What’s happening: Effective Jan. 1, 2024, Medi-Cal managed care plans (MCPs) will operate under a new and revamped contract intended to better advance quality, access, accountability, health equity, and transparency.
What else to know: Also effective Jan. 1, 2024, MCPs available for enrollment in certain counties will change due to county-elected model changes, the awarding of new commercial MCP contracts, and/or the expansion of direct contracts with Kaiser Permanente.
The new contract and changes to MCP offerings are part of the California Department of Health Care Services’ (DHCS) efforts to transform and improve the Medi-Cal program under the CalAIM initiative.
All MCPs statewide will be subject to the same heightened contractual requirements, thereby promoting standardization. While these changes do not affect coverage or benefits, Medi-Cal members in 21 counties have or may need to transition to a different MCP with certain protections to preserve continuity of care.
For more information, visit the following DHCS links: