot reportednot reportednot reportednot reported2023: 117,775
Molina Healthcare of California/San BernadinoMolina -Riverside/San BernadinoMolinaSan Bernadinonot reportednot reportednot reportednot reported2023: 112,836
Molina Healthcare/RiversideMolina HealthcareMolinaRiverside Countynot reportednot reportednot reportednot reported2017: 90,487
Molina Healthcare/Riversidenot reportedunmatchedRiversidenot reportednot reportednot reportednot reported2016: 86,633
Molina Healthcare/San BernardinoMolina HealthcareMolinaSan Bernardino Countynot reportednot reportednot reportednot reported2017: 78,153
Molina Healthcare/San Bernardinonot reportedunmatchedSan Bernardinonot reportednot reportednot reportednot reported2016: 81,546
Mountain Valley Health Plan/AlpineMVHP - AlpineMVHP - AlpineAlpineCMS reported 36 (2024)0.0%not reportednot reported2024: 36
Mountain Valley Health Plan/El DoradoMVHP - El DoradoMVHP - El DoradoEl DoradoCMS reported 8,478 (2024)0.1%not reportednot reported2024: 8,478
San Francisco Health Plan/San FranciscoSFHP - San FranciscoSFHP - San FranciscoSan Fransiconot reportednot reportednot reportednot reported2023: 194,673
San Francisco Health PlanSan Francisco Health PlanSan Francisco Health PlanSan Francisco Countynot reportednot reportednot reportednot reported2017: 137,023; 2018: 129,469; 2019: 126,710; 2020: 131,494
San Francisco Health PlanSan Francisco Health PlanSan Francisco Health PlanSan Francisco countynot reportednot reportednot reportednot reported2021: 149,956
San Francisco Health PlanSan Francisco Health PlanSan Francisco Health PlanSan FranciscoCMS reported 176,670 (2024)2.0%not reportednot reported2016: 132,591; 2022: 164,916; 2024: 176,670
Santa Clara Family Health Plan/Santa ClaraSCFHP - Santa ClaraSCFHP - Santa ClaraSanta Claranot reportednot reportednot reportednot reported2023: 335,046
Santa Clara Family Health PlanSanta Clara Family Health PlanSanta Clara Family Health PlanSanta Clara Countynot reportednot reportednot reportednot reported2017: 264,729; 2018: 251,055; 2019: 239,629; 2020: 249,562
Santa Clara Family Health PlanSanta Clara Family Health PlanSanta Clara Family Health PlanSanta Clara countynot reportednot reportednot reportednot reported2021: 273,868
Santa Clara Family Health PlanSanta Clara Family Health PlanSanta Clara Family Health PlanSanta ClaraCMS reported 292,148 (2024)3.3%not reportednot reported2016: 265,248; 2022: 303,097; 2024: 292,148

Plan operations (CMS MCPAR)

Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.

National plan operations · Federal compliance deadlines

Appeals, grievances, and enrollment share (2024)

Appeals, grievances, and enrollment share (2024) 121
PlanParentProgramAppeals resolvedIn favor of enrolleeAppeal rateGrievances resolvedMedicaid enrollment shareManaged care enrollment share
LassenPartnership -NortheastCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported2not reportednot reported
MariposaunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported50%0.1%
Merced​​unmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)9not reportednot reported80%1%
San Francisco​San Francisco Health PlanCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)6not reportednot reported120%3.3%
SiskiyouPartnership -NortheastCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported50%0.1%
show all 121
PlanParentProgramAppeals resolvedIn favor of enrolleeAppeal rateGrievances resolvedMedicaid enrollment shareManaged care enrollment share
​AlamedaunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported110%1.2%
​Contra CostaContra Costa Health PlanCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported160%2.4%
​El DoradounmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported30%0.6%
​FresnounmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)10not reportednot reported550%6%
​HumboldtunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported00%1%
​ImperialunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)1not reportednot reported80%0.9%
​KernunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported660%3.5%
​Los AngelesunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)145not reportednot reported3090.1%22.5%
​MarinunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported00%0.6%
​MendocinoPartnership -SouthwestCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported00%0.5%
​ModocPartnership -NortheastCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported0not reportednot reported
​MontereyCCAH - Monterey/Santa CruzCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)3not reportednot reported20%1.2%
​NapaunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported10%0.2%
​NevadaunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported10%0.6%
​OrangeunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)3not reportednot reported660%6.2%
​PlacerunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported320%1%
​RiversideunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported860%5.5%
​SacramentounmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)13not reportednot reported110%5%
​San BenitounmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported00%0.2%
​San BernardinounmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)5not reportednot reported90%4%
​San DiegounmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)39not reportednot reported1650.1%12.2%
​San JoaquinunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)3not reportednot reported60%1.8%
​San Luis ObispoCenCal - San Luis ObispoCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)1not reportednot reported110%1.6%
​San MateoKaiser PermanenteCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported60%1%
​Santa BarbaraCenCal - Santa BarbaraCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)1not reportednot reported140%2.2%
​Santa ClaraunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported140%3%
​Santa CruzunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)9not reportednot reported110%1.2%
​ShastaPartnership -NortheastCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported40%1.3%
​SolanounmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported50%1%
​StanislausunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported160%2.2%
​TulareunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)0not reportednot reported20%2.1%
​VenturaunmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)1not reportednot reported60%2.5%
​YolounmatchedCalifornia Department of Health Care Services Behavioral Health Drug Medi-Cal Organized Delivery System (DMC-ODS)1not reportednot reported220%0.4%
AlamedaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)3not reportednot reported710%0.3%
AlpineunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported00%0%
AmadorunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported120%0.1%
ButteunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)2not reportednot reported460%1%
CalaverasunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)1not reportednot reported170%0.2%
ColusaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported70%0.1%
Contra CostaContra Costa Health PlanCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)9not reportednot reported550.1%2.9%
Del NortePartnership -NorthwestCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)2not reportednot reported90%0.1%
El DoradounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)2not reportednot reported100%0.3%
FresnounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)8not reportednot reported480.1%4.1%
GlennunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported150%0.2%
HumboldtunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)1not reportednot reported530%0.4%
ImperialunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)11not reportednot reported1110%1.4%
InyounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported30%0%
KernunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)4not reportednot reported4030.1%3.9%
KingsunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)8not reportednot reported580%0.6%
LakePartnership -SouthwestCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)1not reportednot reported100%0.3%
LassenPartnership -NortheastCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported20%0.1%
Los AngelesunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported3521.1%34.7%
MaderaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)16not reportednot reported170%0.5%
MarinunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)6not reportednot reported100%0.3%
MariposaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported410%0.1%
MendocinoPartnership -SouthwestCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported200%0.5%
MercedunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)14not reportednot reported500%0.9%
ModocPartnership -NortheastCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported20%0.1%
MonounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported80%0%
MontereyCCAH - Monterey/Santa CruzCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)23not reportednot reported230%1.3%
NapaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported60%0.1%
NevadaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)1not reportednot reported120%0.3%
OrangeunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)2not reportednot reported2630.1%4.1%
Placer-SierraunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported410%0.5%
PlumasunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported200%0%
RiversideunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)127not reportednot reported1970.2%6.1%
SacramentounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)127not reportednot reported3870.1%3.6%
San BenitounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported110%0.1%
San BernardinounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)3not reportednot reported1260.2%5.2%
San DiegounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)24not reportednot reported1680.2%5.4%
San FranciscoSan Francisco Health PlanCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)40not reportednot reported570.1%2.4%
San JoaquinunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)4not reportednot reported1140%1.2%
San Luis ObispoCenCal - San Luis ObispoCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)8not reportednot reported960%0.8%
San MateoKaiser PermanenteCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)2not reportednot reported180.1%1.6%
Santa BarbaraCenCal - Santa BarbaraCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)10not reportednot reported700%0.9%
Santa ClaraunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported450.1%4.4%
Santa CruzunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)2not reportednot reported270%0.5%
ShastaPartnership -NortheastCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)1not reportednot reported760%0.5%
SiskiyouPartnership -NortheastCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported120%0.2%
SolanounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)14not reportednot reported760%0.8%
SonomaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported980%0.5%
StanislausunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)1not reportednot reported310%1%
Sutter-YubaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)2not reportednot reported240%0.4%
TehamaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported90%0%
TrinityPartnership -NortheastCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)1not reportednot reported90%0.1%
TulareunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)3not reportednot reported240.1%2.2%
TuolumneunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)0not reportednot reported270%0.2%
VenturaunmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)4not reportednot reported1160.1%2.2%
YolounmatchedCalifornia Department of Health Care Services Behavioral Health Specialty Mental Health Services (SMHS)1not reportednot reported500%0.3%
Access Dental Plan, Inc.Access Dental PlanDental Managed Care3949724.6% calculated7551.8%1.92%
Health Net of California, Inc.CenteneDental Managed Care53715328.5% calculated1,3722.6%2.79%
LIBERTY Dental Plan of California, Inc.LIBERTY Dental PlanDental Managed Care77411715.1% calculated1,5632.1%2.25%
Alameda Alliance for HealthAlameda Alliance for HealthMedi-Cal Managed Care program (MCMC)51211422.3% calculated36,0112.7%2.9%
Anthem Blue Cross Partnership Health PlanElevanceMedi-Cal Managed Care program (MCMC)4145413.0% calculated11,6915.5%5.9%
Blue Shield of California Promise Health PlanBlue Shield - San DiegoMedi-Cal Managed Care program (MCMC)2277432.6% calculated3,8021.3%1.4%
CalOptima HealthCalOptima-OrangeMedi-Cal Managed Care program (MCMC)1,31321816.6% calculated20,9566%6.4%
CalViva HealthCalViva Health -MaderaMedi-Cal Managed Care program (MCMC)43125058.0% calculated4,2602.9%3.1%
CenCal HealthCenCal - Santa BarbaraMedi-Cal Managed Care program (MCMC)241250.0% calculated8991.6%1.7%
Central California Alliance for HealthCCAH - Monterey/Santa CruzMedi-Cal Managed Care program (MCMC)2264921.7% calculated4,2553%3.2%
Community Health Group Partnership PlanCommunity Health GroupMedi-Cal Managed Care program (MCMC)1114338.7% calculated1,6212.7%2.9%
Community Health Plan of Imperial ValleyCHP - ImperialMedi-Cal Managed Care program (MCMC)502958.0% calculated8900.7%0.7%
Contra Costa Health PlanContra Costa Health PlanMedi-Cal Managed Care program (MCMC)23113859.7% calculated2,8551.7%1.9%
Gold Coast Health PlanGCHP - VenturaMedi-Cal Managed Care program (MCMC)723751.4% calculated6491.7%1.8%
Health Net Community Solutions, Inc.CenteneMedi-Cal Managed Care program (MCMC)1,13043838.8% calculated21,51910.6%11.4%
Health Plan of San JoaquinHealth Plan of San JoaquinMedi-Cal Managed Care program (MCMC)1757140.6% calculated3,5462.8%3%
Health Plan of San MateoHPSM - San MateoMedi-Cal Managed Care program (MCMC)1135044.2% calculated9421%1%
Inland Empire Health PlanInland Empire Health PlanMedi-Cal Managed Care program (MCMC)1,67230118.0% calculated122,50310%10.7%
Kaiser Foundation Health Plan, Inc.Kaiser PermanenteMedi-Cal Managed Care program (MCMC)61317929.2% calculated53,0987.5%8%
Kern Family Health CareKern Health SystemsMedi-Cal Managed Care program (MCMC)1,33256142.1% calculated11,8512.7%2.9%
L.A. Care Health PlanL.A. CareMedi-Cal Managed Care program (MCMC)1,8161618.9% calculated45,88215.8%16.9%
Molina Healthcare of CaliforniaMolinaMedi-Cal Managed Care program (MCMC)64215824.6% calculated12,9303.9%4.2%
Partnership HealthPlan of CaliforniaPartnership -SouthwestMedi-Cal Managed Care program (MCMC)1,18914011.8% calculated6,7916.1%6.5%
Positive Health CareAIDS Healthcare Foundation (AHF)Medi-Cal Managed Care program (MCMC)11100.0% calculated1790%0%
SCAN Health PlanSCAN - San DiegoMedi-Cal Managed Care program (MCMC)44100.0% calculated2680.1%0.1%
San Francisco Health PlanSan Francisco Health PlanMedi-Cal Managed Care program (MCMC)903235.6% calculated5421.2%1.3%
Santa Clara Family Health PlanSanta Clara Family Health PlanMedi-Cal Managed Care program (MCMC)1233125.2% calculated3,6842%2.1%

Sanctions (2024)

Sanctions (2024) 249
PlanParentTopicDateCorrective action planRemediation status
LassenPartnership -NortheastOther, specify (Availability of DMC-ODS Services; Coordination of Care Requirements; Access and Information Requirements)2023-08-17YesYes, remediated
LassenPartnership -NortheastOther, specify (Mobile Crisis)2024-05-08YesRemediation in progress
LassenPartnership -NortheastOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, intensive outpatient treatment services, opioid treatment programs and residential treatment services. 3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs4) Reporting")2024-10-09YesRemediation in progress
Merced​​unmatchedOther, specify (Access and Information Requirements)2024-01-10YesYes, remediated
Merced​​unmatchedOther, specify ("1) Time or Distance Standards: Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for opioid treatment programs and residential treatment services.3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs")2024-10-09YesRemediation in progress
show all 249
PlanParentTopicDateCorrective action planRemediation status
San Francisco​San Francisco Health PlanOther, specify (Medication Administration and Dispensing Test or Analysis Records for Illicit Drug Use Program Requirements)2023-11-09YesYes, remediated
San Francisco​San Francisco Health PlanOther, specify (Capacity and Composition: Provider capacity must exceed expected utilization for residential treatment services.)2024-10-07YesRemediation in progress
SiskiyouPartnership -NortheastOther, specify (Availability of DMC-ODS Services Coordination of Care Requirements Quality Assurance and Performance Improvement)2023-08-17YesYes, remediated
SiskiyouPartnership -NortheastOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, intensive outpatient treatment services, opioid treatment programs and residential treatment services. 3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs4) Reporting")2024-10-09YesRemediation in progress
​AlamedaunmatchedOther, specify (Preadmission Requirements Medication Administration and Dispensing Test or Analysis Records for Illicit Drug Use Patient Treatment Plans Program Requirements)2023-11-20YesYes, remediated
​AlamedaunmatchedOther, specify ("1) Time or Distance Standard: Opioid Treatment Programs2) Timely Access Standard: Opioid Treatment Programs")2024-10-07YesRemediation in progress
​Contra CostaContra Costa Health PlanOther, specify ("Preadmission Requierments;Patient Selection and Orientation; Medication Administration and Dispensing; Test or analysis records for illicit drug use; Patient treatment plans; Progress notes; Staffing requirements")2024-01-25YesYes, remediated
​Contra CostaContra Costa Health PlanOther, specify (Access and Information Requirements; Coverage and Authorization of Services;)2024-02-15YesYes, remediated
​Contra CostaContra Costa Health PlanOther, specify (Patient selection and orientation; Medication administration and dispensing; Test or analysis records for illicit drug use; patient treatment plans)2024-03-28YesYes, remediated
​El DoradounmatchedOther, specify (Mobile Crisis)2024-05-07YesRemediation in progress
​El DoradounmatchedOther, specify ("1) Time or Distance Standards: Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for residential treatment services.3) Timely Access Standards: Opioid Treatment Programs4) Reporting")2024-10-01YesRemediation in progress
​El DoradounmatchedOther, specify (Availability of DMC-ODS Services; Coordination of Care Requirements; Quality Assurance and Performance Improvement; Program Integrity)2023-08-14YesYes, remediated
​FresnounmatchedOther, specify (Preadmission requirements; Patient selection and orientation; Medication administration and dispensing; Patient treatment plans; Progress notes;)2024-05-07YesYes, remediated
​FresnounmatchedOther, specify (Medication administration and dispensing)2024-11-15YesYes, remediated
​FresnounmatchedOther, specify (Capacity and Composition: Provider capacity must exceed expected utilization for residential treatment services.)2024-10-04YesRemediation in progress
​HumboldtunmatchedOther, specify (Availability of DMC-ODS Services Quality Assurance and Performance Access and Information Requirements)2023-08-17YesYes, remediated
​HumboldtunmatchedOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, intensive outpatient treatment services, opioid treatment programs and residential treatment services. 3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs4) Reporting")2024-10-09YesRemediation in progress
​ImperialunmatchedOther, specify (Timely Access Standard: Outpatient SUD Services)2024-10-03YesRemediation in progress
​KernunmatchedOther, specify (Availability of DMC-ODS Services; Quality Assurance and Performance Improvement)2023-07-19YesYes, remediated
​KernunmatchedOther, specify (Preadmission requirements; Patient selection and orientation; Detoxification; Test or analysis records for illicit drug use; Patient treatment plans;)2024-05-28YesRemediation in progress
​Los AngelesunmatchedOther, specify (Preadmission Requirements Medication Administration and Dispensing Test or Analysis Records for Illicit Drug Use Patient Treatment Plans Fair Hearing Rights Program Requirements)2023-09-06YesYes, remediated
​Los AngelesunmatchedOther, specify (Availability of DMC-ODS Services; Coordination of Care Requirements; Quality Assurance and Performance Improvement; Access and Information Requirements; Beneficiary Rights and Protections; Program Integrity)2023-07-21YesYes, remediated
​Los AngelesunmatchedOther, specify ("1) Time or Distance Standards: Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for opioid treatment programs. ")2024-10-08YesRemediation in progress
​MarinunmatchedOther, specify ("1) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, intensive outpatient treatment services, and residential treatment. 2) Timely Access Standards: Opioid Treatment Programs")2024-10-08YesRemediation in progress
​MendocinoPartnership -SouthwestOther, specify (Availability of DMC-ODS Services; Coordination of Care Requirements; Access and Information Requirements)2023-08-17YesYes, remediated
​MendocinoPartnership -SouthwestOther, specify (Mobile Crisis)2024-05-09YesYes, remediated
​MendocinoPartnership -SouthwestOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, intensive outpatient treatment services, opioid treatment programs and residential treatment services. 3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs4) Reporting")2024-10-09YesRemediation in progress
​ModocPartnership -NortheastOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, intensive outpatient treatment services, opioid treatment programs and residential treatment services. 3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs4) Reporting")2024-10-09YesRemediation in progress
​ModocPartnership -NortheastOther, specify (Availability of DMC-ODS Services; Coordination of Care Requirements; Access and Information Requirements)2023-08-17YesYes, remediated
​MontereyCCAH - Monterey/Santa CruzOther, specify (Preadmission Requirements Medication Administration and Dispensing Test or Analysis Records for Illicit Drug Use Patient Treatment Plans Program Requirements)2023-10-11YesRemediation in progress
​MontereyCCAH - Monterey/Santa CruzOther, specify (Availability of DMC-ODS Services; Coordination of Care Requirements; Quality Assurance and Performance Improvement; Access and Information Requirements; Beneficiary Rights and Protections)2023-07-03YesYes, remediated
​MontereyCCAH - Monterey/Santa CruzOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for residential treatment services. ")2024-10-08YesRemediation in progress
​NapaunmatchedOther, specify (Availability of DMC-ODS Services Coordination of Care Requirements Quality Assurance and Performance Improvement Access and Information Requirements Program Integrity)2023-08-23YesYes, remediated
​NapaunmatchedOther, specify ("1) Time or Distance Standards: Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, opioid treatment programs, and residential treatment services.3) Timely Access Standards: Outpatient SUD Services ")2024-10-21YesRemediation in progress
​NevadaunmatchedOther, specify (Availability of DMC-ODS Services; Coordination of Care Requirements; Quality Assurance and Performance Improvement; Access and Information Requirements; Beneficiary Rights and Protections; Program Integrity)2023-07-31YesYes, remediated
​NevadaunmatchedOther, specify ("1) Capacity and Composition: Provider capacity must exceed expected utilization for residential treatment services.2) Reporting ")2024-10-07YesRemediation in progress
​OrangeunmatchedOther, specify (Availability of DMC-ODS Services; Quality Assurance and Performance Improvement; Access and Information Requirements)2023-07-14YesYes, remediated
​OrangeunmatchedOther, specify (Program Integrity)2024-02-28YesYes, remediated
​OrangeunmatchedOther, specify (Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs)2024-10-22YesRemediation in progress
​PlacerunmatchedOther, specify (Availability of DMC-ODS Services; Quality Assurance and Performance Improvement; Program Integrity)2023-07-03YesRemediation in progress
​PlacerunmatchedOther, specify (Coverage and Authorization of Services)2023-11-27YesYes, remediated
​PlacerunmatchedOther, specify ("1) Time or Distance Standards: Outpatient Services2) Capacity and Composition: Provider capacity must exceed expected utilization for residential treatment services. 3) Timely Access Standards: Opioid Treatment Programs")2024-10-07YesRemediation in progress
​RiversideunmatchedOther, specify (Patient Selection and Orientation; Medication Administration and Dispensing; Test or analysis records for illicit drug use; Patient treatment plans; Progress Notes)2024-02-14YesRemediation in progress
​RiversideunmatchedOther, specify (Preadmissions Requirements; Patient treatment plans;)2024-04-24YesYes, remediated
​RiversideunmatchedOther, specify (Timely Access Standards: Opioid Treatment Programs)2024-10-07YesRemediation in progress
​SacramentounmatchedOther, specify (Preadmission requirements; Medication administration and dispensing; Test or analysis records for illicit drug use;)2024-03-01YesYes, remediated
​SacramentounmatchedOther, specify ("1) Time or Distance Standards: Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, opioid treatment programs and residential treatment services. 3) Timely Access Standards: Opioid Treatment Programs ")2024-10-29YesRemediation in progress
​San BenitounmatchedOther, specify (Mobile Crisis)2024-05-10YesRemediation in progress
​San BenitounmatchedOther, specify (Capacity and Composition: Provider capacity must exceed expected utilization for residential treatment services.)2024-10-21YesRemediation in progress
​San BernardinounmatchedOther, specify (Medication Administration and Dispensing Test or Analysis Records for Illicit Drug Use Patient Treatment Plans)2024-01-08YesYes, remediated
​San BernardinounmatchedOther, specify (Progress notes; Staffing requirements)2024-05-07YesRemediation in progress
​San BernardinounmatchedOther, specify (Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs)2024-10-29YesRemediation in progress
​San DiegounmatchedOther, specify (Patient Selection and Orientation Test or Analysis Records for Illicit Drug Use Patient Treatment Plans Program Requirements)2023-11-27YesYes, remediated
​San DiegounmatchedOther, specify (Time or Distance Standards: Opioid Treatment Programs)2024-10-25YesRemediation in progress
​San JoaquinunmatchedOther, specify (Test or analysis records for illicit drug use; Patient treatment plans)2024-01-25YesYes, remediated
​San JoaquinunmatchedOther, specify (Availability of DMC-ODS Services; Coverage and Authorization of Services; Program Integrity;)2024-03-29YesRemediation in progress
​San JoaquinunmatchedOther, specify (Mobile Crisis)2024-05-11YesYes, remediated
​San JoaquinunmatchedOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for residential treatment services. 3) Timely Access Standards: Outpatient SUD Services")2024-10-22YesRemediation in progress
​San Luis ObispoCenCal - San Luis ObispoOther, specify ("1) Time or Distance Standards: Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for opioid treatment programs.")2024-10-25YesRemediation in progress
​San MateoKaiser PermanenteOther, specify (Availability of DMC-ODS Services Quality Assurance and Performance Improvement Coverage and Authorization of Services Program Integrity)2023-12-07YesYes, remediated
​San MateoKaiser PermanenteOther, specify (Mobile Crisis)2024-05-12YesYes, remediated
​Santa BarbaraCenCal - Santa BarbaraOther, specify (Availability of DMC-ODS Services Quality Assurance and Performance Improvement)2023-08-22YesYes, remediated
​Santa ClaraunmatchedOther, specify ("1) Time or Distance Standards: Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for opioid treatment programs and residential treatment services.3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs ")2024-10-02YesRemediation in progress
​Santa CruzunmatchedOther, specify (Availability of DMC-ODS Services Coordination of Care Requirements Quality Assurance and Performance Improvement Access and Information Requirements Beneficiary Rights and Protections)2023-08-25YesYes, remediated
​Santa CruzunmatchedOther, specify (Mobile Crisis)2024-05-13YesRemediation in progress
​Santa CruzunmatchedOther, specify ("1) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services and residential treatment services.2) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs")2024-10-25YesRemediation in progress
​ShastaPartnership -NortheastOther, specify (Availability of DMC-ODS Services; Coordination of Care Requirements; Quality Assurance and Performance Improvement; Access and Information Requirements)2023-08-17YesRemediation in progress
​ShastaPartnership -NortheastOther, specify (Mobile Crisis)2024-05-14YesYes, remediated
​ShastaPartnership -NortheastOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, intensive outpatient treatment services, opioid treatment programs and residential treatment services. 3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs4) Reporting")2024-10-09YesRemediation in progress
​SolanounmatchedOther, specify (Availability of DMC-ODS Services; Coordination of Care Requirements; Quality Assurance and Performance Improvement; Access and Information Requirements)2023-08-17YesYes, remediated
​SolanounmatchedOther, specify (Mobile Crisis)2024-05-15YesYes, remediated
​SolanounmatchedOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services, intensive outpatient treatment services, opioid treatment programs and residential treatment services. 3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs4) Reporting")2024-10-09YesRemediation in progress
​StanislausunmatchedOther, specify (Coverage and Authorization of Services; Program Integrity)2024-03-29YesRemediation in progress
​StanislausunmatchedOther, specify ("1) Time or Distance Standards: Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for opioid treatment programs and residential treatment services.3) Timely Access Standards: Outpatient SUD Services and Opioid Treatment Programs4) Reporting")2024-10-25YesRemediation in progress
​TulareunmatchedOther, specify (Availability of DMC-ODS Services Quality Assurance and Performance Improvement Coverage and Authorization of Services Beneficiary Rights and Protections Program Integrity)2023-12-15YesRemediation in progress
​TulareunmatchedOther, specify (Preadmission requirements; Medication administration and dispensing; Patient treatment plans; Staffing requirements)2024-05-24YesRemediation in progress
​TulareunmatchedOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services and opioid treatment services.")2024-10-25YesRemediation in progress
​TulareunmatchedOther, specify (Mobile Crisis)2024-05-16YesYes, remediated
​VenturaunmatchedOther, specify (Time or Distance Standards: Outpatient Services and Opioid Treatment Programs)2024-10-07YesRemediation in progress
​YolounmatchedOther, specify (Availability of DMC-ODS Services; Quality Assurance and Performance Improvement; Program Integrity)2023-08-02YesRemediation in progress
​YolounmatchedOther, specify ("1) Time or Distance Standards: Outpatient Services and Opioid Treatment Programs2) Capacity and Composition: Provider capacity must exceed expected utilization for outpatient treatment services and intensive outpatient treatment services.3) Reporting")2024-10-07YesRemediation in progress
AlamedaunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry2) Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry; Urgent Non Psychiatry")2024-10-02YesRemediation in progress
AlpineunmatchedOther, specify ("1) Time or Distance Standards: Psychiatry2) Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry3) Reporting")2024-09-25YesRemediation in progress
ButteunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry and Outpatient Specialty Mental Health Services2) Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry")2024-10-02YesRemediation in progress
CalaverasunmatchedOther, specify (Network Adequacy and Availability of Services; Quality Assurance and Performance Improvement; Coverage and Authorization of Services; Beneficiary Rights and Protection; Program Integrity)2024-05-27YesRemediation in progress
CalaverasunmatchedOther, specify (Mobile Crisis)2024-05-07YesRemediation in progress
CalaverasunmatchedOther, specify (Timely Access Standards: Non Urgent Psychiatry)2024-09-25YesRemediation in progress
ColusaunmatchedReporting2024-09-25YesRemediation in progress
Contra CostaContra Costa Health PlanOther, specify (Network Adequacy and Availability of Services; Access and Information Requirements;)2024-02-15YesYes, remediated
Contra CostaContra Costa Health PlanOther, specify (Timely Access Standards: Non Urgent Non Psychiatry; Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry)2024-09-19YesRemediation in progress
Del NortePartnership -NorthwestOther, specify (Network Adequacy and Availability of Services; Access and Information Requirements)2024-05-21YesRemediation in progress
Del NortePartnership -NorthwestOther, specify (Timely Access Standards: Non Urgent Psychiatry and Urgent Psychiatry)2024-09-19YesRemediation in progress
FresnounmatchedOther, specify (Timely Access Standards: Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry)2024-10-02YesRemediation in progress
GlennunmatchedOther, specify (Timely Access Standards: Non Urgent Non Psychiatry and Non Urgent Psychiatry)2024-10-02YesRemediation in progress
HumboldtunmatchedOther, specify (Timely Access Standards: Non Urgent Non Psychiatry and Non Urgent Psychiatry)2024-10-29YesRemediation in progress
InyounmatchedOther, specify ("1) Time or Distance Standards: Psychiatry and Outpatient Specialty Mental Health Services2) Capacity and Composition: Ratio Standard for Psychiatry and Outpatient Specialty Mental Health Services3) Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry4) Reporting")2024-10-10YesRemediation in progress
KernunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry and Outpatient Specialty Mental Health Services2) Timely Access Standard: Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry")2024-10-02YesRemediation in progress
KingsunmatchedOther, specify (Mobile Crisis)2024-05-07NoRemediation in progress
KingsunmatchedOther, specify ("1) Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry2) Reporting")2024-09-17YesRemediation in progress
LakePartnership -SouthwestReporting2024-10-02YesRemediation in progress
LassenPartnership -NortheastOther, specify (Mobile Crisis)2024-05-08NoRemediation in progress
LassenPartnership -NortheastOther, specify (1) Timely Access Standard: Urgent Psychiatry)2024-10-02YesRemediation in progress
Los AngelesunmatchedOther, specify (Administrative Day Services; Written Plan of Care Requirements; Medical Care Evaluations; Chart Review- Non-Hospital Services)2023-07-19YesYes, remediated
Los AngelesunmatchedOther, specify (Medical Necessity; Written Plan of Care Requirements; Medical Care Evaluation)2023-10-16YesYes, remediated
Los AngelesunmatchedOther, specify (Administrative Day Services; Written Plan of Care)2023-11-27YesYes, remediated
Los AngelesunmatchedOther, specify (1) Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry and Urgent Psychiatry)2024-09-24YesRemediation in progress
MaderaunmatchedOther, specify ("1) Timely Access Standard: Urgent Psychiatry and Urgent Non Psychiatry2) Reporting")2024-10-08YesRemediation in progress
MarinunmatchedOther, specify (Network Adequacy and Availability of Services; Quality Assurance and Performance Improvement; Access and Information Requirements; Coverage and Authorization of Services; Beneficiary Rights and Protections)2023-08-03NoYes, remediated
MarinunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry2) Timely Access Standard: Non Urgent Non Psychiatry; Urgent Non Psychiatry")2024-10-02YesRemediation in progress
MariposaunmatchedOther, specify (Timely Access Standard: Non Urgent Non Psychiatry; Urgent Non Psychiatry)2024-10-07YesRemediation in progress
MendocinoPartnership -SouthwestOther, specify (Mobile Crisis)2024-05-09NoYes, remediated
MendocinoPartnership -SouthwestOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry2) Timely Access Standard: Non Urgent Non Psychiatry and Urgent Non Psychiatry")2024-10-04YesRemediation in progress
MercedunmatchedOther, specify (Network Adequacy and Availability of Services; Care Coordination and Continuity of Care; Access and Information Requirements; Program Integrity; Beneficiary Rights and Protections)2024-01-10YesYes, remediated
MonounmatchedOther, specify ("1) Timely Access Standard: Non Urgent Psychiatry; Urgent Non Psychiatry2) Reporting")2024-09-25YesRemediation in progress
MontereyCCAH - Monterey/Santa CruzOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry and Outpatient Specialty Mental Health Services2) Timely Access Standard: Urgent Non Psychiatry")2024-10-08YesRemediation in progress
NevadaunmatchedOther, specify (Network Adequacy and Availability of Services; Quality Assurance and Performance Improvement; Access and Information Requirements; Coverage and Authorization of Services; Beneficiary Rights and Protections; Program Integrity)2023-08-04NoYes, remediated
NevadaunmatchedOther, specify (Timely Access Standard: Non Urgent Psychiatry and Urgent Non Psychiatry)2024-09-25YesRemediation in progress
OrangeunmatchedOther, specify (Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry)2024-10-08YesRemediation in progress
OrangeunmatchedOther, specify (Network Adequacy and Availability of Services; Access and Information Requirements; Coverage and Authorization of Services; Beneficiary Rights and Protections; Chart Review- Non-Hospital Services)2023-09-19NoYes, remediated
Placer-SierraunmatchedOther, specify (Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry)2024-09-25YesRemediation in progress
PlumasunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Outpatient Specialty Mental Health Services2) Timely Access Standard: Urgent Non Psychiatry")2024-09-24YesRemediation in progress
RiversideunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard Psychiatry and Outpatient Specialty Mental Health Services2) Timely Access Standard: Non Urgent Non Psychiatry and Non Urgent Psychiatry")2024-09-25YesRemediation in progress
San BenitounmatchedOther, specify (Network Adequacy and Availability of Services; Care Coordination and Continuity of Care; Access and Information Requirements; Coverage and Authorization of Services; Beneficiary Rights and Protections; Provision of ICC Services and IHBS for Children and Youth)2023-08-22NoYes, remediated
San BenitounmatchedOther, specify (Mobile Crisis)2024-05-10YesRemediation in progress
San BenitounmatchedOther, specify (Timely Access Standard: Non Urgent Psychiatry)2024-10-08YesRemediation in progress
San BernardinounmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry2) Timely Access Standard: Non Urgent Non Psychiatry and Non Urgent Psychiatry")2024-10-09YesRemediation in progress
San DiegounmatchedOther, specify ("1) Capacity and Composition: Ratio Standard Outpatient Specialty Mental Health Services2) Timely Access Standard: Non Urgent Non Psychiatry, Urgent Psychiatry and Urgent Non Psychiatry")2024-10-16YesRemediation in progress
San FranciscoSan Francisco Health PlanOther, specify (Network Adequacy and Availability of Services; Care Coordination and Continuity of Care; Quality Assurance and Performance Improvement; Access and Information Requirements; Coverage and Authorization of Services; Beneficiary Rights and Protections; Program Integrity)2023-08-23YesYes, remediated
San FranciscoSan Francisco Health PlanOther, specify (Timely Access Standard: Non Urgent Non Psychiatry, Non Urgent Psychiatry, Urgent Psychiatry and Urgent Non Psychiatry)2024-10-07YesRemediation in progress
San JoaquinunmatchedOther, specify (Beneficiary Rights and Protections; Program Integrity)2024-04-23YesRemediation in progress
San JoaquinunmatchedOther, specify (Mobile Crisis)2024-05-11YesYes, remediated
San JoaquinunmatchedOther, specify (Timely Access Standard: Urgent Psychiatry)2024-10-18YesRemediation in progress
San Luis ObispoCenCal - San Luis ObispoOther, specify (Timely Access Standard: Non Urgent Psychiatry and Urgent Non Psychiatry)2024-10-15YesRemediation in progress
San MateoKaiser PermanenteOther, specify (Mobile Crisis)2024-05-12YesYes, remediated
San MateoKaiser PermanenteOther, specify (Network Adequacy and Availability of Services; Quality Assurance and Performance Improvement; Access and Information Requirements; Coverage and Authorization of Services; Beneficiary Rights and Protections)2023-08-21YesYes, remediated
San MateoKaiser PermanenteOther, specify (Timely Access Standard: Non Urgent Non Psychiatry, Non Urgent Psychiatry and Urgent Non Psychiatry)2024-10-14YesRemediation in progress
Santa BarbaraCenCal - Santa BarbaraOther, specify (Network Adequacy and Availability of Services, Quality Assurance and Performance Improvement, Access and Information Requirements, Coverage and Authorization of Services, Beneficiary Rights and Protections)2023-10-19YesYes, remediated
Santa BarbaraCenCal - Santa BarbaraOther, specify (Timely Access Standard: Non Urgent Non Psychiatry, Non Urgent Psychiatry, Urgent Psychiatry and Urgent Non Psychiatry)2024-09-30YesRemediation in progress
Santa ClaraunmatchedOther, specify (Timely Access Standard: Non Urgent Non Psychiatry, Non Urgent Psychiatry and Urgent Non Psychiatry)2024-09-24YesRemediation in progress
Santa CruzunmatchedOther, specify (Mobile Crisis)2024-05-13NoRemediation in progress
Santa CruzunmatchedOther, specify (Timely Access Standard: Non Urgent Non Psychiatry, Non Urgent Psychiatry and Urgent Non Psychiatry)2024-10-08YesRemediation in progress
ShastaPartnership -NortheastOther, specify (Network Adequacy and Availability of Services; Care Coordination and Continuity of Care; Quality Assurance and Performance Improvement; Access and Information Requirements; Coverage and Authorization of Services; Program Integrity)2023-09-19YesRemediation in progress
ShastaPartnership -NortheastOther, specify (Mobile Crisis)2024-05-14YesYes, remediated
ShastaPartnership -NortheastOther, specify (Timely Access Standard: Urgent Non Psychiatry)2024-10-11YesRemediation in progress
SiskiyouPartnership -NortheastOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry2) Timely Access Standard: Non Urgent Non Psychiatry3) Reporting")2024-10-14YesRemediation in progress
SolanounmatchedOther, specify (Mobile Crisis)2024-05-15NoYes, remediated
SolanounmatchedOther, specify (Timely Access Standard: Non Urgent Non Psychiatry, Non Urgent Psychiatry and Urgent Non Psychiatry)2024-10-15YesRemediation in progress
SonomaunmatchedOther, specify (Mobile Crisis)2024-05-16YesYes, remediated
SonomaunmatchedOther, specify (Timely Access Standard: Non Urgent Non Psychiatry, Non Urgent Psychiatry, Urgent Psychiatry and Urgent Non Psychiatry)2024-10-07YesRemediation in progress
SonomaunmatchedOther, specify (Network Adequacy and Availability of Services; Quality Assurance and Performance Improvement; Access and Information Requirements; Coverage and Authorization of Services; and Beneficiary Rights and Protections)2023-10-18NoRemediation in progress
StanislausunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry2) Timely Access Standard: Non Urgent Non Psychiatry, Non Urgent Psychiatry and Urgent Psychiatry3) Reporting")2024-10-16YesRemediation in progress
StanislausunmatchedOther, specify (Network Adequacy and Availability of Services; Quality Assurance and Performance Improvement, Access and Information Requirements; Coverage and Authorization of Services)2023-10-06NoYes, remediated
Sutter-YubaunmatchedOther, specify (Network Adequacy and Availability of Services; Beneficiary Rights and Protections)2023-12-05NoRemediation in progress
Sutter-YubaunmatchedOther, specify (Mobile Crisis)2024-05-17YesRemediation in progress
Sutter-YubaunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Outpatient Specialty Mental Health Services2) Timely Access Standard: Non Urgent Psychiatry and Urgent Non Psychiatry")2024-10-02YesRemediation in progress
TehamaunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Psychiatry and Outpatient Specialty Mental Health Services2) Timely Access Standard: Non Urgent Non Psychiatry and Urgent Non Psychiatry")2024-10-15YesRemediation in progress
TrinityPartnership -NortheastOther, specify (Network Adequacy and Availability of Services; Care Coordination and Continuity of Care; Access and Information Requirements; Program Integrity; Beneficiary Rights and Protections)2024-01-24NoYes, remediated
TrinityPartnership -NortheastOther, specify ("1) Time or Distance Standards: Psychiatry and Outpatient Specialty Mental Health Services2) Capacity and Composition: Ratio Standard for Psychiatry and Outpatient Specialty Mental Health Services3) Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry; Urgent Psychiatry and Urgent Non Psychiatry4) Reporting")2024-10-18YesRemediation in progress
TulareunmatchedOther, specify (Mobile Crisis)2024-05-18NoYes, remediated
TulareunmatchedOther, specify ("1) Timely Access Standard: Non Urgent Non Psychiatry and Non Urgent Psychiatry2) Reporting")2024-10-07YesRemediation in progress
TuolumneunmatchedOther, specify (Timely Access Standard: Non Urgent Psychiatry)2024-10-25YesRemediation in progress
VenturaunmatchedOther, specify (Network Adequacy and Availability of Services; Coverage and Authorization of Services)2024-03-13YesYes, remediated
VenturaunmatchedOther, specify ("1) Capacity and Composition: Ratio Standard for Outpatient Specialty Mental Health Services2) Timely Access Standard: Non Urgent Non Psychiatry; Non Urgent Psychiatry and Urgent Non Psychiatry")2024-10-08YesRemediation in progress
YolounmatchedOther, specify (Timely Access Standard: Non Urgent Psychiatry and Urgent Non Psychiatry)2024-10-02YesRemediation in progress
Access Dental Plan, Inc.Access Dental PlanReporting (timeliness, completeness, accuracy)2024-07-16YesYes, remediated
Access Dental Plan, Inc.Access Dental PlanOther, specify (Corrective Action Plan)2024-11-22YesYes, remediated
Health Net of California, Inc.CenteneOther, specify (Corrective Action Plan)2024-02-07YesYes, remediated
Alameda Alliance for HealthAlameda Alliance for HealthOther, specify (Performance improvement)2024-12-06YesRemediation in progress
Alameda Alliance for HealthAlameda Alliance for HealthOther, specify (- Utilization Management- Case Management and Coordination of Care- Access and Availability of Care- Member's Rights- Quality Management)2024-11-21YesRemediation in progress
Alameda Alliance for HealthAlameda Alliance for HealthOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-04YesRemediation in progress
Alameda Alliance for HealthAlameda Alliance for HealthOther, specify (LTC ICF/DD Network Readiness Requirements)2024-07-01YesYes, remediated
Anthem Blue Cross Partnership Health PlanElevanceOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Anthem Blue Cross Partnership Health PlanElevanceOther, specify (Performance Improvement)2023-12-29YesRemediation in progress
Anthem Blue Cross Partnership Health PlanElevanceOther, specify (Time or Distance)2024-10-28YesYes, remediated
Anthem Blue Cross Partnership Health PlanElevanceOther, specify (- Utilization Management- Access and Availability of Care- Member's Rights)2024-05-17YesYes, remediated
Anthem Blue Cross Partnership Health PlanElevanceOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-05YesRemediation in progress
Anthem Blue Cross Partnership Health PlanElevanceOther, specify (Prompt Payment Standards)2024-05-28YesYes, remediated
Blue Shield of California Promise Health PlanBlue Shield - San DiegoOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Blue Shield of California Promise Health PlanBlue Shield - San DiegoOther, specify (- Case Management and Coordination of Care- Access and Availability of Care- Member's Rights)2024-09-20YesRemediation in progress
Blue Shield of California Promise Health PlanBlue Shield - San DiegoOther, specify (- Access and Availability of Care)2024-09-06YesRemediation in progress
CalOptima HealthCalOptima-OrangeOther, specify (- Utilization Management- Case Management and Coordination of Care- Access and Availability of Care- Member's Rights)2024-08-22YesRemediation in progress
CalOptima HealthCalOptima-OrangeOther, specify (- Case Management and Coordination of Care)2024-09-06YesYes, remediated
CalOptima HealthCalOptima-OrangeOther, specify (Post Stabilization Care Services, Timely Transfer to In-Network Provider)2024-05-09YesRemediation in progress
CalViva HealthCalViva Health -MaderaOther, specify (- Member's Rights)2024-10-03YesRemediation in progress
CalViva HealthCalViva Health -MaderaOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-06YesRemediation in progress
CalViva HealthCalViva Health -MaderaOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
CenCal HealthCenCal - Santa BarbaraOther, specify (- Access and Availability of Care)2024-09-06YesRemediation in progress
CenCal HealthCenCal - Santa BarbaraOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Central California Alliance for HealthCCAH - Monterey/Santa CruzOther, specify (- Access and Availability of Care - State Supported Services)2024-05-15YesYes, remediated
Central California Alliance for HealthCCAH - Monterey/Santa CruzOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-05YesRemediation in progress
Central California Alliance for HealthCCAH - Monterey/Santa CruzOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Community Health Group Partnership PlanCommunity Health GroupOther, specify (Time or Distance)2024-10-28YesYes, remediated
Community Health Group Partnership PlanCommunity Health GroupOther, specify (- Utilization Management- Access and Availability of Care- Member's Rights- Quality Management)2024-11-06YesRemediation in progress
Community Health Group Partnership PlanCommunity Health GroupOther, specify (- Access and Availability of Care)2024-09-06YesYes, remediated
Contra Costa Health PlanContra Costa Health PlanOther, specify (- Utilization Management- Case Management and Coordination of Care- Access and Availability of Care- Member's Rights- Quality Management - Administrative and Organizational Capacity)2024-02-07YesYes, remediated
Contra Costa Health PlanContra Costa Health PlanOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-09YesRemediation in progress
Contra Costa Health PlanContra Costa Health PlanOther, specify (Untimely Data Submissions)2024-01-03YesYes, remediated
Contra Costa Health PlanContra Costa Health PlanOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Contra Costa Health PlanContra Costa Health PlanOther, specify (LTC ICF/DD Network Readiness Requirements)2024-07-02YesYes, remediated
Gold Coast Health PlanGCHP - VenturaOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-06YesRemediation in progress
Health Net Community Solutions, Inc.CenteneOther, specify (Performance Improvement)2023-12-29YesRemediation in progress
Health Net Community Solutions, Inc.CenteneOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-06YesRemediation in progress
Health Net Community Solutions, Inc.CenteneOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Health Plan of San JoaquinHealth Plan of San JoaquinOther, specify (- Utilization Management- Case Management and Coordination of Care - Administrative and Organizational Capacity - State Supported Services)2024-04-10YesYes, remediated
Health Plan of San JoaquinHealth Plan of San JoaquinOther, specify (- Access and Availability of Care)2024-09-09YesRemediation in progress
Health Plan of San JoaquinHealth Plan of San JoaquinOther, specify (LTC ICF/DD Network Readiness Requirements)2024-07-01YesYes, remediated
Health Plan of San JoaquinHealth Plan of San JoaquinNetwork adequacy2024-12-06YesRemediation in progress
Health Plan of San MateoHPSM - San MateoOther, specify (- Utilization Management- Case Management and Coordination of Care- Access and Availability of Care- Member's Rights- Quality Management - Administrative and Organizational Capacity)2024-01-25YesRemediation in progress
Health Plan of San MateoHPSM - San MateoOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2025-09-05YesRemediation in progress
Health Plan of San MateoHPSM - San MateoOther, specify (LTC ICF/DD Network Readiness Requirements)2024-07-02YesYes, remediated
Inland Empire Health PlanInland Empire Health PlanOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Inland Empire Health PlanInland Empire Health PlanOther, specify (Time or Distance)2024-10-28YesYes, remediated
Inland Empire Health PlanInland Empire Health PlanOther, specify (- Utilization Management- Member's Rights)2024-01-08YesYes, remediated
Inland Empire Health PlanInland Empire Health PlanOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-04YesRemediation in progress
Inland Empire Health PlanInland Empire Health PlanOther, specify (LTC ICF/DD Network Readiness Requirements)2024-04-02YesYes, remediated
Kaiser Foundation Health Plan, Inc.Kaiser PermanenteOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Kaiser Foundation Health Plan, Inc.Kaiser PermanenteOther, specify (- Utilization Management- Access and Availability of Care- Member's Rights- Quality Management - Administrative and Organizational Capacity)2024-03-20YesYes, remediated
Kaiser Foundation Health Plan, Inc.Kaiser PermanenteOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-09YesRemediation in progress
Kaiser Foundation Health Plan, Inc.Kaiser PermanenteOther, specify (LTC ICF/DD Network Readiness Requirements)2024-07-02YesYes, remediated
Kern Family Health CareKern Health SystemsOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Kern Family Health CareKern Health SystemsOther, specify (- Administrative and Organizational Capacity)2024-03-26YesYes, remediated
Kern Family Health CareKern Health SystemsOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-06YesRemediation in progress
L.A. Care Health PlanL.A. CareOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
L.A. Care Health PlanL.A. CareOther, specify (Time or Distance)2024-10-28YesYes, remediated
L.A. Care Health PlanL.A. CareOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-06YesRemediation in progress
Molina Healthcare of CaliforniaMolinaOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Molina Healthcare of CaliforniaMolinaOther, specify (Performance Improvement)2023-12-29YesRemediation in progress
Molina Healthcare of CaliforniaMolinaOther, specify (Time or Distance)2024-10-28YesYes, remediated
Molina Healthcare of CaliforniaMolinaOther, specify (- Utilization Management- Member's Rights)2024-08-05YesYes, remediated
Molina Healthcare of CaliforniaMolinaOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-05YesRemediation in progress
Partnership HealthPlan of CaliforniaPartnership -SouthwestOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Partnership HealthPlan of CaliforniaPartnership -SouthwestOther, specify (- Member's Rights- Quality Management)2024-03-26YesYes, remediated
Partnership HealthPlan of CaliforniaPartnership -SouthwestOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-04YesRemediation in progress
Positive Health CareAIDS Healthcare Foundation (AHF)Other, specify (- Utilization Management- Case Management and Coordination of Care- Access and Availability of Care- Member's Rights- Quality Management - Administrative and Organizational Capacity)2024-04-15YesRemediation in progress
Positive Health CareAIDS Healthcare Foundation (AHF)Other, specify (- Case Management and Coordination of Care)2024-09-24YesRemediation in progress
Positive Health CareAIDS Healthcare Foundation (AHF)Mental Health and Substance Use Disorder Parity compliance2024-07-01YesYes, remediated
SCAN Health PlanSCAN - San DiegoOther, specify (- Utilization Management- Access and Availability of Care- Quality Management)2024-09-25YesRemediation in progress
SCAN Health PlanSCAN - San DiegoOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-06YesRemediation in progress
San Francisco Health PlanSan Francisco Health PlanOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
San Francisco Health PlanSan Francisco Health PlanOther, specify (- Utilization Management- Case Management and Coordination of Care- Member's Rights- Quality Management)2024-08-02YesRemediation in progress
San Francisco Health PlanSan Francisco Health PlanOther, specify (- Case Management and Coordination of Care- Access and Availability of Care)2024-09-09YesRemediation in progress
Santa Clara Family Health PlanSanta Clara Family Health PlanOther, specify (Performance Improvement)2024-12-06YesRemediation in progress
Santa Clara Family Health PlanSanta Clara Family Health PlanOther, specify (- Utilization Management- Case Management and Coordination of Care- Member's Rights- Quality Management)2024-06-28YesRemediation in progress
Santa Clara Family Health PlanSanta Clara Family Health PlanOther, specify (- Case Management and Coordination of Care)2024-09-06YesRemediation in progress

Award history

  • Commercial Medi-Cal managed care: not published by state.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals

Contract amendments

No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments

Medicaid policy

Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.

Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.

Coverage not_collected.

No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy

Federal Register SPA disapproval hearing notices (2015 or later): 0

Plan financials

No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.

Federal compliance deadlines

Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.

Subscriber analysis

Subscriber analysis is available to signed-in readers. This public page keeps the evidence and leaves out the interpretation.