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Managed Care Performance Monitoring Dashboard Report

Published by California Department of Health Care Services | State of California | Catalog Last Checked: November 28, 2025 at 07:18 PM | Dataset Last Updated: November 07, 2025 at 02:55 AM
This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings.

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Complete Metadata
@type dcat:Dataset
accessLevel public
contactPoint 
                                            {
  "fn": "Managed Care Quality and Monitoring Division / Program Analysis Unit",
  "@type": "vcard:Contact",
  "hasEmail": "mailto:opendata@dhcs.ca.gov"
}
description This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings.
distribution 
                                            [
  {
    "@type": "dcat:Distribution",
    "title": "Grievance Type",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=0255030a-f369-4c11-a0e3-f1da119dd68d&limit=0",
    "description": "This file contains data regarding grievances, sorted by category and types.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/11f020d6-5e4a-4a37-a07f-a0bffd3e6de6/download/grievance-type-4.25.24.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "Ethnicity",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=0ff2a139-8384-4909-ae62-9bc1c2da9609&limit=0",
    "description": "This file contains data sorted by ethnicity of members for enrollment demographics, utilization of services, and state fair hearings.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/74b1fa09-32da-4b6d-b4f8-bc1414e4b657/download/ethnicity-4.25.24.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "Encounter Completeness",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=1ba61f87-6338-4211-9878-c67c874dfa68&limit=0",
    "description": "This file contains data regarding encounter completeness for each contracted managed care health plan by category of service.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/bd524699-cfd7-4996-a34d-b7b60e8dfd5d/download/encounter-completeness-4.25.24.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "Sex",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=517eed11-7855-4d8a-a1ab-243f2b52845b&limit=0",
    "description": "This file contains data sorted by sex of members for enrollment demographics, utilization of services, and state fair hearings.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/8d33f676-499e-4365-ae6b-bd8dc6f79344/download/sex-4.25.24.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "HEDIS",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=7bf4aaa7-13b6-48ac-aaba-136a2c053cd1&limit=0",
    "description": "This file contains data regarding Healthcare Effectiveness Data and Information Set (HEDIS®) Aggregated Quality Factor Score (AQFS) for each managed care health plan by county of operation.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/bda70e1d-bf79-4618-b1cb-939bd68746dd/download/hedis_aqfs-4.25.24.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "Age",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=89af7f0e-d86c-4e41-aab7-3c0643ec6c3d&limit=0",
    "description": "This file contains data sorted by age of members for enrollment demographics, utilization of services, and state fair hearings.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/21d41c79-9c93-44bb-a07a-a92ddcba175e/download/age-4.25.24.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "Population",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=93084af7-7967-47c0-bc91-e51b8aafda18&limit=0",
    "description": "This file contains data sorted by population for enrollment demographics, utilization of services, and state fair hearings.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/d827dcb6-fd96-486d-b047-020c63018725/download/population-4.25.24.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "Grievance Demographics",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=b0a61e09-409b-4b37-a3f7-2d435f830253&limit=0",
    "description": "This file contains data regarding grievances per 1,000 members, sorted by demographics, including sex, age, ethnicity and population.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/7bc30ad9-7745-401f-b134-1d6d873f97a4/download/grievances_demo-4.25.24.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "Provider Ratios",
    "format": "CSV",
    "mediaType": "text/csv",
    "describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=f29075e5-9050-4546-9508-667db7c9cc35&limit=0",
    "description": "This file contains data regarding the provider ratios of Primary Care Physicians (PCPs) per 2,000 members and physicians per 1,200 members.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/2420e99b-3a7b-4cc9-aa73-7d91fdd25a88/download/provider_ratios-4.25.24.csv",
    "describedByType": "application/json"
  },
  {
    "@type": "dcat:Distribution",
    "title": "Data Dictionary - Grievance Demographics",
    "format": "CSV",
    "mediaType": "text/csv",
    "description": "Data Dictionary for https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/7bc30ad9-7745-401f-b134-1d6d873f97a4/download/grievances_demo-4.25.24.csv",
    "downloadURL": "https://data.ca.gov/datastore/dictionary_download/b0a61e09-409b-4b37-a3f7-2d435f830253",
    "isDataDictionary": true
  },
  {
    "@type": "dcat:Distribution",
    "title": "Data Dictionary - Encounter Completeness",
    "format": "CSV",
    "mediaType": "text/csv",
    "description": "Data Dictionary for https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/bd524699-cfd7-4996-a34d-b7b60e8dfd5d/download/encounter-completeness-4.25.24.csv",
    "downloadURL": "https://data.ca.gov/datastore/dictionary_download/1ba61f87-6338-4211-9878-c67c874dfa68",
    "isDataDictionary": true
  },
  {
    "@type": "dcat:Distribution",
    "title": "Data Dictionary - HEDIS",
    "format": "CSV",
    "mediaType": "text/csv",
    "description": "Data Dictionary for https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/bda70e1d-bf79-4618-b1cb-939bd68746dd/download/hedis_aqfs-4.25.24.csv",
    "downloadURL": "https://data.ca.gov/datastore/dictionary_download/7bf4aaa7-13b6-48ac-aaba-136a2c053cd1",
    "isDataDictionary": true
  },
  {
    "@type": "dcat:Distribution",
    "title": "Data Dictionary - Population",
    "format": "CSV",
    "mediaType": "text/csv",
    "description": "Data Dictionary for https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/d827dcb6-fd96-486d-b047-020c63018725/download/population-4.25.24.csv",
    "downloadURL": "https://data.ca.gov/datastore/dictionary_download/93084af7-7967-47c0-bc91-e51b8aafda18",
    "isDataDictionary": true
  },
  {
    "@type": "dcat:Distribution",
    "title": "Managed Care Performance Monitoring Dashboard Report",
    "format": "PDF",
    "mediaType": "application/pdf",
    "description": "This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings.",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/d2ccf65f-0cf7-41d2-916e-2aded8d86434/download/mcpm-dashboard-april-2024-release.pdf"
  },
  {
    "@type": "dcat:Distribution",
    "title": "All resource data",
    "format": "ZIP",
    "mediaType": "application/zip",
    "downloadURL": "https://data.chhs.ca.gov/dataset/fc07c2ae-c89c-409e-8aad-fb06b8bf884a/resource/94b9d250-3872-44c4-83eb-a0f566c50910/download/managed-care-performance-monitoring-dashboard-report-940tca_z.zip"
  }
]
identifier 9f2c1f8c-8363-4324-ba06-578efa445431
issued 2020-05-19T17:16:40.002605
keyword 
                                            [
  "DHCS",
  "HEDIS",
  "california department of health care services",
  "demographics",
  "encounter",
  "enrollment",
  "grievances",
  "provider ratio",
  "state fair hearing",
  "utilization"
]
license http://www.opendefinition.org/licenses/cc-by
modified 2025-11-07T02:55:59.156688
publisher 
                                            {
  "name": "California Department of Health Care Services",
  "@type": "org:Organization"
}
theme 
                                            [
  "Health and Human Services"
]
title Managed Care Performance Monitoring Dashboard Report

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