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 three programs: Path to Health, 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.
PATH TO HEALTH
Path to Health makes it easier for county residents – regardless of immigration status – to receive regular preventative care.
To qualify, Path to Health members must:
- Be age 26-49
- Live in one of the 35 CMSP counties
- Either already enrolled in restricted-scope Medi-Cal or are not enrolled in Medi-Cal but can verify their income is at or below 138% of the Federal Poverty Level
BENEFITS
Primary health care benefits covered by Path to Health include:
- Non-emergency clinic visits and minor procedures
- Preventative health screenings
- Routine lab tests and adult immunizations
- Prescription medications with a $5 copay per prescription ($1,500 maximum benefit limit)
Path to Health 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 Path to Health here.
Apply for Path to Health at a participating community health center. Find a participating provider here.
CONNECT TO CARE
Connect to Care is a new 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 (between $27,214 – $59,160 per year for a two-person household – 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:
- 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 or Covered California.
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 ($59,160 or less per year for a two-person household – 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
- Ambulance services
- Primary care, specialist office visits and minor procedures
- Preventative health screenings
- Routine lab tests and adult immunizations
- Specified exams and physical therapy
- Psychiatry services (provided by a licensed, in-network psychiatrist)
- Limited dental services
- Durable medical equipment (DME), prosthetic and orthotic appliances, hearing aids
- Physical therapy and home health services
- Prescription medications with a $5 copay per prescription ($1,500 maximum benefit limit)
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.