4260 Department of Health Care Services
Program Descriptions

20 - HEALTH CARE SERVICES

The Health Care Services program ensures that low-income Californians have access to health care services and that those services are delivered in a cost-effective manner. The Health Care Services program is comprised of three elements: Medical Care Services (Medi-Cal), Children's Medical Services, and Primary and Rural Health Care.

20.10 - Medi-Cal:
Medi-Cal is responsible for coordinating and directing the delivery of health care services to low-income Californians. Medi-Cal provides access to quality medical care in a fiscally prudent manner through both fee-for-service and managed care delivery systems. Medi-Cal activities are carried out through 12 Divisions and 2 Program Offices. The Divisions include: Medi-Cal Benefits, Waivers Analysis, and Rates; Medi-Cal Managed Care; Medi-Cal Eligibility; Long Term Care; Pharmacy Benefits; Provider Enrollment; Utilization Management; Third Party Liability and Recovery; Safety Net Financing; Fiscal Intermediary and Contracts Oversight; Systems of Care; and Audits and Investigations. The Program Offices include: Office of Medi-Cal Procurement and the Office of Health Insurance Portability and Accountability Act (HIPAA) Compliance.

20.25 - Children's Medical Services:
Children's Medical Services is responsible for coordinating and directing the delivery of health care services to low-income and seriously ill children, including the Child Health and Disability Prevention Program, the Genetically Handicapped Persons Program, and the California Children's Services Program.

20.35 - Primary and Rural Health Care:
Primary and Rural Health Care is responsible for coordinating and directing the delivery of health care to Californians in rural areas and to underserved populations, including the Expanded Access to Primary Care Program, the Indian Health Program, American Indian Infant Health Initiative, Rural Health Services Development Program, Seasonal Agricultural and Migratory Workers Program, Grant-in-Aids, State Office of Rural Health, and Small Rural Hospital Improvement Grant Program.

30 - DEPARTMENTAL ADMINISTRATION

This program provides overall management, planning, policy development, legal and administrative support services for all CDHCS programs. This program is carried out by the Executive Division, Office of Legal Services, Office of Civil Rights, Office of Multicultural Health, Office of Women's Health, Office of Clinical Preventive Medicine, Legislative and Governmental Affairs, Office of Public Affairs, Information Technology Division; Administration Division, and program division offices.