Care is critical to connecting children and their families to comprehensive services and the necessary support to navigate multiple systems and providers. Medi-Cal managed care plans (MCPs) have an overarching obligation to provide care coordination for child and youth beneficiaries. While contracts between MCPs and the California Department of Health Care Services require plans to provide children’s care coordination, the extent to which this is actually happening is not tracked or enforced. And yet it is clear that children’s needs are not being met: California currently ranks 44th in the nation in access to care for children.