CareWorx Healthcare Solutions

Health Plan Profile

CenCal Health

The Central Coast's local, public Medi-Cal health plan.

Region
Santa Barbara & San Luis Obispo Counties
Established
1983
Members
~225K members
Plan Types
1

Who They Are

About CenCal

Overview

CenCal Health is a publicly funded, locally operated health plan serving Medi-Cal members in Santa Barbara and San Luis Obispo counties. Established in 1983 as the Santa Barbara Regional Health Authority, CenCal is one of California's original County Organized Health Systems and is governed by a public commission of county supervisors, providers, and community members. As the sole Medi-Cal plan in its two counties, CenCal contracts deeply with regional FQHCs, hospitals, behavioral health providers, and community-based organizations, and is an active operator of CalAIM Enhanced Care Management and Community Supports programs across the Central Coast.

Mission

"To improve the health and well-being of our members through accessible, high-quality, and equitable care."

As a public, locally governed plan rather than a national managed care organization, CenCal's strategic priorities are set by a commission that answers to the same communities its members live in.

Services

What CenCal offers

Medi-Cal Managed Care for the Central Coast
Enhanced Care Management (ECM)
Community Supports under CalAIM
Behavioral health coordination
Population health and chronic care programs
Provider partnerships with regional FQHCs and hospitals

Plan Types

Lines of business

The product lines this plan operates across Medi-Cal, Medicare, commercial, and dual-eligible populations.

Medi-Cal Managed Care (COHS model)

Furthermore

More on CenCal

  • One of California's first County Organized Health Systems.
  • Locally governed by a public commission of community and provider representatives.
  • Sole Medi-Cal plan in Santa Barbara and San Luis Obispo counties.
  • Deep contracting with Central Coast FQHCs and community providers.
  • Active operator of CalAIM ECM and Community Supports across the region.
Official site
www.cencalhealth.org
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