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This guidance outlines requirements for Medi-Cal managed care plans to reinvest a portion of net income into community initiatives. It details funding formulas, eligible use categories, community engagement expectations, planning and reporting processes, and timelines for implementation and oversight.

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California’s Medi-Cal now requires plans to reinvest profits in community well-being. This 3-year project builds capacity and conditions for community-led reinvestment, emphasizing meaningful community decision-making and strong cross-sector partnerships.

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