CMISP Program Exclusions


The following services are not within the Sacramento County Scope of Services:

  • Services rendered prior to eligibility or without authorization
  • Hospital emergency room care for non-emergency conditions
  • Cosmetic surgery
  • Transplants including bone marrow, stem cell, or tissue transplants
  • Treatment for mental disorders, alcoholism or drug addiction, except as contracted through the Sacramento County Division of Behavioral Health
  • Hearing aids, eyeglasses, and eye appliances (except for initial pair S/P cataract surgery for adults).
  • Treatment for military service-connected conditions
  • Chiropractic care
  • Family planning, fertility testing and medical management, and sterility study or treatment.
  • Prayer or spiritual healing
  • Acupuncture or acupressure
  • Hospice Care
  • Long term care placement (SNF placement)
  • Allergy testing, and injections
  • Routine, school, pre-employment or naturalization physical exams
  • Procedures which the Sacramento County Medical Systems Director determines to be experimental or which are not demonstrated to be effective for the condition involved
  • Services which the Sacramento County Medical Systems Director determines to fall outside of accepted community standard of care
  • Second opinion unless specifically requested by Sacramento County Medical Case Management Medical consultants


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