Managed Care Provider Network

Medi-Cal managed care health plans (MCPs) submit their provider network to DHCS broken out by each county they operate in on a monthly basis. The MCP’s submission is mapped to DHCS network adequacy standards as described in the All Plan Letter (APL): Network Certification Requirements, to determine provider categories. The most recent version the APL can be found at: https://www.dhcs.ca.gov/formsandpubs/Pages/AllPlanLetters.aspx. Individual providers are mapped to locations and if present at multiple locations all locations are provided. The dataset is an extract of the MCPs submitted name, locations, and provider type identifiers for each provider and the DHCS mapped network adequacy categories. This data is the most recently available data as of the runtime of 9/3/2021 and represents the provider network as of July 2021.

This dataset updates every month

Data and Resources

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