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The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
For a county CCS program the funding source is a combination of appropriations from the county, state general funds and the federal government. [1] California is required to spend 30% of funds from its Title V Maternal and Child Health Block Grant on children with special health care needs, thus a portion of these federal funds go to the CCS program.
California’s version of Medicaid is the only public program that covers many low-income adults and children. Other coverage programs have been included in the past: [7] 2002-2005 County Medical Services Program (CMSP) program (Solano and Napa counties).
The reasons for low use are many, but a lack of dental providers who participate in Medicaid is a key factor. [73] [74] Few dentists participate in Medicaid – less than half of all active private dentists in some areas. [75] Cited reasons for not participating are low reimbursement rates, complex forms and burdensome administrative requirements.
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Municipal governments, under Section 17000 of California's Welfare and Institutions Code, are responsible as safety net health care providers. [6] In the 1860s, Los Angeles County appointed a County Physician, and a small hospital for the poor in Los Angeles was established. [6]