Yolo County to Join County Medical Services Program and Path2Health

Posted by Kassy Perry

Yolo County and CMSP Governing Board Agree on Participation

Sacramento, Calif. (December 21, 2011) – The County Medical Services Program (CMSP) Governing Board announced today that it has accepted Yolo County’s request to join the County Medical Services Program and participate in Path2Health – a new Low Income Health Program made possible by the State of California’s Federal Medicaid “Bridge to Reform” Waiver. Yolo County’s membership will be effective July 1, 2012. In the mean time, the County and the Governing Board will work on implementation. This is the 35th county to join CMSP and Path2Health.

“We’re excited to have Yolo County join CMSP and Path2Health,” said Lee Kemper, Executive Director of the CMSP Governing Board. “Yolo County’s residents will benefit from this early stage of federal health care reform.”

Under the arrangement, the costs of Yolo County’s participation will be funded by county and federal matching funds. On November 22, 2011, Yolo County’s Board of Supervisors voted unanimously to support a motion to join CMSP and Path2Health. The CMSP Governing Board approved the county’s participation on December 15, 2011. The state and federal governments will need to approve Yolo County’s participation in Path2Health.

By participating in CMSP and Path2Health, Yolo County will be able to expand coverage to more uninsured low income Yolo County adults. Eligible residents with incomes at or below 100 percent of the federal poverty level, or about $10,890 annually for a single person, will receive no-cost health coverage through Path2Health. This coverage will include medically necessary health care services, including primary care, emergency and hospital care, pharmacy services, and limited dental and vision care. It will also cover a set number of mental health and substance abuse counseling visits.

Other low income adults with incomes above 100 percent up to 200 percent of the federal poverty level will have coverage with a share of cost. At a minimum, the monthly share of cost will be about $300. In addition, limited emergency coverage will be available to low income adults who are undocumented.

“Joining CMSP will increase coverage and expand benefits for the lowest income residents in Yolo County. The county is very pleased to have the opportunity to participate in Path2Health and CMSP,” said Jill Cook, Yolo County Health Director.

The Yolo County Indigent Health Program (YCHIP) currently covers approximately 1,600 low-income residents. With participation in Path2Health and CMSP, an additional 1,600 Yolo County residents are expected to obtain coverage. By the end of 2013, it is projected 3,200 low income residents will have either Path2Health or CMSP coverage. Program costs in FY 2012-13 are estimated at $13.1 million, which includes $5.4 million in federal revenue and $7.7 million in funds from Yolo County.

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Map of Counties Served

About Path2Health

Path2Health is a Low Income Health Program (LIHP) sponsored by the County Medical Services Program (CMSP) Governing Board and authorized under California’s 1115 Medicaid Waiver, which allows counties or a group of counties to expand health coverage to low income persons up to 133% of the federal poverty level using local and federal funds. It will operate as a two-year pilot project until the federal Accountable Care Act (ACA) expands Medicaid for single low income adults in 2014. Path2Health will expand no-cost health care coverage in 34 rural counties to uninsured, low-income adults with incomes up to 100% of the federal poverty level. Over the two-year pilot project, up to 30,000 additional uninsured low income adults are expected to enroll. County and federal funds will support the coverage expansion.

About CMSP

The County Medical Services Program (CMSP) was established in January 1983, when California law transferred responsibility for providing health care services to medically indigent adults from the Medi-Cal program to counties. Smaller, mostly rural counties (populations below 300,000) were allowed to contract back with the State to provide health care services to the population. In 1995, California law was amended to establish the CMSP Governing Board, composed primarily of county officials, to govern and administer the CMSP program. CMSP is funded exclusively by Realignment revenue (motor vehicle license fees and sales tax) and limited county general revenue. The Governing Board operates CMSP under a services contract with each of the 34 member counties. The Governing contracts with Anthem Blue Cross and its subcontractors to administer CMSP medical, dental and vision benefits. The Governing Board contracts with MedImpact Health Systems, Inc., to deliver pharmacy benefits. More than 60,000 low income adults are currently enrolled in CMSP. For more information, go to

About the CMSP Governing Board

The CMSP Governing Board, established by California law in 1995, is composed of ten county officials and one ex-officio representative of the Secretary of the California Health and Human Services Agency. The Board is charged with overall program and fiscal responsibility for CMSP, which provides health coverage to indigent adults in 34 counties. The Board operates a small administrative office in Sacramento, California.

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