Primary Health Services

Covered Services

Sacramento County residents who do not have medical insurance and meet the eligibility criteria for the County Medically Indigent Services Program (CMISP) may receive health care services.  These services include, but are not limited to: medical services, diagnostics, prescription drugs, emergency dental services, and specialty referrals. Services are currently available under the CMISP program for beneficiaries and adults currently receiving General Assistance Grants.

For a detailed list of services provided to CMISP clients, please see CMISP Covered Services. 

For a list of services not covered by CMISP, please see Program Exclusions.

Program Eligibility

Program eligibility You will be required to provide proof of eligibility to qualify to receive medical services. All recipients of General Assistance (GA) are automatically eligible for CMISP services.  Eligibility is based on a number of factors including, but not limited to: medical need, income, age, and residence. The following documents are necessary to verify your eligibility: 
 
          ■  Proof of Identity - Driver's License, California Identification Card, other
          ■  Social Security Card
          ■  Residence Verification - Rent receipt, utility bill, other
          ■  Proof of Income - Wage stubs or other evidence of income
          ■  General Assistance - Status verification
          ■  Insurance Policy or number for health/hospitalization/dental/life insurance 
          ■  Real and Personal Property - Tax statements, vehicle registration(s), bank statements, other 
 
For more information from the Department of Human Assistance regarding eligibility requirements, please see the DHA Medical Services page.

Accessing Primary Care Services

Patients are seen by appointment only, and not on a walk-in basis. To be seen at the Sacramento County Primary Care Clinic, you must first apply for and become CMISP eligible. To apply for CMISP, go to the Primary Care Clinic and request a CMISP application packet. Application packets can be picked up at the information window in either Lobby A or Lobby B.  Once eligible for CMISP, you can make an appointment with a primary care physician.

Appeals Process

When a requested medical services is denied by Medical Case Management, the patient is informed of the appropriate due process available to him/her. A copy of the service denial notification is also sent to the requesting provider. If the patient chooses to appeal the service denial, he/she must request a review of that decision, in writing, within ten (10) WORKING DAYS of the date of the denial letter from Medical Case Management. The letter must state that he/she is requesting an appeal and why he/she is dissatisfied. The patient is encouraged to submit additional medical information to substantiate the medical reason for the requested medical service.

More information on the individual appeals can be found on the Appeals Process page.