Skip to main content
  • Members: Has your contact information changed? Give the Ventura County Human Services Agency your updated contact information so you can receive important information about how to stay enrolled in Medi-Cal. Create an account at BenefitsCal. Learn more (English and Spanish).

  • Members: On March 31, 2023, the pilot program between Gold Coast Health Plan (GCHP) and AmericasHealth Plan (AHP) ended. All AHP Medi-Cal members are GCHP members as of April 1, 2023. Your benefits are not changing. You will continue to have Medi-Cal coverage. Click here for more information.

  • Providers: Please be aware of the Medi-Cal Rx Reinstatement of Prior Authorization Requirements and Retirement of the Transition Policy for Beneficiaries 22 Years of Age and Older. Click here for more information.

Please select your language.

Selecciona tu idioma.

English
Spanish

Fast Facts About Us

May 2023

Compassionate care, accessible to all, for a healthy community

Members: 255,315

Projected Income Statement FY2022–23

Projected Membership by June 2023 208,619
Projected Operating Revenue $903,907,939
Projected Medical Expenses $790,645,983
Projected Administrative Expenses $73,538,379
Projected Net Gains $39,723,577
Projected TNE $218,364,770
Projected Required TNE $33,386,024
Percent of Required 654%

Membership Growth

Fiscal Years 2013–2023

2022-23: 255,315; 2021-22: 238,477; 2020-21: 222,384; 2019-20: 199, 648; 2018-19: 193,646; 2017-18: 196,793; 2016-17: 201,454; 2015-16: 206,920; 2014-15: 187,800; 2013-14: 155,996

Membership by Supervisorial District

District 1: 39,134, Matt LaVere; District 2: 24,688, Jeff Gorell; District 3: 47,069, Kelly Long; District 4: 37,236, Janice Parvin; District 5: 101,962; Other: 5,226

Membership by
Age

Ages 0-5: 11%; Ages 6-17: 26%; Ages 18-64: 54%; Ages 65+: 9%

Membership by
Spoken Languages

English: 63%, Spanish: 35%, Other: 2%

Membership by
Aid Category

Families: 53%; Adult Expansion: 32%; Duals (dually Eligible for Medicare and Medi-Cal): 10%; SPD (Seniors and Persons with Disabilities): 5%

Who We Serve

1 in 2
Ventura County children (ages 0–5)

1 in 3
Ventura County residents

1 in 6
Ventura County seniors

Our Provider Network*

457 Primary Care Providers
4,740 Specialists**
24 Hospitals
19 Acute Care Hospitals
5 Tertiary Hospitals
395 Behavioral Health Providers
454 Other Service Providers

*Most recent data approved by the state Department of Health Care Services (DHCS).

**Specialists who work in multiple locations are counted once.

Download the Fast Facts pdf

Quality Services

2021 Measurement Year (MY) Gold Coast Health Plan (GCHP) Performance Highlights

  • GCHP reported 39 quality of care measures to the state Department of Health Care Services (DHCS) and the National Committee for Quality Assurance (NCQA).
  • GCHP reported improvement in 19 measures, most notably childhood immunizations, well-care visits and counseling for nutrition and physical activity in children and adolescents.
  • Of the 15 measures held to the minimum performance level (50th Medicaid HMO percentile ranking established by NCQA Quality Compass®), 10 measures met or exceeded the 50th NCQA percentile.
  • GCHP scored in the 90th NCQA percentile for the Timelines of Prenatal Care and Postpartum Care.
  • GCHP scored in the 75th NCQA percentile for the Weight Assessment and Counseling for Nutrition and Physical Activity in Children and Adolescents: Body Mass Index
  • GCHP successfully passed the NCQA Health Effectiveness Data and Information Set (HEDIS®) Compliance Audit™ for the tenth consecutive year.

Governance

Gold Coast Health Plan Leadership

Nick Liguori
Chief Executive Officer

Theodore Bagley
Chief Diversity Officer

Erik Cho
Chief Policy and Program Officer

Robert Franco
Chief Compliance Officer

Alan Torres
Chief Information Officer

Felix Nunez, MD
Chief Medical Officer

Nancy R. Wharfield, MD
Chief Medical Officer

Michael Murguia
Executive Director of Human Resources

Marlen Torres
Executive Director of Strategy and External Affairs

Ventura County Board of Supervisors

Matt LaVere
Chair of the Board, District 1

Jeff Gorell
Supervisor, District 2

Kelly Long
Vice Chair of the Board, District 3

Janice S. Parvin
Supervisor, District 4

Vianey Lopez
Supervisor, District 5

Ventura County Medi-Cal Managed Care Commission

Dee Pupa Chair
Ventura County Health Care Agency

Laura Espinosa Vice Chair
Consumer Representative

Anwar Abbas
Clinicas del Camino Real, Inc.

Shawn Atin
County of Ventura

Allison Blaze, MD
Ventura County Health Care Agency

James Corwin
Community Memorial Health System

Melissa Livingston
Ventura County Human Services Agency

Vianey Lopez
Ventura County Board of Supervisors

Anna Monroy
Clinicas del Camino Real, Inc.

Sara Sanchez
County of Ventura

Jennifer Swenson
Adventist Health Simi Valley

Scott Underwood, DO
Oceanview Medical Specialists

General Counsel

Scott H. Campbell
BB&K Law

Community Advisory Committee

Ruben Juarez Chairperson
Ventura County Health Care Agency, Whole Person Care

Pablo Velez Vice Chairperson
Amigo Baby, Inc.

Frisa Herrera
Casa Pacifica

Martha Johnson
Ventura County Health Care Agency

Paula Johnson
ARC of Ventura County

Laurie Hall Jordan
Rainbow Connection / Tri-Counties Regional Center

Victoria Jump
Ventura County Area Agency on Aging

Elaine Martinez
Ventura County Human Services Agency

Rafael Stoneman
Gold Coast Veterans Foundation

Provider Advisory Committee

Masood Babaeian
Ventura Transit System, Inc.

Linda Baker
Clinicas del Camino Real, Inc.

Joan Buck-Plassmeyer
Los Robles Homecare Services Inc.

Katy Krul
Oxnard Family Circle
Adult Day Health Care Center

Sim Mandelbaum
U.S. Skilled Serve Inc.

Richard Montmeny
Dignity Health

Pablo Velez
Amigo Baby, Inc.