California Medicaid Contract: Health Plan of San Mateo – County Operated Health System Model

California calls its state Medicaid program Medi-Cal. The state provides Medicaid managed care through six different models. Each county is able to choose one of the six models.

This contract is for a health plan operating under the County Organized Health System (COHS). In this model, health plans are created by one or more County Boards of Supervisors. The COHS plan is the only available Medicaid plan in the designated county or region and all Medi-Cal beneficiaries are enrolled in the plan, with the exception of partial benefit dual eligibles. Six health plans serve the 22 counties that utilize this model. The counties include: Del Norte, Humbolt, Lake, Lassen, Marin, Mendocino, Merced, Modoc, Monterey, Napa, Orange, San Luis Obispo, San Mateo, Santa Barbara, Santa Cruz, Shasta, Siskiyou, Solano, Sonoma, Trinity, Ventura, Yolo

This County Operated Health System Model contract is for the following health plan: Health Plan of San Mateo

For more information on California’s Medicaid managed care programs, and to view other contracts, visit California Medicaid Managed Care Contracts.