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-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 11 Divisions and 2 offices: Medi-Cal Benefits, Waivers Analysis, and Rates; Medi-Cal Managed Care; Medi-Cal Eligibility; Office of HIPAA Compliance; Long Term Care; Pharmacy Benefits; Provider Enrollment; Office of Medi-Cal Procurement; Utilization Management; Third Party Liability and Recovery; Safety Net Financing; Fiscal Intermediary and Contracts Oversight; and Audits and Investigations.

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, the Rural Health Services Development Program, and the Seasonal Agricultural and Migratory Workers 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.