County Indigent Care Profile - California Department of ... 85/County_Profiles_ADA.pdfPublic Health...
Transcript of County Indigent Care Profile - California Department of ... 85/County_Profiles_ADA.pdfPublic Health...
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 19 ‐ 64
Serve Undocumented Yes
Copay Varies by income
Historical Amounts & Percentage
Historical Realignment Percentage 81.68%
General Fund Contribution $ 25,729,715.00
Realignment Revenues $ 52,397,935.60
Realignment Expenses $ 42,786,708.96
Tobacco Revenues $ 14,686,547.25
Tobacco Expenses $ ‐
Indigent Program Costs $ 368,705,375.10
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes Yes Skilled Nursing Services Yes Yes
Outpatient Hospital and Clinic Services Yes Yes Home Health Agency Services No No
Emergency Room Care Yes Yes Dental Services Yes Yes
Laboratory and X‐ray services Yes Yes Vision No No
Physician services Yes Yes Chiropractic Services No No
Podiatry services Yes Yes Psychological Services Yes Yes
Drug and Alcohol Treatment Services Yes Yes Adult Day Health Services Yes Yes
Family Planning Services No No Medical Respite Care Yes Yes
X
X
X
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Alameda
Select Indigent Program Name Health Program of Alameda County (HealthPAC)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Alameda Health System (AHS) Eastmont Asian
Fairmont Clinic Newark Axis
Highland Clinic Winton Healthy Communities
La Clinica
LifeLong
Native American
Tiburcio
Tri‐City
West Oakland
County Indigent Program(s) Profile
Eligible Poverty Level <300%
Eligible Ages 19+
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 80.50%
General Fund Contribution $ 28,759,574.29
Realignment Revenues $ 26,688,406.00
Realignment Expenses $ 21,495,151.00
Tobacco Revenues $ 10,258,393.00
Tobacco Expenses $ 10,133,456.81
Indigent Program Costs $ 301,196,943.66
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision No
Physician services No Chiropractic Services No
Podiatry services No Psychological Services Yes
Drug and Alcohol Treatment Services Yes Adult Day Health Services No
Family Planning Services Yes Medical Respite Care Yes
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Contra_Costa
Select Indigent Program Name Basic Health Care
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Contra Costa Regional Medical Center (CCRMC) La Clinica de la Raza
Brookside Community Health Center
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 80.50%
General Fund Contribution $ 28,759,574.29
Realignment Revenues $ 26,688,406.00
Realignment Expenses $ 21,495,151.00
Tobacco Revenues $ 10,258,393.00
Tobacco Expenses $ 10,133,456.81
Indigent Program Costs $ 301,196,943.66
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision No
Physician services No Chiropractic Services No
Podiatry services No Psychological Services Yes
Drug and Alcohol Treatment Services Yes Adult Day Health Services No
Family Planning Services Yes Medical Respite Care Yes
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Contra_Costa
Select Indigent Program Name Contra Costa Low Income Health Program (LIHP)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Contra Costa Regional Medical Center (CCRMC) La Clinica de la Raza
Brookside Community Health Center
Historical Amounts & Percentage County Indigent Program(s) Profile
Historical Realignment Percentage 44.38% Eligible Poverty Level <114%
General Fund Contribution $ 4,617,389.00 Eligible Ages 21 ‐ 65
Realignment Revenues $ 32,879,423.00 Serve Undocumented Yes
Realignment Expenses $ 58,250,845.00 Copay No
Tobacco Revenues $ ‐
Tobacco Expenses $ 8,546,579.00
$ ‐
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes Yes Skilled Nursing Services Yes Yes
Outpatient Hospital and Clinic Services Yes Yes Home Health Agency Services Yes Yes
Emergency Room Care Yes Yes Dental Services No No
Laboratory and X‐ray services Yes Yes Vision No No
Physician services Yes Yes Chiropractic Services No No
Podiatry services No No Psychological Services No No
Drug and Alcohol Treatment Services Yes Yes Adult Day Health Services Yes Yes
Family Planning Services Yes Yes Medical Respite Care No No
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing EpidemiologyX
X
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Fresno
Select Indigent Program Name Fresno County Medically Indigent Services Program (MISP)
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Community Regional Medical Center (CMC)
University Medical Center
community Medical Providers Inc.
Central Valley Family Health
Community Health Center
University Medical Center Clinic
United Health Center
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 19 ‐ 64
Serve Undocumented Yes
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 66.26%
General Fund Contribution $ 3,422,531.00
Realignment Revenues $ 22,355,807.90
Realignment Expenses $ 14,792,882.00
Tobacco Revenues $ 7,379,701.28
Tobacco Expenses $ ‐
Indigent Program Costs $ 182,444,700.89
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes Yes Skilled Nursing Services No No
Outpatient Hospital and Clinic Services Yes Yes Home Health Agency Services Yes Yes
Emergency Room Care Yes Yes Dental Services Yes Yes
Laboratory and X‐ray services Yes Yes Vision No No
Physician services Yes Yes Chiropractic Services Yes Yes
Podiatry services No No Psychological Services No No
Drug and Alcohol Treatment Services No No Adult Day Health Services No No
Family Planning Services Yes Yes Medical Respite Care No No
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology X
California Children Services (CCS) X Family Health
Child Health & Disability Prevention Program (CHDP) X Health Education X
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services X
Clinics and Lab Services (TB, immunizations, vaccinations) X MCHIP
Communicable Disease X Medical Marijuana ID Card Program
Community Health Services Public Health Nursing X
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records X
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness X
County Indigent Care ProfileSelect County Name Kern
Select Indigent Program Name Kern County Medically Indigent Program
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Kern Medical Center N/A N/A
County Indigent Program(s) Profile
Eligible Poverty Level <133%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay No
Historical Amounts & Percentage
Historical Realignment Percentage 66.26%
General Fund Contribution $ 3,422,531.00
Realignment Revenues $ 22,355,807.90
Realignment Expenses $ 14,792,882.00
Tobacco Revenues $ 7,379,701.28
Tobacco Expenses $ ‐
Indigent Program Costs $ 182,444,700.89
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services Yes
Podiatry services No Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services Yes Medical Respite Care No
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology X
California Children Services (CCS) X Family Health
Child Health & Disability Prevention Program (CHDP) X Health Education X
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services X
Clinics and Lab Services (TB, immunizations, vaccinations) X MCHIP
Communicable Disease X Medical Marijuana ID Card Program
Community Health Services Public Health Nursing X
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records X
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness X
County Indigent Care ProfileSelect County Name Kern
Select Indigent Program Name Kern Medical Center Health Plan (LIHP/CI)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Kern Medical Center N/A N/A
County Indigent Program(s) Profile
Eligible Poverty Level
Eligible Ages
Serve Undocumented
Copay
Historical Amounts & Percentage
Historical Realignment Percentage 83.00%
General Fund Contribution $ 323,000,000.00
Realignment Revenues $ ‐
Realignment Expenses $ ‐
Tobacco Revenues $ ‐
Tobacco Expenses $ ‐
$ ‐
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services 0 N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services 0 N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services 0 Home Health Agency Services 0
Emergency Room Care 0 Dental Services 0
Laboratory and X‐ray services 0 Vision 0
Physician services 0 Chiropractic Services 0
Podiatry services 0 Psychological Services 0
Drug and Alcohol Treatment Services 0 Adult Day Health Services 0
Family Planning Services 0 Medical Respite Care 0
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Los_Angeles
Select Indigent Program Name (blank)
County Type LA
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
County Indigent Program(s) Profile
Eligible Poverty Level <100%
Eligible Ages 21 ‐ 64
Serve Undocumented No
Copay Dependent on Income
Historical Amounts & Percentage
Historical Realignment Percentage 43.41%
General Fund Contribution $ ‐
Realignment Revenues $ 7,740,382.00
Realignment Expenses $ 3,362,948.00
Tobacco Revenues $ ‐
Tobacco Expenses $ ‐
$ ‐
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision Yes
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Merced
Select Indigent Program Name Merced County Medical Assistance Program (MAP)
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Mercy Medical Center Merced (MMCM)
Mercy Medical Center Merced Family Care
Clinic
Mercy Medical Center Merced General
Medicine Clinic
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 18 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 51.19%
General Fund Contribution $ ‐
Realignment Revenues $ 10,805,656.67
Realignment Expenses $ 5,548,781.06
Tobacco Revenues $ 4,063,983.50
Tobacco Expenses $ 753,938.47
Indigent Program Costs $ 117,276,244.50
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services No
Laboratory and X‐ray services No Vision No
Physician services No Chiropractic Services No
Podiatry services No Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health X
Animal Control and Licensing X Epidemiology
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) X MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records X
Emergency Medical Services X Women, Infants, and Children Program (WIC) X
Emergency Preparedness
County Indigent Care ProfileSelect County Name Monterey
Select Indigent Program Name Monterey County Medical Assistance Program (MAP)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Natividad Medical Center N/A
7 FQHC Clinics
Mental Health Clinic
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 52.02%
General Fund Contribution $ 25,401,089.00
Realignment Revenues $ 74,808,611.00
Realignment Expenses $ 38,784,786.00
Tobacco Revenues $ 29,098,314.00
Tobacco Expenses $ 350,626.00
$ ‐
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services No
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services No
Podiatry services No Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Orange
Select Indigent Program Name Orange County Medical Safety Net Program (MSN)
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
19 Private Clinics
22 Private Hospitals
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 52.02%
General Fund Contribution $ 25,401,089.00
Realignment Revenues $ 74,808,611.00
Realignment Expenses $ 38,784,786.00
Tobacco Revenues $ 29,098,314.00
Tobacco Expenses $ 350,626.00
$ ‐
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services No
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services No
Podiatry services No Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Orange
Select Indigent Program Name Orange County Medical Services Initiative Program (MSI) / LIHP
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
19 Private Clinics
22 Private Hospitals
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 21 ‐ 65
Serve Undocumented Yes
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 84.44%
General Fund Contribution $ 9,600,946.00
Realignment Revenues $ 41,995,557.00
Realignment Expenses $ 35,425,021.25
Tobacco Revenues $ ‐
Tobacco Expenses $ 6,824,917.07
Indigent Program Costs $ 296,452,597.67
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes Yes Skilled Nursing Services Yes Yes
Outpatient Hospital and Clinic Services Yes Yes Home Health Agency Services Yes Yes
Emergency Room Care Yes Yes Dental Services Yes Yes
Laboratory and X‐ray services Yes Yes Vision No No
Physician services Yes Yes Chiropractic Services No No
Podiatry services No No Psychological Services No No
Drug and Alcohol Treatment Services No No Adult Day Health Services No No
Family Planning Services Yes Yes Medical Respite Care Yes Yes
X
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Riverside
Select Indigent Program Name Riverside County Medically Indigent Services Program (MISP)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Riverside County Regional Medical Center Rubidoux Borrego Community Health Foundation
Riverside Clinicas De Salud Del Pueblo, Inc.
Jurupa Desert AIDS Project
Corona Mecca Family Health Center
Lake Elsinore County Indian Health Inc.
Perris
Hemet
Banning
Indio
Palm Springs
County Indigent Program(s) Profile
Eligible Poverty Level <133%
Eligible Ages 21 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 58.54%
General Fund Contribution $ 2,716,231.00
Realignment Revenues $ 47,761,954.75
Realignment Expenses $ 28,025,902.75
Tobacco Revenues $ 18,646,548.50
Tobacco Expenses $ 12,251,679.27
Indigent Program Costs $ 317,193,949.25
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision Yes
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services Yes
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services Yes Medical Respite Care No
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name San_Bernardino
Select Indigent Program Name San Bernardino County Medical Services Plan (CMSP)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Arrowhead Regional Medical Center 20 Contracted clinics
Fontana
McKee
Westside
County Indigent Program(s) Profile
Eligible Poverty Level <133%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay No
Historical Amounts & Percentage
Historical Realignment Percentage 58.54%
General Fund Contribution $ 2,716,231.00
Realignment Revenues $ 47,761,954.75
Realignment Expenses $ 28,025,902.75
Tobacco Revenues $ 18,646,548.50
Tobacco Expenses $ 12,251,679.27
Indigent Program Costs $ 317,193,949.25
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision Yes
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services Yes
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services Yes Medical Respite Care No
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name San_Bernardino
Select Indigent Program Name ArrowCare
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Arrowhead Regional Medical Center 20 Contracted clinics
Fontana
McKee
Westside
County Indigent Program(s) Profile
Eligible Poverty Level <350%
Eligible Ages 21 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 49.33%
General Fund Contribution $ 17,861,812.00
Realignment Revenues $ 84,756,112.00
Realignment Expenses $ 41,737,917.00
Tobacco Revenues $ 24,200,000.00
Tobacco Expenses $ 17,600,000.00
$ ‐
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision Yes
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name San_Diego
Select Indigent Program Name San Diego County Medical Services (CMS)
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
9 Private Hospitals
17 Private Clinics, some with multiple sites
191 Specialty/Emergency/Ancillary
Contract Providers
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 21 ‐ 64
Serve Undocumented No
Copay No
Historical Amounts & Percentage
Historical Realignment Percentage 49.33%
General Fund Contribution $ 17,861,812.00
Realignment Revenues $ 84,756,112.00
Realignment Expenses $ 41,737,917.00
Tobacco Revenues $ 24,200,000.00
Tobacco Expenses $ 17,600,000.00
$ ‐
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision Yes
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name San_Diego
Select Indigent Program Name San Diego Coverage Initiative (CI)
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
9 Private Hospitals
17 Private Clinics, some with multiple sites
191 Specialty/Emergency/Ancillary
Contract Providers
County Indigent Program(s) Profile
Eligible Poverty Level <133%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay No
Historical Amounts & Percentage
Historical Realignment Percentage 49.33%
General Fund Contribution $ 17,861,812.00
Realignment Revenues $ 84,756,112.00
Realignment Expenses $ 41,737,917.00
Tobacco Revenues $ 24,200,000.00
Tobacco Expenses $ 17,600,000.00
$ ‐
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision Yes
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name San_Diego
Select Indigent Program Name San Diego Low Income Health Program (LIHP)
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
9 Private Hospitals
17 Private Clinics, some with multiple sites
191 Specialty/Emergency/Ancillary
Contract Providers
County Indigent Program(s) Profile
Eligible Poverty Level <=500%
Eligible Ages 18 ‐ 64
Serve Undocumented Yes
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 57.36%
General Fund Contribution $ 54,813,075.00
Realignment Revenues $ 80,311,280.25
Realignment Expenses $ 46,061,585.00
Tobacco Revenues $ 17,663,087.00
Tobacco Expenses $ ‐
Indigent Program Costs $ 384,875,106.75
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes Yes Skilled Nursing Services No No
Outpatient Hospital and Clinic Services Yes Yes Home Health Agency Services Yes Yes
Emergency Room Care Yes Yes Dental Services No No
Laboratory and X‐ray services Yes Yes Vision No No
Physician services Yes Yes Chiropractic Services No No
Podiatry services Yes Yes Psychological Services Yes Yes
Drug and Alcohol Treatment Services Yes Yes Adult Day Health Services No No
Family Planning Services Yes Yes Medical Respite Care No No
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health X
Animal Control and Licensing Epidemiology
California Children Services (CCS) Family Health X
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease X Medical Marijuana ID Card Program
Community Health Services X Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records X
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness X
County Indigent Care ProfileSelect County Name San_Francisco
Select Indigent Program Name Healthy San Francisco
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
San Francisco General Hospital
Laguna Honda Hospital
17 county owned health clinics
County Indigent Program(s) Profile
Eligible Poverty Level <=200%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 57.36%
General Fund Contribution $ 54,813,075.00
Realignment Revenues $ 80,311,280.25
Realignment Expenses $ 46,061,585.00
Tobacco Revenues $ 17,663,087.00
Tobacco Expenses $ ‐
Indigent Program Costs $ 384,875,106.75
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services No
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services Yes
Drug and Alcohol Treatment Services Yes Adult Day Health Services No
Family Planning Services Yes Medical Respite Care No
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health X
Animal Control and Licensing Epidemiology
California Children Services (CCS) Family Health X
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease X Medical Marijuana ID Card Program
Community Health Services X Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records X
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness X
County Indigent Care ProfileSelect County Name San_Francisco
Select Indigent Program Name San Francisco Provides Access to Health Care (SF PATH / LIHP)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
San Francisco General Hospital
Laguna Honda Hospital
17 county owned health clinics
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 18 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 96.74%
General Fund Contribution $ 5,869,653.00
Realignment Revenues $ 18,657,700.00
Realignment Expenses $ 18,049,458.75
Tobacco Revenues $ 6,154,536.50
Tobacco Expenses $ ‐
Indigent Program Costs $ 148,628,961.66
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services No
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services No
Podiatry services No Psychological Services Yes
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care Yes
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health X
Animal Control and Licensing Epidemiology X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education X
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease X Medical Marijuana ID Card Program
Community Health Services X Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records X
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name San_Joaquin
Select Indigent Program Name San Joaquin Medical Assistance Program (MAP)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
San Joaquin General Hospital N/A
County Indigent Program(s) Profile
Eligible Poverty Level <133%
Eligible Ages 18 ‐ 64
Serve Undocumented No
Copay No
Historical Amounts & Percentage
Historical Realignment Percentage 96.74%
General Fund Contribution $ 5,869,653.00
Realignment Revenues $ 18,657,700.00
Realignment Expenses $ 18,049,458.75
Tobacco Revenues $ 6,154,536.50
Tobacco Expenses $ ‐
Indigent Program Costs $ 148,628,961.66
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services No
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services No
Podiatry services No Psychological Services Yes
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care Yes
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health X
Animal Control and Licensing Epidemiology X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education X
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease X Medical Marijuana ID Card Program
Community Health Services X Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records X
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name San_Joaquin
Select Indigent Program Name San Joaquin Low Income Health Program (LIHP)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
San Joaquin General Hospital N/A
County Indigent Program(s) Profile
Eligible Poverty Level <250%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 44.45%
General Fund Contribution $ 4,170,375.00
Realignment Revenues $ 6,112,261.00
Realignment Expenses $ 2,719,439.00
Tobacco Revenues $ 2,560,375.00
Tobacco Expenses $ ‐
$ ‐
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services No
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services No
Podiatry services No Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name San_Luis_Obispo
Select Indigent Program Name San Luis Obispo County Medical Services Program (CMSP)
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Community Health Centers (CHC)
Private Hospitals:
Arroyo Grande
French Hospital
Sierra Vista Regional
Twin Cities
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 19 and over
Serve Undocumented Yes
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 80.82%
General Fund Contribution $ 7,110,214.00
Realignment Revenues $ 18,606,215.29
Realignment Expenses $ 15,045,700.25
Tobacco Revenues $ 7,099,919.65
Tobacco Expenses $ 859,987.58
Indigent Program Costs $ 123,813,413.90
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes Yes Skilled Nursing Services Yes Yes
Outpatient Hospital and Clinic Services Yes Yes Home Health Agency Services Yes Yes
Emergency Room Care Yes Yes Dental Services Yes Yes
Laboratory and X‐ray services Yes Yes Vision Yes Yes
Physician services Yes Yes Chiropractic Services Yes Yes
Podiatry services Yes Yes Psychological Services Yes Yes
Drug and Alcohol Treatment Services No No Adult Day Health Services No No
Family Planning Services No No Medical Respite Care No No
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing X Epidemiology X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program X
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) X MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services X Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC) X
Emergency Preparedness X
County Indigent Care ProfileSelect County Name San_Mateo
Select Indigent Program Name San Mateo Access and Care for Everyone (ACE)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
San Mateo Medical Center (SMMC)
County Indigent Program(s) Profile
Eligible Poverty Level <350%
Eligible Ages 0
Serve Undocumented Yes
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 95.02%
General Fund Contribution $ 29,789,367.00
Realignment Revenues $ 44,841,420.46
Realignment Expenses $ 42,609,218.25
Tobacco Revenues $ 17,210,907.54
Tobacco Expenses $ 5,533,117.62
Indigent Program Costs $ 625,604,796.86
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes Yes Skilled Nursing Services No No
Outpatient Hospital and Clinic Services Yes Yes Home Health Agency Services No No
Emergency Room Care Yes Yes Dental Services No No
Laboratory and X‐ray services Yes Yes Vision No No
Physician services No No Chiropractic Services No No
Podiatry services No No Psychological Services Yes Yes
Drug and Alcohol Treatment Services No No Adult Day Health Services No No
Family Planning Services No No Medical Respite Care Yes Yes
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Santa_Clara
Select Indigent Program Name Ability to Pay Determination Program
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Santa Clara Valley Medical Center Sunnyvale
Bascom Lenzen
Tully Emergency Housing Consortium
Gilroy Alexian
East Valley
Milpitas/Silver Creek
Moorpark/Puentes
County Indigent Program(s) Profile
Eligible Poverty Level <133%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 95.02%
General Fund Contribution $ 29,789,367.00
Realignment Revenues $ 44,841,420.46
Realignment Expenses $ 42,609,218.25
Tobacco Revenues $ 17,210,907.54
Tobacco Expenses $ 5,533,117.62
Indigent Program Costs $ 625,604,796.86
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services No
Laboratory and X‐ray services Yes Vision No
Physician services No Chiropractic Services No
Podiatry services No Psychological Services Yes
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care Yes
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Santa_Clara
Select Indigent Program Name Valley Care (LIHP/CI)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Santa Clara Valley Medical Center Sunnyvale
Bascom Lenzen
Tully Emergency Housing Consortium
Gilroy Alexian
East Valley
Milpitas/Silver Creek
Moorpark/Puentes
County Indigent Program(s) Profile
Eligible Poverty Level < 100%
Eligible Ages 19‐64
Serve Undocumented Yes
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 46.61%
General Fund Contribution $ 1,665,198.00
Realignment Revenues $ 7,507,979.00
Realignment Expenses $ 3,473,950.00
Tobacco Revenues $ 2,578,131.00
Tobacco Expenses $ 494,517.00
$ ‐
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes Yes Skilled Nursing Services No No
Outpatient Hospital and Clinic Services Yes Yes Home Health Agency Services Yes Yes
Emergency Room Care Yes Yes Dental Services No No
Laboratory and X‐ray services Yes Yes Vision No No
Physician services Yes Yes Chiropractic Services No No
Podiatry services Yes Yes Psychological Services No No
Drug and Alcohol Treatment Services No No Adult Day Health Services No No
Family Planning Services No No Medical Respite Care No No
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Santa_Cruz
Select Indigent Program Name MediCruz Program
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Emeline Coastal Healthcare administrator (Coastal)
Crestview Central California Alliance for Health
Coral Street (Alliance)
Private Hospitals: Dominican and
Watsonville only
County Indigent Program(s) Profile
Eligible Poverty Level < 100%
Eligible Ages 19‐64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 46.61%
General Fund Contribution $ 1,665,198.00
Realignment Revenues $ 7,507,979.00
Realignment Expenses $ 3,473,950.00
Tobacco Revenues $ 2,578,131.00
Tobacco Expenses $ 494,517.00
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services Yes
Emergency Room Care Yes Dental Services No
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
‐$
County Indigent Care ProfileSelect County Name Santa_Cruz
Select Indigent Program Name MediCruz Advantage
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Emeline Coastal Healthcare administrator (Coastal)
Crestview Central California Alliance for Health
Coral Street (Alliance)
Private Hospitals: Dominican and
Watsonville only
County Indigent Program(s) Profile
Eligible Poverty Level < 275%
Eligible Ages 21‐65
Serve Undocumented Yes
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 47.88%
General Fund Contribution $ 1,189,810.00
Realignment Revenues $ 13,697,261.00
Realignment Expenses $ 6,542,894.00
Tobacco Revenues $ 3,995,428.00
Tobacco Expenses $ ‐
$ ‐
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes No Skilled Nursing Services Yes No
Outpatient Hospital and Clinic Services Yes No Home Health Agency Services Yes No
Emergency Room Care Yes Yes Dental Services Yes No
Laboratory and X‐ray services Yes No Vision Yes No
Physician services Yes No Chiropractic Services No No
Podiatry services Yes No Psychological Services No No
Drug and Alcohol Treatment Services No No Adult Day Health Services No No
Family Planning Services No No Medical Respite Care No No
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing Epidemiology
X
X
X
X
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Tulare
Select Indigent Program Name Tulare County Medical Services (TCMS)
County Type Article 13
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
3 County Clinics 3 Clinics – Private
9 Hospitals – Private
70 Specialty and Ancillary Providers –
Private
County Indigent Program(s) Profile
Eligible Poverty Level <200%
Eligible Ages 19 ‐ 64
Serve Undocumented No
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 80.62%
General Fund Contribution $ 5,839,238.00
Realignment Revenues $ 17,471,065.26
Realignment Expenses $ 14,071,377.75
Tobacco Revenues $ 7,817,781.00
Tobacco Expenses $ 1,544,038.82
Indigent Program Costs $ 176,243,054.02
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing EpidemiologyX
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Ventura
Select Indigent Program Name Ventura Access and Care for Everyone (LIHP)
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Ventura County Medical Center (VCMC) Clinicas Del Camino Real
Santa Paula Hospital
County Indigent Program(s) Profile
Eligible Poverty Level <700%
Eligible Ages 19+
Serve Undocumented Yes
Copay Yes
Historical Amounts & Percentage
Historical Realignment Percentage 80.62%
General Fund Contribution $ 5,839,238.00
Realignment Revenues $ 17,471,065.26
Realignment Expenses $ 14,071,377.75
Tobacco Revenues $ 7,817,781.00
Tobacco Expenses $ 1,544,038.82
Indigent Program Costs $ 176,243,054.02
Service
Indigent Medical
Provided Undocs
Services
Service
Provided Undocs
Inpatient Hospital Services Yes Yes Skilled Nursing Services No No
Outpatient Hospital and Clinic Services Yes Yes Home Health Agency Services No No
Emergency Room Care Yes Yes Dental Services Yes No
Laboratory and X‐ray services Yes Yes Vision No No
Physician services Yes Yes Chiropractic Services No No
Podiatry services Yes Yes Psychological Services No Yes
Drug and Alcohol Treatment Services No No Adult Day Health Services No No
Family Planning Services No Yes Medical Respite Care No No
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing EpidemiologyX
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Ventura
Select Indigent Program Name Self Pay Discount Program
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Ventura County Medical Center (VCMC) Clinicas Del Camino Real
Santa Paula Hospital
County Indigent Program(s) Profile
Eligible Poverty Level
Eligible Ages
0
0
0
0
Serve Undocumented
Copay
Historical Amounts & Percentage
Historical Realignment Percentage 80.62%
General Fund Contribution $ 5,839,238.00
Realignment Revenues $ 17,471,065.26
Realignment Expenses $ 14,071,377.75
Tobacco Revenues $ 7,817,781.00
Tobacco Expenses $ 1,544,038.82
Indigent Program Costs $ 176,243,054.02
Indigent Medical Services
Service
Service Provided Provided
Inpatient Hospital Services Yes N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Skilled Nursing Services No N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Outpatient Hospital and Clinic Services Yes Home Health Agency Services No
Emergency Room Care Yes Dental Services Yes
Laboratory and X‐ray services Yes Vision No
Physician services Yes Chiropractic Services No
Podiatry services Yes Psychological Services No
Drug and Alcohol Treatment Services No Adult Day Health Services No
Family Planning Services No Medical Respite Care No
X
X
X
X
X
X
X
X
X
Public Health programs
Alcohol and Drug Education and Prevention Team Environmental Health
Animal Control and Licensing EpidemiologyX
X
X
California Children Services (CCS) Family Health
Child Health & Disability Prevention Program (CHDP) Health Education
Children’s Medical Services HIV/AIDS program
Chronic Disease Prevention Maternal Child and Family Health Services
Clinics and Lab Services (TB, immunizations, vaccinations) MCHIP
Communicable Disease Medical Marijuana ID Card Program
Community Health Services Public Health Nursing
Coordinated Asthma Referral and Education Ryan White
Correctional Health Tobacco Prevention
Dental Education Vital Records
Emergency Medical Services Women, Infants, and Children Program (WIC)
Emergency Preparedness
County Indigent Care ProfileSelect County Name Ventura
Select Indigent Program Name Health Care for the Homeless
County Type DPH
Health Facility Non‐Hospital Clinic Contracted Clinics/CBOs
Ventura County Medical Center (VCMC) Clinicas Del Camino Real
Santa Paula Hospital