ABOUT OUR SERVICES
The County Medical Services Program provides health coverage options to low-income adults that may not be eligible for other public programs. Our services are available to residents of 35 participating California counties.
COVERED COUNTIES*
| A | B | C |
|---|---|---|
| Alpine | Lake | Shasta |
| Amador | Lassen | Sierra |
| Butte | Madera | Siskiyou |
| Calaveras | Marin | Solano |
| Colusa | Mariposa | Sonoma |
| Del Norte | Mendocino | Sutter |
| El Dorado | Modoc | Tehama |
| Glenn | Mono | Trinity |
| Humboldt | Napa | Tuolumne |
| Imperial | Nevada | Yolo |
| Inyo | Plumas | Yuba |
| Kings | San Benito |
If you do not live in one of these counties, please contact your county social services department to learn about programs offered in your county.
TO QUALIFY
You must be age 21 or older to qualify. Coverage is available to California residents with limited income, regardless of immigration status, through one of our two programs: Connect to Care or CMSP. Learn which program might be right for you with the guidelines below.
† Learn more about the Federal Poverty Level guidelines here. FPL income requirements are lower for single-person households and higher for multi-person households.
CONNECT TO CARE
Connect to Care is a program designed to make it easier for Californians who need health care to get it. Connect to Care provides routine preventative care benefits to California residents that do not have other coverage options, regardless of immigration status.
To qualify, Connect to Care members must:
- Be age 21-64
- Live in one of the 35 CMSP counties
- Have income between 138–300% of the Federal Poverty Level (learn more about the Federal Poverty Level guidelines here)
Connect to Care members cannot be enrolled in Medi-Cal or Medicare and cannot be covered by private health insurance.
BENEFITS
Preventative health care benefits covered by Connect to Care include:
- Mental health services (mild to moderate)
- Primary care, specialist office visits and minor procedures
- Preventative health screenings
- Routine lab tests and adult immunizations
- Specified exams and physical therapy
- Tobacco-use counseling and intervention (performed by a physician)
- Prescription medications with a $5 copay per prescription ($1,500 maximum benefit limit)
Connect to Care makes accessing these health care benefits easier and more affordable. Most benefits are available at no or low cost to members.
ENROLLMENT & PROVIDERS
Learn more about enrollment in Connect to Care here.
Apply for Connect to Care at a participating community health center. Find a participating provider here.
CMSP Benefit
A wide array of inpatient and outpatient benefits are provided through the CMSP Benefit, including emergency services when necessary. The full scope of CMSP services is offered to California residents who meet certain eligibility criteria and are not otherwise eligible for Medi-Cal.
To qualify, CMSP Benefit members must:
- Be age 21-64
- Live in one of the 35 CMSP counties
- Have income up to 300% of the Federal Poverty Level (learn more about the Federal Poverty Level here)
BENEFITS
The CMSP Benefit includes coverage for emergency services and preventative care, including:
- Acute inpatient hospital care
- Adult day health care services
- Adult immunizations
- Audiology services
- Blood and blood derivatives
- Chiropractic services
- Chronic hemodialysis services
- Dental services
- Durable Medical Equipment (DME)
- Emergency air and ground ambulance services
- Hearing aids and cochlear implants
- Home health agency services
- Hospital and clinic outpatient services
- Infusion therapy
- Inpatient and outpatient heroin detoxification services
- Laboratory and radiology services
- Medical supplies
- Mental health services (mild to moderate)
- Non-emergency medical transportation when medically necessary
- Occupational therapy services
- Outpatient rehabilitation services in a rehabilitation facility
- Outpatient substance use disorder services
- Pharmaceutical services provided by network pharmacies
- Physical therapy services
- Physician services
- Podiatry services
- Preventative health screenings
- Prosthetic and orthotic appliances
- Psychiatric services (inpatient and outpatient) provided by a licensed, in-network Psychiatrist
- Speech therapy services
- Transplants
- Vision services including eye exams and prescription glasses
The CMSP benefit makes accessing these health care benefits easier and more affordable. Most benefits are available at no or low cost to members.
ENROLLMENT & PROVIDERS
Learn more about enrollment in the CMSP Benefit and find a participating provider here.
*If you do not live in one of these counties, please contact your county social services department to learn about programs offered in your county.