Title
Health and Human Services Agency recommending the Board receive a presentation from the Executive Director from the Governing Board of the State’s County Medical Services Program, a program that provides healthcare, healthcare grants, and healthcare workforce development for 35 of California’s small to medium-sized counties, including El Dorado County.
FUNDING: N/A
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DISCUSSION / BACKGROUND:
The County Medical Services Program (CMSP) was established in 1983 as a state-county partnership, when California law eliminated low-income adults from Medi-Cal and transferred responsibility for their health care to California counties. As a result, California counties became responsible for provision of basic health care to medically indigent residents. This law also recognized that many smaller, rural counties were not in the position to assume this new responsibility and provided counties with a population of 300,000 or fewer with the option of contracting back with the State to provide these health care services through CMSP. CMSP offers healthcare grants and healthcare workforce development to the 35 CMSP counties and provides essential health care services for uninsured, low-income, indigent adults who are not otherwise eligible for other publicly funded health care programs (such as Medi-Cal).
CMSP has made many changes since it was established in 1983, including the creation of the CMSP Governing Board in 1995; movement of most indigent adults from CMSP to Medi-Cal under the Affordable Care Act; changes to Realignment funding affecting CMSP program funding; and most recently, the addition of a new CMSP primary care benefit program for low-income adults in CMSP counties that are not enrolled in other health coverage called Connect to Care. The CMSP Governing Board provides policy direction for the CMSP benefit and grant programs. As a part of this responsibility, the Governing Board sets program eligibility requirements, determines the scope of cover...
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