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 four elements: Medical Care Services (Medi-Cal), Children's Medical Services, Primary and Rural Health Care, and Other Care Services.

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 18 Divisions and 4 Program Offices. The Divisions include: Long Term Care; Medi-Cal Managed Care; Low-Income Health Program; Systems of Care; Medi-Cal Eligibility; Medi-Cal Dental Services; Pharmacy Benefits; Benefits; Safety Net Financing; Capitated Rates Development; Fee-For-Service Rates Development; Mental Health Services; Drug Medi-Cal; Audits and Investigations; California Medicaid Management Information Systems; Provider Enrollment; Third Party Liability and Recovery; and Utilization Management. The Program Offices include: the Office of Medi-Cal Procurement; the Office of Health Insurance Portability and Accountability Act (HIPAA) Compliance; the Office of Family Planning.

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 through the following programs: 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, State Office of Rural Health, Medicare Rural Hospital Flexibility Program, and Small Rural Hospital Improvement Grant Program. Primary and Rural Health Care also functions as the Tribal Liaison for Medi-Cal issues.

20.45 - OTHER CARE SERVICES

The Department of Health Care Services is responsible for coordinating and directing the delivery of non-Medi-Cal community mental health services; cancer screening services to low-income, under-insured, or uninsured women; and prostate cancer treatment services to low-income, under-insured, or uninsured men. These services are provided through the Mental Health Services Division, the Every Woman Counts Program, and the Prostate Cancer Treatment Program.