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State work group details 2026 data submission guide updates for APMs and primary care
Summary
OKA presented proposed technical updates to the 2026 Data Submission Guide, clarifying alternative payment model (APM) file specifications, primary care code sets and Medi-Cal reporting (in collaboration with DHCS); Oka said the changes clarify instructions but do not change methodology and a draft will go out for public comment.
Margaretta Brandt, Assistant Deputy Director for Health System Performance at OKA, said the agency is preparing DSG 3.0 (the 2026 Data Submission Guide) to add behavioral health collection and refine APM and primary care file specifications for submitters. "It's the third version. It contains the formal written instructions for data submitters about definitions, what to include and how to configure the data that they submit to oka," Brandt said.
The most substantive clarifications described were technical and procedural. For APMs, staff proposed additional guidance for how to attribute member months, a reorganized instruction set for clarity and a new process map "to illustrate how member expenses are reported in the alternate payment model file," Brandt said. On primary care, OKA is…
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