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California Medicaid, through one door
Medi-Cal · run by the Department of Health Care Services (DHCS).
Medi-Cal is run by one agency, the Department of Health Care Services, covering roughly one in three Californians. Most members are in managed care, delivered through five plan models in all 58 counties; the rest is fee-for-service. Counties determine eligibility and run behavioral health; pharmacy is carved out to Medi-Cal Rx and dental to Medi-Cal Dental. The CalAIM reform rests on a Section 1115 demonstration and a Section 1915(b) waiver traveling together, both running through December 31, 2026.
This page is the streamlined way in: the state’s own front doors, laid out in one place, each a straight link to the official page it names. It is one of 51 such interfaces, one per state and the District of Columbia, each built from that state’s Knowledge Base. The page is built to collect nothing — no forms, no accounts, no trackers — and every click hands you to the state’s own site.
Start here · Members & eligibility · Providers — enroll · Manuals & bulletins · Pharmacy — Medi-Cal Rx · Managed care & plan letters · Waivers & CalAIM · Rates & financing · Hearings, help & program integrity · Rules & the state plan · Not here yet · Everything on file
Start here
Members & eligibility
Providers — enroll
Manuals & bulletins
Pharmacy — Medi-Cal Rx
Managed care & plan letters
Waivers & CalAIM
Rates & financing
Hearings, help & program integrity
Rules & the state plan
Not here yet
What this state’s Knowledge Base does not hold, stated plainly. A door with nothing behind it is not linked to air; the gap is printed instead.
- The California register itself — no determinations or reconciliation exist yet.
- Executed contracts with individual health plans and county behavioral health plans — the haul holds the boilerplate contracts the State writes from.
- Any California instrument for 42 CFR Part 432 or Part 437 located in the window.
- Official Title 22 / Title 9 regulatory text — reached through a university mirror only.
- The provider manual as stable links — it publishes through a system whose links expire; its door (For Medi-Cal Providers) is above.
- The fee schedule as a document — Medi-Cal rates live in a portal lookup; rate methodologies are here instead.
Everything on file
The state’s Knowledge Base record, class by class — every located source behind the doors above, with its address exactly as the record carries it. Records the front doors already use are not repeated here.
State plan and State Plan Amendments (SPAs) — 25 on file
- 2024 Approved SPAsPage
- 2023 Approved State Plan AmendmentsPage
- Withdrawn State Plan AmendmentsPage
- MAGI SPAs (State Plan Section 8)Page
- Public Notices for 2025 Proposed SPAsPageIncludes SPA 25-0026 (ICF/DD-CN transition from the HCBA waiver to the State Plan) and SPA 25-0023 (LEA/IHE CHW supervisors).
- Notices of Proposed Changes to the Medi-Cal Program (Tribal / Designee Notifications)PageIndex of tribal notifications for proposed SPAs, including SPA 25-0007, 25-0006 (justice-involved), 25-0028, 25-0037, 26-0029, 26-0032.
- SPA 24-0011 Approval LetterPDF
- Tribal Notice — SPA 25-0007PDFAlternative Benefit Plan alignment with SPAs 24-0003, 24-0031, 24-0042, 24-0052, 25-0006, 25-0009, 25-0014.
- State Plan Attachment 4.22-B — Third Party LiabilityPDF
- State Plan Attachment 3.1-i — 1915(i) Home and Community-Based ServicesPDF
- Attachment 3.1-i — 1915(i) (earlier published version)PDF
- Revised Pages for the CA Medicaid State Plan under SPA 10-014 (Attachment 3.1-A)PDF
- SPA 23-0010 — Dyadic Services Alternative Payment Methodology approvalPage
- California CHIP State Plan (Title XXI)PDF
- CMS Approval — CA SPA 25-0009PDFFQHC / RHC / Tribal FQHC psychological-associate visits under PPS.
- CHIP SPA CA-22-0035 ApprovalPDFEvergreen Disaster Relief alignment.
- CHIP Document CA-19-0036PDFCHIP state plan attachments, including CCHIP, MCAP, MCAIP, and the Unborn Option.
- Supplement 40 to Attachment 4.19-B — Targeted Provider Reimbursement MethodologyPDF
- Supplement 6 to Attachment 4.19-B — Reimbursement for Indian Health Services and Tribal 638 Health FacilitiesPDF
- Supplement 18 to Attachment 4.19-B — Supplemental Reimbursement for Publicly Owned/Operated GEMT ProvidersPDF
- Supplement 7 to Attachment 4.19-A — One-Time Supplemental Payment, HQAF-Eligible ProvidersPDF
- SPA 19-0018 — HQAF Approval (redacted)PDF
- SPA 22-0051 — Tribal NoticePDFAMFT/ACSW continuation; doula benefit; Tribal 638 doula services in fee-for-service outside the All-Inclusive Rate.
Waivers — 1115, 1915(b), 1915(c), 1915(i), and related authorities — 35 on file
- Section 1915(b) Medicaid Waiver Resources — Specialty Mental HealthPage
- Drug Medi-Cal Organized Delivery System — MaterialsPage
- BH-CONNECT — CMS Approval LetterPDF
- About BH-CONNECTPageThe behavioral health Section 1115 demonstration, approved December 2024.
- CalAIM Section 1115 ApplicationPDF
- CalAIM 1115 Demonstration Year 19 Annual ReportPDF
- CalAIM 1115 Demonstration Year 18 Annual ReportPDFDemonstration years run DY 18 (2022) through DY 22 (2026).
- CalAIM Justice-Involved Policy and Operations Guide — Draft for Stakeholder CommentPDF
- Policy and Operational Guide for Planning and Implementing the Justice-Involved Reentry Initiative — Foundational GuidancePDF90-day pre-release services; approval updated March 2024 (implementation plan) and December 16, 2024 (youth eligibility). The initiative launched October 2024; all correctional facilities are mandated under state law to implement by October 1, 2026.
- CMS Approval — CalAIM Reentry Demonstration Initiative Implementation PlanPDF
- Community-Based Adult Services (CBAS)Page1115 history: Bridge to Reform → Medi-Cal 2020 → CalAIM.
- HCBS Waiver for the Developmentally DisabledPage
- HCBS-DD Waiver (Long-Term Care)PageAdministered with the Department of Developmental Services and the regional centers.
- Application for a 1915(c) HCBS Waiver — CA.0336.R05.10 (HCBS-DD)PDF
- Application for a 1915(c) HCBS Waiver — CA.0139.R06.05 (HCBA)PDF
- Application for a 1915(c) HCBS Waiver — CA.0139.R06.06 (HCBA, draft)PDF
- Home and Community-Based Alternatives (HCBA) WaiverPage
- Assisted Living WaiverPage
- Multipurpose Senior Services Program (MSSP)Page
- MSSP Renewal Application (as submitted)PDF
- Multipurpose Senior Services Program — DHCS Initiatives (MSSP renewal CA.0141.R07)Page
- HCBS 1915(i) Monitoring ProtocolPDF
- DDS HCBS Programs (1915(i) state plan pages)Page
- California's Reproductive Health Access Demonstration (CalRHAD)Page
- Self-Determination Program (SDP)Page
- SDP Renewal Application — CA.1166.R02.00PDF
- California Community Transitions (CCT)Page
- CCT — Consolidated Appropriations Act of 2023Page
- Medi-Cal Waiver Program (MCWP) — HIV/AIDS 1915(c)Page
- Medi-Cal Waiver Program (MCWP)Page
- Superior Systems WaiverPage
- Superior Systems Waiver Renewal Request, October 1, 2024 – September 30, 2029PDF## D. Managed care contracts, All Plan Letters, and quality
Managed care contracts, All Plan Letters, and quality — 37 on file
- 2024 Medi-Cal Managed Care Boilerplate ContractPDFThe model contract against which executed plan contracts are written (Exhibit A scope, Exhibit B payment and community reinvestment terms).
- Medi-Cal Managed Care Plan MOUs with Third-Party EntitiesPage
- Medi-Cal Commercial Managed Care Plan Procurement UpdatePageNext commercial procurement no sooner than 2029; current contracts extended January 1 – December 31, 2027.
- APL 25-001PDFMEDS / 834 eligibility file cutoff and processing schedule.
- APL 25-004 — Community Reinvestment RequirementsPDFCites the 2024 Boilerplate Contract, Exhibit B §1.1.17.
- APL 24-011 — ICF/DD Directed PaymentsPDF
- APL 24-009 — Skilled Nursing Facility / Subacute Long-Term Care Carve-InPDFCarries the Population Health Management requirements for the LTC carve-in.
- APL 26-001 — Initial Health AppointmentPDF
- APL 26-008 — Interoperability Final Rules (including prior authorization)PDF
- MCAS Monetary Sanction Methodology — Attachment CPDFAttachment to APL 25-007 (Enforcement Actions, April 25, 2025).
- Dental APL 25-004 — Dental Managed Care MEDS/834 Cutoff and Processing Schedule, 2024–2025PDF
- Dental APL 25-008 — Grievance and Appeal Reporting TemplatePDF
- 2024 Boilerplate State Medicaid Agency Contract (EAE) — D-SNPPDF
- Boilerplate 2026 SMAC — Non-EAE D-SNPPDF
- Boilerplate 2026 SMAC — EAE D-SNPPDF
- CalAIM D-SNP Policy GuidePDF
- Dual Special Needs Plans (D-SNP) Contract and Policy GuidePage
- Medicare Advantage Options for Dual Eligible BeneficiariesPage
- Draft 2025 Comprehensive Quality Strategy ReportPDFAlso a compact source for program shape (PACE enrollment, CCT/MFP, IHSS scale).
- CY 2024 Medi-Cal Managed Care Quality Component MethodologyPDF
- 2025 Medi-Cal CAHPS Survey Summary ReportPDF
- Managed Care Program Annual Report (MCPAR) for California: Drug Medi-Cal — Organized Delivery System, FY 24-25PDF
- Quality Measures & ReportingPageNames the EQROs: HSAG for Medi-Cal managed care; Behavioral Health Concepts for Mental Health Plans.
- Quality and Population Health Management (QPHM)Page
- MMCD Claims & Encounter Data ReportingPage
- APL 14-009 — Encounter Data Transition to National Standard TransactionsPDF
- CalAIM Population Health Management (PHM) Policy GuidePDFThe PHM guide the MCP contract and later APLs incorporate by reference (initial health appointment, transitional care, care management).
- Managed Care Plan Long-Term Care QAPI Program RequirementsPDF
- CalAIM Skilled Nursing Facility and Subacute Care Facility Long-Term Care Carve-In: Resources for Managed Care PlansPDF
- APL 23-004 — Skilled Nursing Facility Services (LTC carve-in payment and PHM terms)PDF## E. Manuals, bulletins, and eligibility / behavioral health guidance
Manuals, bulletins, and eligibility / behavioral health guidance — 27 on file
- Medi-Cal Provider Manual, Parts 1 and 2SystemNamed in the state’s record; no public address was captured for it, so it is listed, not linked.No stable public URL: the manual is published through the CA-MMIS (mcweb) publications system, whose document links carry session access tokens. Tokens are not reproduced here. Access runs from the DHCS provider page (H-002). The manual's 27 section PDFs were identified but not individually inventoried in the window. [
- Medi-Cal Dental Provider Handbook, Section 5 — Manual of Criteria and Schedule of Maximum AllowancesPDF
- Medi-Cal Dental Provider Handbook, Section 3 — Enrollment RequirementsPDF
- Medi-Cal Dental — Fee-for-ServicePage
- Counties & StakeholdersPageDescribes the Medi-Cal Eligibility Procedures Manual (MEPM) and carries the ACWDL and MEDIL lists by year. Counties determine eligibility; MCED issues the governing letters.
- ACWDL 26-02 — 2026 Spousal Impoverishment StandardsPDF
- MEDIL I 26-04 — Diligent Search RequirementsPDF
- BHIN 25-010 — Medi-Cal Peer Support Program StandardsPDF
- BHIN 25-014 — Mental Health Plan and DMC-ODS Grievance and Appeal Requirements, with Revised Member Notice TemplatesPDF
- BHIN 26-005 — SB 1238 ReimbursementPDF
- BHIN 24-023 — Behavioral Health Provider TypesPDF
- CalAIM Behavioral Health InitiativePage
- Medi-Cal Specialty Mental Health ServicesPageSMHS are carved out to county Mental Health Plans under the CalAIM 1915(b) waiver (approved December 29, 2021 through December 31, 2026).
- Drug Medi-Cal Organized Delivery SystemPageCounty opt-in SUD delivery system on ASAM criteria; governing regulation Title 22 CCR §51341.1.
- DMC-ODS Penetration Rates, FY 22-23PDFDHCS SUD dashboard material states 40 counties in DMC-ODS covering about 97% of Medi-Cal members as of May 1, 2025.
- Community Supports Policy Guide, Volume 1PDF
- CalAIM Enhanced Care Management Policy GuidePDFdhcs.ca.gov/Documents/MCQMD/DHCSCommunity-Supports-Policy-Guide.pdf
- DHCS Community Supports Policy GuidePDFNamed in the state’s record; no public address was captured for it, so it is listed, not linked.dhcs.ca.gov/Documents/MCQMD/DHCSCommunity-Supports-Policy-Guide.pdf [Address as printed in the source record, without scheme: dhcs.ca.gov/Documents/MCQMD/DHCSCommunity-Supports-Policy-Guide.pdf]
County-administered programs, benefits, and special programs — 26 on file
- Targeted Case Management (TCM)Page
- TCM Provider Manual, Section 1 — Program OverviewPDF
- County-Based Medi-Cal Administrative Activities (CMAA) — Program DescriptionPage
- CMAA / TCM Operational PlanPDF
- School-Based Medi-Cal Administrative Activities (SMAA) — DescriptionPage
- Mental Health Medi-Cal Administrative Activities (MH MAA)Page
- Local Educational Agency Medi-Cal Billing Option Program (LEA BOP)PageW&I Code §14132.06; fee-for-service, certified public expenditure; the 2026 draft Time Study Implementation Plan was submitted to CMS March 25, 2026.
- LEA Program OverviewPage
- School-Based Claiming — Random Moment Time Survey (RMTS)Page
- PPL 20-022R — Random Moment Time Survey RequirementPDFPolicy & Procedure Letters (PPLs) are the guidance series for the MAA / TCM / LEA / SMAA programs; the PPL archive was sampled, not exhausted.
- In-Home Supportive Services (IHSS)PageIHSS runs through CDSS and the counties; DHCS's page covers the IHSS Plus state plan option and the PCSP / CFCO structure. Roughly 800,000 recipients statewide.
- Children and Youth Behavioral Health Initiative (CYBHI)PageIncludes the CYBHI Fee Schedule Program for school-linked behavioral health services.
- CHDP Program TransitionPageThe Child Health and Disability Prevention program transitioned and sunset July 1, 2024 under SB 184; the CHDP Gateway became Children's Presumptive Eligibility and the HCPCFC was preserved.
- CHDP Transition Plan 2024PDF
- CCS Manual of Procedures, Chapter 3.37 — Provider Core Standards: Special Care CentersPDF
- Becoming a CCS ProviderPage
- CCS Whole Child ModelPageSB 586; AB 2724; AB 118 expansion effective January 1, 2025. CCS carves into managed care in COHS counties under the Whole Child Model.
- CCS Whole Child Model — MCP MOU TemplatePDF
- Program of All-Inclusive Care for the Elderly (PACE)PageW&I Code §§14591–14593; Title 22 CCR Divisions 3 and 5; PACE Policy Letters. No executed CA PACE program agreement was captured in the window.
- Transportation — Frequently Asked Questions (NEMT / NMT)Page
- Clinical Assurance Division (CAD)PageTreatment Authorization Request (TAR) adjudication and post-payment review; Designated Public Hospital TAR-Free Project.
- Family PACT — Provider EnrollmentPageThe Family PACT Policies, Procedures and Billing Instructions (PPBI) manual governs the program; the manual itself was not captured in the window.
- Family PACT Provider Application (Form DHCS 4468)PDF
- Genetically Handicapped Persons Program (GHPP) — Medical EligibilityPageTitle 17 CCR qualifying conditions; Health & Safety Code §125130.
Program integrity, provider enrollment, third party liability, hearings — 9 on file
Rates and financing (compliance-bearing only) — 16 on file
- Proposition 56 Directed Payment Preprint — Developmental ScreeningPDF
- APL 23-019 — Proposition 56 Directed PaymentsPDF
- Federally Qualified Health Centers and Rural Health ClinicsPageLinks the State Plan and SPA material and PPS guidance; FQHC/RHC state-only services transition from PPS effective July 1, 2026 (AB 116; W&I Code §14132.100(c)).
- FQHC Alternative Payment MethodologyPage
- Community Health Worker Services — FAQs for FQHCs, RHCs, and IHS MOA 638 ClinicsPDF
- APL 21-008, Attachment 1 — Tribal FQHC Alternative Payment Methodology, CY 2026 RatesPDF
- Community Health Worker Qualifications and Supervising Provider Requirements — FAQPage
- Ground Emergency Medical Transportation (GEMT) Supplemental Reimbursement ProgramPageThe supplemental program went inoperative January 1, 2023; the PP-GEMT IGT arrangement continues under SPAs 24-0002 and 25-0002.
- Ground Emergency Medical Transportation Quality Assurance FeePage
- Hospital Quality Assurance Fee (HQAF) ProgramPageIn place since 2010; made permanent by Proposition 52 (November 2016); W&I Code §14169.51.
- Certification of CMS Approval of Waiver for Managed Care Organization TaxPDF
- Proposition 56 — Physicians Supplemental PaymentPage
- CY 2023 Proposition 56 Physicians Services Directed Payment Evaluation ReportPDF## I. State regulations and statutes (mirrors of the CFR frame)
State regulations and statutes (mirrors of the CFR frame) — 3 on file
The handoff. Every link on this page leaves Agentic Armor for the official state or federal page it names; nothing here stands between you and the state. This interface is built to collect nothing: it asks for nothing, stores nothing, and follows no one. What the state’s own sites do after the handoff is the state’s own practice.
Built from the California State Knowledge Base (scrape of October 22, 2026): 0 documents held · 180 founding records located · no register yet. Founding haul only: 180 records located in the October 22, 2026 scrape. No register exists yet for California, so no depth is measured — the haul is the acquisition map the register will be built from. Held from publication on the principal’s order of October 22, 2026. Read alongside: all states · the Atlas · home. Agentic Armor LLC.