Medi-Cal Enrollment

Number of Medi-Cal cases that received coverage during each month

Measure Description

Medi-Cal is California’s public health insurance program under the federal insurance, Medicaid. It provides free or low-cost health care coverage to low-income individuals. 

Medi-Cal Enrollment is a measure of the number of Medi-Cal cases that received coverage during each month. This measure is a workload indicator. The San Francisco Human Services Agency administers and tracks Medi-Cal services.  

Why this Measure is Important

Reporting on Medi-Cal Enrollment provides the public, elected officials, and City staff with a current snapshot of the demand for San Francisco safety net services. 

Medi-Cal provides free or low-cost health care coverage to low-income households including: 

  • families with children including individuals who are pregnant
  • seniors
  • persons with disabilities
  • children in foster care
  • people with certain diseases such as tuberculosis, breast cancer or HIV/AIDS

Medi-Cal pays for medical visits, hospital care, prescription drugs, pregnancy-related treatment, dental and eye care, and other medical services. 

Medi-Cal Active Caseload

How Performance is Measured

Medi-Cal Enrollment is calculated using the following methodology:

Count of the number of active Medi-Cal cases on a particular day within each month, usually around the 10th.

The number displayed on the scorecard page represents the average of monthly active Medi-Cal cases for each fiscal year.

Data Notes and Sources

All Medi-Cal cases are tracked and reported using CalWIN, an administrative database used in 18 California counties. 

Data lag time: Medi-Cal Enrollment is reported with a two-month lag. For example, May’s data will be available in July.

Visit DataSF to access the scorecard data.

Additional Information

Department