The Department of Health Care Services (DHCS) is the agency responsible for administering, overseeing, and enforcing the contracts and policies that dictate the expectations and responsibilities of Medi-Cal managed care plans (MCPs) for the roughly 10.5 million Californians, including nearly 5 million children, enrolled in a Medi-Cal managed care plan. This resource is a guide for Medi-Cal advocates and stakeholders that describes DHCS’ Medi-Cal managed care compliance monitoring components, categorized in four monitoring areas: provider networks; potential access to care; realized access to care; and administrative & financial accountability.