California Department of Health Care Services: Your Guide to Accessing Vital Health Services

The California Department of Health Care Services (DHCS) plays a pivotal role in the health and well-being of millions of Californians. As the backbone of the state’s healthcare safety net, DHCS is responsible for providing access to essential health services for nearly 15 million residents – a significant one-third of California’s population. Working in close collaboration with federal, state, county, and community partners, DHCS is committed to ensuring equitable access to high-quality healthcare, striving towards a healthier California for everyone.

At the heart of DHCS is its oversight of Medi-Cal, California’s Medicaid program. This program is designed to offer vital healthcare coverage to low-income individuals, families, children, seniors, and people with disabilities. Medi-Cal’s comprehensive benefits encompass a wide spectrum of healthcare needs, including physical and mental health services, treatment for substance use disorders, dental care, pharmacy services, and long-term support and services.

Key Services Offered by the California Department of Health Care Services

DHCS offers a range of critical services designed to meet the diverse healthcare needs of Californians. Here’s an overview of some key services:

Accessing Care Through Medi-Cal

Medi-Cal ensures that enrollees have access to necessary medical services through a vast network of providers. Hundreds of hospitals and thousands of doctors, pharmacists, dentists, and other healthcare professionals participate in the Medi-Cal program, all dedicated to delivering medically necessary care to its members.

Launch service: Access Care Last updated 11/21/2024

Applying for Medi-Cal: Health Coverage for Californians

Medi-Cal provides free or low-cost health coverage to eligible California residents, regardless of immigration status. The program’s inclusive approach ensures that healthcare is accessible to those who qualify based on income and other requirements. The majority of individuals who successfully apply for and enroll in Medi-Cal will receive their care through Medi-Cal health plans, which manage and coordinate their healthcare services.

Launch service: Apply for Medi-Cal Last updated 11/21/2024

Behavioral Health Services: Mental Health and Substance Use Support

Behavioral health is a broad term encompassing mental health, substance use disorders, and the impact of life’s stresses and crises on overall well-being. The California Department of Health Care Services recognizes the importance of behavioral health and offers comprehensive services for the prevention, diagnosis, and treatment of these conditions. These services aim to support individuals facing mental health challenges and substance use disorders, promoting recovery and improved quality of life.

Launch service: Behavioral Health Last updated 11/21/2024

Finding a Dentist Through Medi-Cal Dental

Medi-Cal Dental provides free or low-cost dental benefits to Medi-Cal members, recognizing that oral health is an integral part of overall health. For those whose income slightly exceeds Medi-Cal limits, a low-cost monthly premium might be necessary to access these dental benefits. Ensuring access to dental care is a key component of DHCS’s commitment to comprehensive healthcare.

Launch service: Find a Dentist Last updated 11/22/2024

Locating Substance Use Disorder Services

For individuals and families seeking help with substance use disorders, the California Department of Health Care Services provides resources to find appropriate services. Accessing timely and effective treatment for substance use disorders is crucial for recovery and overall well-being. DHCS supports various programs and resources to connect individuals with the help they need.

Launch service: Find Substance Use Disorder Services Last updated 11/21/2024

Understanding Your Medi-Cal Benefits

Medi-Cal membership extends beyond basic doctor visits and hospital care, offering a wide array of benefits and services designed to support overall health and well-being. These benefits are comprehensive and aim to address various aspects of healthcare needs, ensuring members receive the support they require to live healthy and fulfilling lives.

Launch service: Medi-Cal Benefits Last updated 11/21/2024

Resources for Youth Behavioral Health

Recognizing the unique behavioral health needs of young people, DHCS highlights several options for youth mental health and substance use treatment and prevention. These resources include BrightLife Kids for children aged 0-12 and Soluna for teens and young adults aged 13-25, both offering coaching, educational content, online tools, and care navigation. Additionally, Dyadic Services are available for children up to age 5 and their caregivers. These targeted programs ensure that young Californians have access to age-appropriate and effective behavioral health support.

Launch service: Youth Behavioral Health Last updated 11/27/2024

Frequently Asked Questions About DHCS and Medi-Cal

How can I access healthcare services through Medi-Cal?
Studies show that most Medi-Cal members find it easy to locate a primary care physician in their area. The DHCS website provides a tool called Health Care Options to help you search for Medi-Cal health plans. Health Care Options can also provide personalized assistance in selecting a plan that meets your needs. For more detailed information about health plans in your county, you can contact Health Care Options directly at 1-800-430-4263 (TTY 1-800-430-7077).

Does Medi-Cal cover behavioral health services?
Yes, Medi-Cal offers a comprehensive suite of behavioral health services designed to support mental health and substance use disorder treatment. These services include counseling, therapy, medication management, and specialized treatment programs. To explore the specific behavioral health services available to you through Medi-Cal, please visit the DHCS website. For information on local services, contact your county office.

Where can I find licensed facilities for mental health or substance use disorder treatment?
DHCS provides online directories to help you locate licensed substance use disorder treatment facilities. Please refer to the Directories for Substance Use Disorder Services webpage for these resources.

How can I access crisis services for mental health or substance use emergencies?
Every county mental health department in California operates 24/7 hotlines to provide immediate assistance to residents experiencing a crisis and to facilitate access to local mental health programs. You can find the contact information for your county’s hotline at County Mental Health Crisis Numbers. Crisis support is available 24/7 via phone and during business hours at county mental health offices.

What is 988 and how can it help in a crisis?
988 is the Suicide & Crisis Lifeline. If you or someone you know is experiencing a mental health or substance use crisis, you can call, text, or chat with the 988 lifeline for immediate support. Additionally, Medi-Cal covers mobile crisis services, which offer on-site de-escalation and referrals for Medi-Cal members facing a mental health or substance use crisis.

Am I eligible for Medi-Cal Dental benefits?
If you are eligible for Medi-Cal, you are automatically eligible for Medi-Cal Dental benefits. Dental coverage is an included benefit of Medi-Cal, and you do not need to apply separately for dental services. Your Medi-Cal eligibility determines the specific benefits you can access, including dental care.

How do I apply for Medi-Cal to receive dental services?
To apply for Medi-Cal and access dental benefits, you can visit the Department of Health Care Services website, go to www.coveredca.com, find a list of county offices, or call 1‑800‑300‑1506.

Where can I find more FAQs about Medi-Cal Dental?
For more frequently asked questions specifically about Medi-Cal Dental, please visit the Smile, California website: https://smilecalifornia.org/common-questions/.

What is California doing to address substance use disorders?
DHCS is at the forefront of California’s efforts to reduce alcoholism and drug addiction. The department develops, administers, and supports a range of prevention, treatment, and recovery programs. DHCS aims to increase public understanding that alcoholism and drug addiction are chronic conditions that are treatable and preventable.

Where can I find more information about substance use disorder services in my area?
To learn more about substance use disorder treatment options near you, you can find your county access line or search for providers by zip code at ChooseMAT.org.

Where can I get help for myself or a loved one struggling with alcohol or substance misuse?
You are not alone. Millions of adults in the US face mental health and substance use challenges. If you believe you are experiencing a medical emergency, including a psychiatric emergency, call 911 or go to the nearest emergency room. For crisis situations, call 911 or 988.

DHCS partners with organizations like Shatterproof and Blue Shield of California to combat the substance use crisis and provide resources. Shatterproof Treatment Atlas is a valuable tool for finding evidence-based addiction treatment. StartYourRecovery.org offers comprehensive information and resources for individuals and families dealing with substance use issues.

What types of benefits are available through Medi-Cal?
Medi-Cal benefits include traditional services such as vision, dental, mental health and substance use disorder treatment, prescription medications, and family planning. Community Supports, like housing support and medically tailored meals, are also available to address social needs impacting health. Enhanced Care Management provides comprehensive care coordination for members with complex needs. Visit the DHCS website for more information.

What are Statewide Multi-Payer Fee Schedules for School-Linked Behavioral Health Services?
Statewide Multi-Payer Fee Schedules for School-Linked Behavioral Health Services may allow children and youth to access mental health services at school covered by their insurance.

What is Elevate Youth California?
Elevate Youth California is a prevention program funded by Proposition 64, serving low-income youth ages 12 to 26 in diverse communities across California. It provides peer support, mentoring, substance use prevention education, and civic engagement activities.

What is the California Youth Opioid Response?
California Youth Opioid Response aims to improve access to care for youth and families affected by opioid and stimulant use through expanded Medication Assisted Treatment and prevention services.

What is the Song for Charlie: Fentanyl Awareness and Drug Education Program?
The Song for Charlie: Fentanyl Awareness and Drug Education Program offers an online learning hub with resources to educate California families about fentanyl risks and facilitate conversations about mental health and substance use.

By providing these comprehensive services and resources, the California Department of Health Care Services is dedicated to improving the health and well-being of Californians, ensuring access to quality care for all.

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