CSAC Bulletin Article

Department of Health Care Services Releases Joint Statement on 2024 Medi-Cal Managed Care Plan Contracts

January 5, 2023

On Friday, the Department of Health Care Services (DHCS) joined with five commercial managed care plans (MCPs) – Blue Cross of California Partnership Plan (“Anthem”), Blue Shield of California Promise Health Plan, CHG Foundation d.b.a. Community Health Group Partnership Plan, Health Net Community Solutions, Inc., and Molina Healthcare of California – to announce an agreement to deliver Medi-Cal services to Medi-Cal managed care members in 21 counties across the state starting in January 2024.      

This agreement revises the initial plan of notices of intent to award released in August 2022 by DHCS to limit Medi-Cal contracts to just three commercial plans (vs. the existing nine) plus Kaiser under a separate agreement. As part of the new agreement, DHCS notes Medi-Cal health plans will be held to new standards of care and greater accountability, helping ensure Medi-Cal members have the care and support they need to live healthier, more fulfilling lives.  

These plans, and all other Medi-Cal managed care plan partners, will operate under the new MCP contract to provide quality, equitable and comprehensive coverage for Medi-Cal managed care members. To help address the social drivers of health, the new contracts require partnerships with local health departments, local educational and governmental agencies, and other local programs and services, including social services, child welfare departments, and justice departments, to ensure member care is coordinated and members have access to community-based resources, including Community Supports.    

Below are the plans and the counties they will serve:

Blue Cross of CA Partnership Plan (“Anthem”) – Alpine, Amador, Calaveras, El Dorado, Fresno, Inyo, Kern, Kings, Madera, Mono, Sacramento, San Francisco, Santa Clara, Tuolumne

Blue Shield of CA Promise Health Plan – San Diego

CHG Foundation d.b.a. Community Health Group Partnership Plan – San Diego

Health Net Community Solutions, Inc. – Amador, Calaveras, Inyo, Los Angeles (with subcontract to Molina for 50% of membership), Mono, Sacramento, San Joaquin, Stanislaus, Tulare, Tuolumne

Molina Healthcare of CA – Riverside, Sacramento, San Bernardino, San Diego, Los Angeles (subcontractor to Health Net for 50% of membership)

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