In California, the federal Medicaid Program is administered by the state as the California Medical Assistance Program (Medi-Cal). This program provides health care services to welfare recipients and other qualified low-income persons (primarily families with children and the aged, blind, or disabled). The federal Centers for Medicare and Medicaid Services oversees the program to ensure compliance with federal law.
At the state level, the Department of Health Services (DHS) administers the Medi-Cal Program. Other state agencies, including the California Medical Assistance Commission, the Department of Social Services, the Department of Mental Health, the Department of Developmental Services, the California Department of Aging, and the Department of Alcohol and Drug Programs (ADP) receive Medi-Cal funding from DHS for eligible services that they provide to Medi-Cal beneficiaries through an Interagency Agreement. At the local level, county welfare departments determine the eligibility of applicants for Medi-Cal and are reimbursed by DHS for the cost of those activities.
The Department of Alcohol and Drug Programs (ADP) administers Drug Medi-Cal (DMC) funding through its Interagency Agreement with the Department of Health Services. ADP does the following:
- Licenses and certifies DMC treatment providers.
- Funds reimbursements for substance abuse treatment through county alcohol and drug programs and directly to some treatment providers.
- Monitors treatment providers in order to ensure that they are following the California Code of Regulations (CCR), Title 9 and Title 22, which govern DMC treatment.