1 dataset found
  1. Medi-Cal Enrollment by Eligibility Group

    • data.ca.gov
    • data.chhs.ca.gov
    • +2more
    csv, pdf, zip
    Updated Jul 1, 2025
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    California Department of Health Care Services (2025). Medi-Cal Enrollment by Eligibility Group [Dataset]. https://data.ca.gov/dataset/medi-cal-enrollment-by-eligibility-group
    Explore at:
    pdf, csv, zipAvailable download formats
    Dataset updated
    Jul 1, 2025
    Dataset authored and provided by
    California Department of Health Care Serviceshttp://www.dhcs.ca.gov/
    License

    Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
    License information was derived automatically

    Description

    This dataset includes the total number of individuals enrolled in Medi-Cal by eligibility group: Modified Adjusted Gross Income (MAGI), non-MAGI, and Children’s Health Insurance Program (CHIP). The groups are defined by the Centers for Medicare and Medicaid Services (CMS) Performance Indicators (CMSPI) reporting requirements. The Department of Health Care Services (DHCS) submits eligibility and enrollment data regarding Medicaid and CHIP monthly to CMS. The enrollment data represents enrollment totals as of 60 days after the eligibility month (indicated as “Reporting Period” in the dataset). CMS publishes the state total enrollments on the CMSPI website. The total enrollment comprises of individuals who are eligible for full scope Medi-Cal by MAGI – Child, MAGI – Adult, Non-MAGI Child, Non-MAGI Adult, and CHIP eligibility groups. DHCS does not report to CMS the total enrollment in limited scope Medi-Cal or state-only funded programs (indicated as the “Non-CMSPI” in the dataset).

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Share
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TwitterTwitter
Email
Click to copy link
Link copied
Close
Cite
California Department of Health Care Services (2025). Medi-Cal Enrollment by Eligibility Group [Dataset]. https://data.ca.gov/dataset/medi-cal-enrollment-by-eligibility-group
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Medi-Cal Enrollment by Eligibility Group

Explore at:
pdf, csv, zipAvailable download formats
Dataset updated
Jul 1, 2025
Dataset authored and provided by
California Department of Health Care Serviceshttp://www.dhcs.ca.gov/
License

Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
License information was derived automatically

Description

This dataset includes the total number of individuals enrolled in Medi-Cal by eligibility group: Modified Adjusted Gross Income (MAGI), non-MAGI, and Children’s Health Insurance Program (CHIP). The groups are defined by the Centers for Medicare and Medicaid Services (CMS) Performance Indicators (CMSPI) reporting requirements. The Department of Health Care Services (DHCS) submits eligibility and enrollment data regarding Medicaid and CHIP monthly to CMS. The enrollment data represents enrollment totals as of 60 days after the eligibility month (indicated as “Reporting Period” in the dataset). CMS publishes the state total enrollments on the CMSPI website. The total enrollment comprises of individuals who are eligible for full scope Medi-Cal by MAGI – Child, MAGI – Adult, Non-MAGI Child, Non-MAGI Adult, and CHIP eligibility groups. DHCS does not report to CMS the total enrollment in limited scope Medi-Cal or state-only funded programs (indicated as the “Non-CMSPI” in the dataset).

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