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.

ABC
AlpineLakeShasta
AmadorLassenSierra
ButteMaderaSiskiyou
CalaverasMarinSolano
ColusaMariposaSonoma
Del NorteMendocinoSutter
El DoradoModocTehama
GlennMonoTrinity
HumboldtNapaTuolumne
ImperialNevadaYolo
InyoPlumasYuba
KingsSan 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.

Program/Eligibility Criteria Connect to Care CMSP
 Age  21-64  21-64
2023 Income for Household of 2 per Federal Poverty Level (FPL) guidelines† Annual income $27,214 – $59,160
(138-300% FPL)
Annual income $59,160 or less
(300% FPL or less)
Medi-Cal Cannot be enrolled in Medi-Cal or private insurance Can enroll in other insurance options
 Immigration Status Available regardless of immigration status Available regardless of immigration status
 How to Enroll Participating Community Health Centers County Social Services Department

† Learn more about the Federal Poverty Level guidelines here. FPL income requirements are lower for single-person households and higher for multi-person households.

Healthcare Within Reach

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.

Man in hat

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.

CMSP Counties