CY 2023 Regional Model Rates
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Published by:
California Department of Health Care Services
Last updated:
January 4, 2025
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Description:
This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the Regional model for CY 2023.
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You’re previewing the first 50 rows of this file.
Rating Period
Calendar Year
Model
County
Health Plan Name
Category of Aid
Lower Bound
Midpoint
Upper Bound
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
Adult - UIS Federal
$169.05
$174.89
$181.00
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
ACA Optional Expansion - UIS Federal
$238.57
$246.48
$254.75
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
SPD - UIS Federal
$676.66
$697.70
$719.62
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
SPD/Full-Dual - UIS Federal
$127.25
$131.67
$136.31
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
LTC - UIS Federal
$1,654.53
$1,693.76
$1,734.51
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
LTC/Full-Dual - UIS Federal
$137.77
$141.74
$145.89
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
Child - SIS
$63.73
$67.16
$70.80
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
Adult - SIS
$217.15
$224.95
$233.13
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
ACA Optional Expansion - SIS
$294.50
$304.59
$315.16
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
SPD - SIS
$759.18
$783.67
$809.19
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
SPD/Full-Dual - SIS
$212.24
$218.29
$224.63
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
LTC - SIS
$10,610.47
$10,759.37
$10,912.62
1/23 - 12/23
2023
Regional
Alpine
Anthem Blue Cross
LTC/Full-Dual - SIS
$8,558.24
$8,656.20
$8,756.54