4260 Department of Health Care Services
Program Descriptions

3960010 - MEDICAL CARE SERVICES (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 19 Divisions and 3 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; Substance Use Disorder Compliance; Substance Use Disorder Prevention, Treatment, and Recovery Services; 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; and the Office of Family Planning.