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  • 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.

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Managed Care Accountability Set (MCAS) Measures

Managed Care Accountability Set Quality Measures

Gold Coast Health Plan (GCHP) monitors and reports the Managed Care Accountability Set (MCAS) performance measures to assess and improve clinical quality of care. MCAS is based on the Centers for Medicare and Medicaid Services Child and Adult Core Set Measures, which includes NCQA HEDIS® measures. All state Medi-Cal Managed Care Plans are required to annually report these measures to the state Department of Health Care Services (DHCS).

MCAS Reference Materials

To help providers understand the MCAS performance measure requirements, GCHP’s Quality Improvement Department has developed a reference guide and tip sheets to share key information on individual MCAS measures. These tip sheets are not intended to direct clinical judgment, but to serve as resources in understanding measure specifications while providing guidance for measure compliance.

MCAS Tip Sheets

Download the complete 2023 MCAS Tip Sheet Reference Guide