The California Department of Health Care Services (DHCS) plays a crucial role in providing Californians with access to affordable health care. As the principal government agency responsible for administering Medi-Cal, California’s Medicaid program, DHCS California supports the health and wellness of over 14 million residents annually.
In 2025, the responsibilities of DHCS have expanded even further, covering a wide range of services from physical and behavioral health care to dental and vision services, long-term care, and substance use treatment. With recent initiatives like CalAIM (California Advancing and Innovating Medi-Cal), the department is transforming how care is delivered across the state.
What is DHCS in California?
DHCS stands for the Department of Health Care Services, a California state agency tasked with:
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Administering Medi-Cal
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Regulating managed care health plans
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Ensuring access to behavioral health and substance use disorder services
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Offering public health coverage programs for children, seniors, and low-income families
The goal of DHCS is simple: to improve health outcomes and reduce health disparities among the state’s most vulnerable populations.
The Role of DHCS in Medi-Cal
DHCS administers Medi-Cal, which offers free or low-cost health coverage to eligible Californians. This includes coverage for:
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Doctor visits
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Emergency services
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Hospital care
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Maternity care
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Prescription drugs
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Dental and vision (Denti-Cal and Vision benefits)
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Long-term care
In 2025, Medi-Cal is being strengthened with increased eligibility and expanded access to behavioral health services under DHCS leadership.
DHCS and Covered California: Are They the Same?
No, they are not the same. While both focus on health insurance, DHCS and Covered California operate independently.
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DHCS is a government agency that administers Medi-Cal, covering low-income families with income-based eligibility.
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Covered California is a state-run insurance marketplace offering subsidized private insurance plans for individuals whose income is above the Medi-Cal thresholds, also based on income eligibility.
In short, DHCS handles public health insurance through Medi-Cal, whereas Covered California provides access to private plans for those who don’t qualify for Medi-Cal.
Programs Under DHCS California
As of 2025, DHCS oversees several major health-related initiatives:
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Medi-Cal Managed Care
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California Children’s Services (CCS)
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Genetically Handicapped Persons Program (GHPP)
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Mental Health Services Act (MHSA)
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Substance Use Disorder Services (SUDS)
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Long-Term Care Reforms via CalAIM
Each of these programs is designed to meet the needs of specific populations, including children with special needs, disabled adults, and low-income families.
DHCS Eligibility Requirements
To qualify for DHCS programs like Medi-Cal, you generally need to meet the following conditions:
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California residency
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U.S. citizen or qualified immigrant
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Income at or below 138% of the federal poverty level (FPL)
In 2025, California has expanded eligibility for undocumented individuals and low-income adults ages 26–49, closing previous coverage gaps.
DHCS and Long-Term Services & Supports (LTSS)
California’s aging population is growing, and DHCS addresses this with a robust LTSS network, including:
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In-Home Supportive Services (IHSS)
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Skilled nursing facility care
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Home and community-based alternatives
Thanks to CalAIM, these services are being integrated into Managed Care Plans, ensuring seniors and people with disabilities receive continuous, coordinated care.
Behavioral Health and Substance Use Services
DHCS leads the integration of mental health and substance use treatment under the California Behavioral Health Community-Based Continuum Demonstration.
Services include:
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Individual and group therapy
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Case management
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Medication-assisted treatment (MAT)
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Crisis stabilization
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Detox and rehabilitation programs
In 2025, more counties have joined DHCS’s efforts to expand access to evidence-based behavioral care.
Dental and Vision Benefits Under DHCS
Under Denti-Cal, DHCS offers dental care for children and adults:
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Exams, cleanings, and x-rays
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Root canals
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Dentures and oral surgery
Vision care includes:
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Eye exams
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Corrective lenses
These benefits are often included in Medi-Cal Managed Care Plans and reflect DHCS’s holistic approach to health care.
How to Apply for Medi-Cal via DHCS
You can apply for Medi-Cal:
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Online at BenefitsCal
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Through your county social services office
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Via Covered California, which routes you to Medi-Cal if eligible
Documents typically needed:
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Proof of income
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Identification
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Residency verification
DHCS has streamlined the application process in 2025 to reduce wait times and improve enrollment.
DHCS and California’s Homeless Initiatives
Under CalAIM, DHCS is working to tackle homelessness through:
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Enhanced Care Management (ECM)
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Community Supports, including housing transition services
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Behavioral health integration
DHCS recognizes that housing is health, and in 2025, it continues to invest in programs that address both medical and social needs.
DHCS and Managed Care Plans
Most Medi-Cal members receive services through Managed Care Plans regulated by DHCS. These include:
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Health Net
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L.A. Care
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Molina Healthcare
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Anthem Blue Cross
DHCS ensures these plans meet strict standards for quality, access, and member satisfaction.
Can You Buy Health Insurance on Your Own in California?
Yes, you can. Even if you don’t qualify for Medi-Cal, you can:
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Buy insurance through Covered California
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Buy directly from private insurance companies
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Use a licensed health insurance agent
While DHCS provides free or low-cost insurance, Covered California offers subsidized plans for higher-income Californians.
FAQs
What is DHCS in California?
DHCS stands for the Department of Health Care Services. It is responsible for administering Medi-Cal and other health services in the state.
Is Medi-Cal the same as Covered California?
No. Medi-Cal is a public health insurance program managed by DHCS, while Covered California is a state-run health insurance marketplace offering private plans.
Can I buy health insurance on my own in California?
Yes. You can buy private health plans through Covered California or directly from insurance providers.
How do I contact CA DHCS?
Call 1-800-541-5555 or visit www.dhcs.ca.gov for more information and support.
What programs does DHCS administer?
DHCS oversees Medi-Cal, CalAIM, Denti-Cal, behavioral health, substance use treatment, and more.
Who qualifies for Medi-Cal through DHCS?
Eligibility is based on income, residency, and immigration status. California expanded eligibility in 2025 to include more adults.
Final Thoughts
DHCS California plays a foundational role in shaping the health and future of millions across the state. In 2025, its commitment to equity, access, and comprehensive care remains stronger than ever. Whether you’re exploring Medi-Cal, managing a chronic condition, or helping a loved one get care, DHCS is a reliable partner in your health journey.
Find coverage that works for you—start with a free quote at NewHealthInsurance.com or call 📞 (833) 877-9927.
