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HCCI Program Details

Program Authorization

The HCCI program was authorized under California's 2005 §1115 waiver (No. 11-W-00193/9).

The §1115 Medicaid Waiver made it possible for counties to obtain federal funds to help cover legal, low-income residents. The waiver authorized a total of $540 million in federal reimbursement over the three-year program. DHCS determined how to allocate the total available federal funds between the counties. Each county had to spend local funds in order to claim reimbursement for roughly 50% of their expenditures, up to the maximum amount of reimbursement funds allocated to them.

Senate Bill 1448 (Stats. 2006, ch.76) provided a statutory framework for HCCI.

Program Design

The HCCI program in each participating county was required to include:

  • a defined provider network for enrolled participants;
  • a benefit package that includes primary and preventive care services as well as specialty care;
  • case management and/or disease management services for certain chronic conditions;
  • monitoring of quality of care indicators; and,
  • health information systems such as registries and/or electronic health records.

The Health Care Coverage Initiative enabled counties to provide access to the covered health care services through the existing safety net health care system within the county, or through an expanded network of providers built upon the existing system. In most counties, enrollment under the HCCI program began on September 1, 2007.