County indigent health programs (CMSP, Connect to Care, Healthy San Francisco: county care for uninsured adults): who qualifies, what you get, how to apply, and what happens next
California counties must provide health care to poor residents who have no other source. In 35 mostly rural counties the County Medical Services Program (CMSP) covers uninsured adults 21 to 64 with income up to 300% of the poverty level, regardless of immigration status; San Francisco runs Healthy San Francisco for residents up to 500%. Apply at the county social services office or a participating clinic.
What County indigent health programs is, in one paragraph
California law makes every county responsible for the care of poor residents who have no other support (rule:county_duty_17000). Counties meet that duty in different ways. Thirty-five mostly rural counties pool it in the County Medical Services Program (CMSP), which covers uninsured low-income adults who are not eligible for other public programs, and run Connect to Care, a primary and preventive care program for adults just above Medi-Cal income (rule:cmsp_definition, rule:cmsp_counties, rule:connect_to_care). San Francisco runs Healthy San Francisco, which is not insurance but a medical home with low-cost care for uninsured residents (rule:hsf_not_insurance). Other counties run their own programs (rule:other_counties).
300%
of the federal poverty level: the CMSP income limit in its 35 counties, 2026 ($64,945.98 a year for a household of two) (CMSP, rule:cmsp_income)
Who may qualify
County first. CMSP serves these 35 counties: Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Imperial, Inyo, Kings, Lake, Lassen, Madera, Marin, Mariposa, Mendocino, Modoc, Mono, Napa, Nevada, Plumas, San Benito, Shasta, Sierra, Siskiyou, Solano, Sonoma, Sutter, Tehama, Trinity, Tuolumne, Yolo and Yuba (rule:cmsp_counties).
CMSP (rule:cmsp_income, rule:cmsp_age, rule:cmsp_immigration): ages 21 to 64; income at or below 300% of the poverty level, which is $64,945.98 a year for a household of two in 2026; available regardless of immigration status. Connect to Care (rule:connect_to_care): ages 21 to 64, income above 138% and up to 300% (above $29,875.15 up to $64,945.98 for two people), not enrolled in Medi-Cal or private insurance.
Healthy San Francisco (rule:hsf_eligibility): living in San Francisco, 18 or older, uninsured, not eligible for Medi-Cal or Medicare, and household income at or below 500% of the poverty level. It charges a quarterly fee per person by income (rule:hsf_fees):
Household size
Fee $0 (up to 100%)
Fee $60 (to 200%)
Fee $150 (to 300%)
Fee $300 (to 400%)
Fee $450 (to 500%)
1
$1,330
$2,660
$3,990
$5,320
$6,650
2
$1,804
$3,608
$5,410
$7,216
$9,017
3
$2,277
$4,554
$6,830
$9,108
$11,384
4
$2,750
$5,500
$8,250
$11,000
$13,750
5
$3,224
$6,448
$9,670
$12,896
$16,117
6
$3,697
$7,394
$11,090
$14,788
$18,484
7
$4,170
$8,340
$12,510
$16,680
$20,850
8
$4,644
$9,288
$13,930
$18,576
$23,217
The figures are the top of each monthly income band, from the March 2026 poverty level. Point-of-service fees are added at visits for income above 100%.
How to apply, and what happens after
CMSP: apply at the county social services or human services department, or at a participating enrollment provider; the application can be started on BenefitsCal (rule:cmsp_apply). Bring proof of residency, income and resources (rule:cmsp_documents). The county checks Medi-Cal first. An approved person gets a Notice of Action with the start and end dates, a benefits card, a CMSP ID card and a member guide; all non-emergency care must be from CMSP network providers, and some services carry a share of cost (rule:cmsp_issuance, rule:cmsp_share_of_cost). One month of retroactive coverage can be requested (rule:cmsp_retro). To continue, reapply during the last month of the term (rule:cmsp_reapply). Connect to Care: apply at a participating community health center.
Healthy San Francisco: enroll with a Certified Application Assistor at an enrollment site, pay the quarterly fee, report income or household changes, and reapply every 12 months before the anniversary date (rule:hsf_renew_12, rule:hsf_report). Enrollment ends on getting insurance, moving away, or becoming eligible for Medi-Cal or Medicare (rule:hsf_disenroll).
Disagree with a decision? The decision comes on a county Notice of Action; the CMSP pages read do not state the appeal deadline (rule:cmsp_appeal).
The procedure, stage by stage, as data
JSONThe procedure, stage by stage, as data
[12 items
{10 keys
"id": "stage:discover",
"order": 1,
"name": "Discover",
"what_happens": "An uninsured adult who cannot get Medi-Cal learns the county must provide care and which county program applies",
"who_acts": "Person / clinics / hospitals",
"timeline": "No deadline; CMSP covers one month back at most",
"evidence": "None",
"failure_mode": "Assuming no help exists without Medi-Cal or papers",
"model_role": "Name the program for the person's county",
"automation_class": "A"
},{10 keys
"id": "stage:screen_eligibility",
"order": 2,
"name": "Screen eligibility",
"what_happens": "County, age, income against 300% (CMSP) or 500% (San Francisco), insurance and Medi-Cal eligibility",
"who_acts": "Model + person",
"timeline": "Minutes",
"evidence": "County, age, income, coverage",
"failure_mode": "Applying to CMSP from a non-CMSP county",
"model_role": "Route by county first, then income band",
"automation_class": "A"
},{10 keys
"id": "stage:gather_documents",
"order": 3,
"name": "Gather documents",
"what_happens": "Residency proof, income proof, award letters, bank and investment statements",
"who_acts": "Person",
"timeline": "Before the county appointment",
"evidence": "Documents listed by CMSP",
"failure_mode": "Missing resource statements",
"model_role": "List the documents",
"automation_class": "A"
},{10 keys
"id": "stage:complete_application",
"order": 4,
"name": "Complete application",
"what_happens": "County application (BenefitsCal can start it) or enrollment at a participating health center; in San Francisco with a Certified Application Assistor",
"who_acts": "Person / county worker / assistor",
"timeline": "One appointment",
"evidence": "Application",
"failure_mode": "Applying at a site that does not enroll for the program",
"model_role": "Point to the right enrollment site",
"automation_class": "C - county or clinic enrollment"
},{10 keys
"id": "stage:submit",
"order": 5,
"name": "Submit",
"what_happens": "Submit to the county social services department, participating provider, or Healthy San Francisco site",
"who_acts": "Person",
"timeline": "Same visit",
"evidence": "Application",
"failure_mode": "Leaving without submitting",
"model_role": "Confirm submission",
"automation_class": "C - county or clinic enrollment"
},{10 keys
"id": "stage:interview_verification",
"order": 6,
"name": "Interview / verification",
"what_happens": "The county reviews documents and screens for Medi-Cal first",
"who_acts": "County",
"timeline": "County timeline (not stated)",
"evidence": "Documents",
"failure_mode": "Unanswered requests",
"model_role": "Track requests",
"automation_class": "C - county work"
},{10 keys
"id": "stage:decision",
"order": 7,
"name": "Decision",
"what_happens": "Notice of Action with start and end dates (CMSP); acceptance and anniversary date (Healthy San Francisco)",
"who_acts": "County / SFDPH",
"timeline": "Not stated",
"evidence": "Notice",
"failure_mode": "Not noting the end date",
"model_role": "Record the end date",
"automation_class": "A"
},{10 keys
"id": "stage:issuance_use",
"order": 8,
"name": "Issuance / use",
"what_happens": "Benefits card and CMSP ID card; care only at network providers except emergencies; share of cost and copays where they apply; Healthy San Francisco fees each quarter",
"who_acts": "Person / providers",
"timeline": "Through the eligibility term",
"evidence": "Cards",
"failure_mode": "Using out-of-network providers for non-emergencies and being billed",
"model_role": "Explain network and share of cost",
"automation_class": "D"
},{10 keys
"id": "stage:report_changes",
"order": 9,
"name": "Report changes",
"what_happens": "Report income, household and address changes (Healthy San Francisco fees change with them)",
"who_acts": "Person",
"timeline": "As changes happen",
"evidence": "New figures",
"failure_mode": "Missed renewal letters after a move",
"model_role": "Prompt address updates",
"automation_class": "A"
},{10 keys
"id": "stage:renew_recertify",
"order": 10,
"name": "Renew / recertify",
"what_happens": "CMSP: reapply in the last month of the term. Healthy San Francisco: reapply every 12 months before the anniversary date",
"who_acts": "Person",
"timeline": "Last month of the CMSP term; before the HSF anniversary",
"evidence": "New application",
"failure_mode": "Gap in coverage from a missed reapplication",
"model_role": "Give the reapplication month",
"automation_class": "B"
},{10 keys
"id": "stage:denial_response",
"order": 11,
"name": "Denial response",
"what_happens": "Read the Notice of Action",
"who_acts": "Person",
"timeline": "Immediately",
"evidence": "Notice of Action",
"failure_mode": "Not asking the county how to appeal",
"model_role": "Tell the person the appeal deadline is on the notice and not on the pages read",
"automation_class": "A"
},{10 keys
"id": "stage:appeal_fair_hearing",
"order": 12,
"name": "Appeal / fair hearing",
"what_happens": "County appeal process stated on the notice",
"who_acts": "Person / county",
"timeline": "UNKNOWN on the pages read",
"evidence": "Notice",
"failure_mode": "Missing an unknown deadline",
"model_role": "Ask the county for the deadline at once",
"automation_class": "C - county process not published"
}
]
The same facts open other programs
County, age, income and insurance status are the facts county care runs on. The same facts are asked first by every health program in California.
Welfare and Institutions Code section 17000 — California Legislature“Every county and every city and county shall relieve and support all incompetent, poor, indigent persons”
CMSP - County Medical Services Program — County Medical Services Program (CMSP) Governing Board“The County Medical Services Program (CMSP) provides health coverage for uninsured low-income, indigent adults that are not otherwise eligible for other publicly funded health care programs.”
Apply Now — County Medical Services Program (CMSP) Governing Board“Apply to receive CMSP benefits through the county social services department / human services agency in the county where you live or at a participating enrollment provider.”
Apply Now: documents — County Medical Services Program (CMSP) Governing Board“You will also be required to verify your resources with bank statements, verification of stocks, bonds, mutual funds, etc.”
How Do I? (members) — County Medical Services Program (CMSP) Governing Board“All CMSP members receive a CMSP Member Guide in the mail that contains information about how to use CMSP benefit coverage.”
How Do I? retroactive coverage — County Medical Services Program (CMSP) Governing Board“Applicants for CMSP may request one month of “retroactive” CMSP coverage.”
How Do I? reapply — County Medical Services Program (CMSP) Governing Board“It is your responsibility to reapply for CMSP during the last month of your eligibility term if you would like to continue your CMSP eligibility into another term.”
Medical and Dental Benefits — County Medical Services Program (CMSP) Governing Board“Specified Prescription Medications with a $5 Copay per Prescription ($1500 maximum benefit limit)”
Healthy San Francisco — San Francisco Department of Public Health (Healthy San Francisco)“Healthy San Francisco is not insurance.”
Do I Qualify? — San Francisco Department of Public Health (Healthy San Francisco)“Living in a household with an income at or below 500% of the Federal Poverty Level”
Fees — San Francisco Department of Public Health (Healthy San Francisco)“Note: The income here is based on March 2026 Federal Poverty Level (FPL) published and subject to change.”
Fees: changes — San Francisco Department of Public Health (Healthy San Francisco)“Call HSF Customer Service if your income or household size changes after joining HSF.”
Time to Renew — San Francisco Department of Public Health (Healthy San Francisco)“To keep getting care through Healthy San Francisco (HSF), you must reapply every twelve months.”
Time to Renew: disenrollment — San Francisco Department of Public Health (Healthy San Francisco)“Become eligible for government-sponsored health insurance like Medi-Cal or Medicare”
the whole object this page is drawn from, as JSON
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"summary":"California counties must provide health care to poor residents who have no other source. In 35 mostly rural counties the County Medical Services Program (CMSP) covers uninsured adults 21 to 64 with income up to 300% of the poverty level, regardless of immigration status; San Francisco runs Healthy San Francisco for residents up to 500%. Apply at the county social services office or a participating clinic.",
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"timeline":"Not stated",
"evidence":"Notice",
"failure_mode":"Not noting the end date",
"model_role":"Record the end date",
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{
"id":"stage:issuance_use",
"order":8,
"name":"Issuance / use",
"what_happens":"Benefits card and CMSP ID card; care only at network providers except emergencies; share of cost and copays where they apply; Healthy San Francisco fees each quarter",
"who_acts":"Person / providers",
"timeline":"Through the eligibility term",
"evidence":"Cards",
"failure_mode":"Using out-of-network providers for non-emergencies and being billed",
"model_role":"Explain network and share of cost",
"automation_class":"D"
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{
"id":"stage:report_changes",
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"model_role":"Prompt address updates",
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"id":"stage:renew_recertify",
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"rules": [
{
"id":"rule:county_duty_17000",
"kind":"definition",
"text":"California law requires every county to relieve and support poor and indigent residents who are not supported by relatives, their own means, or state or private institutions. County indigent health programs carry out this duty for health care.",
"jurisdiction":"US-CA",
"source":"s_leg_17000",
"status":"verified 2026-10-09 (Welfare and Institutions Code section 17000, read in a browser on the Mac)"
},
{
"id":"rule:cmsp_definition",
"kind":"definition",
"text":"The County Medical Services Program (CMSP) provides health coverage for uninsured low-income, indigent adults who are not otherwise eligible for other publicly funded health care programs. Its Governing Board sets eligibility, benefits and provider rates.",
"jurisdiction":"US-CA",
"source":"s_cmsp_home",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_counties",
"kind":"administration",
"text":"Thirty-five counties participate in CMSP. A resident of any other county applies to that county's own program.",
"jurisdiction":"US-CA",
"value_count":35,
"values_list": [
"Alpine",
"Amador",
"Butte",
"Calaveras",
"Colusa",
"Del Norte",
"El Dorado",
"Glenn",
"Humboldt",
"Imperial",
"Inyo",
"Kings",
"Lake",
"Lassen",
"Madera",
"Marin",
"Mariposa",
"Mendocino",
"Modoc",
"Mono",
"Napa",
"Nevada",
"Plumas",
"San Benito",
"Shasta",
"Sierra",
"Siskiyou",
"Solano",
"Sonoma",
"Sutter",
"Tehama",
"Trinity",
"Tuolumne",
"Yolo",
"Yuba"
],
"source":"s_cmsp_map",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_income",
"kind":"income_test",
"text":"CMSP: annual income at or below 300% of the federal poverty level. For a household of two in 2026 that is $64,945.98 or less. The limit is lower for one person and higher for larger households.",
"jurisdiction":"US-CA",
"effective":"2026",
"value_percent_fpl":300,
"values_usd_annual": {
"2":64945.98
},
"source":"s_cmsp_reach_income",
"status":"verified 2026-10-09; dollar figures for other household sizes are not stated on the CMSP page and are UNKNOWN here"
},
{
"id":"rule:connect_to_care",
"kind":"income_test",
"text":"Connect to Care, the CMSP counties' preventive and primary care program: ages 21 to 64, income above 138% and up to 300% of the federal poverty level (for a household of two in 2026, above $29,875.15 up to $64,945.98), not enrolled in Medi-Cal or private insurance, regardless of immigration status. Apply at participating community health centers.",
"jurisdiction":"US-CA",
"effective":"2026",
"value_percent_fpl": {
"min_exclusive":138,
"max":300
},
"values_usd_annual": {
"2": {
"above":29875.15,
"up_to":64945.98
}
},
"source":"s_cmsp_reach_ctc",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_age",
"kind":"categorical",
"text":"CMSP and Connect to Care are for ages 21 to 64.",
"jurisdiction":"US-CA",
"values_age": {
"min":21,
"max":64
},
"source":"s_cmsp_reach_age",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_immigration",
"kind":"immigration",
"text":"CMSP and Connect to Care are available regardless of immigration status.",
"jurisdiction":"US-CA",
"source":"s_cmsp_reach_imm",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_apply",
"kind":"procedure",
"text":"Apply for CMSP through the county social services or human services department where the person lives, or at a participating enrollment provider. The application can be started online through BenefitsCal.",
"jurisdiction":"US-CA",
"source":"s_cmsp_apply",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_documents",
"kind":"procedure",
"text":"The county asks for CMSP residency documentation, pay stubs or other income verification, award letters for disability, unemployment or workers' compensation, and bank, stock, bond or fund statements to verify resources.",
"jurisdiction":"US-CA",
"source":"s_cmsp_apply_docs",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_issuance",
"kind":"issuance",
"text":"An approved person receives an approval notice, a State of California Benefits Identification Card, a CMSP ID card and a member guide. All non-emergency care must come from CMSP network providers.",
"jurisdiction":"US-CA",
"source":"s_cmsp_faq_bic",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_share_of_cost",
"kind":"benefit",
"text":"Primary care, preventive screenings, mental health (mild to moderate), lab tests and some prescriptions have no share of cost. Hospital, specialty, dental, vision and other services may require a share of cost. Listed prescriptions cost $5 per prescription, up to a $1,500 benefit limit.",
"jurisdiction":"US-CA",
"values_usd": {
"rx_copay":5,
"rx_max_benefit":1500
},
"source":"s_cmsp_benefits",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_retro",
"kind":"timing",
"text":"A CMSP applicant may request one month of retroactive coverage.",
"jurisdiction":"US-CA",
"value_months":1,
"source":"s_cmsp_faq_retro",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_reapply",
"kind":"renewal",
"text":"The Notice of Action states the start and end of CMSP eligibility. The person must reapply during the last month of the term to continue; another end-date notice may not come.",
"jurisdiction":"US-CA",
"source":"s_cmsp_faq_reapply",
"status":"verified 2026-10-09"
},
{
"id":"rule:cmsp_appeal",
"kind":"appeal",
"text":"CMSP eligibility decisions come on a county Notice of Action. The appeal process and its deadline are not stated on the CMSP pages read.",
"jurisdiction":"US-CA",
"value_days":"UNKNOWN",
"source":"s_cmsp_faq_reapply",
"status":"verified 2026-10-09 that decisions come on a Notice of Action; the appeal deadline could not be checked on an official page"
},
{
"id":"rule:hsf_eligibility",
"kind":"categorical",
"text":"Healthy San Francisco: living in San Francisco, age 18 or older, no health insurance, not eligible for public programs like Medi-Cal or Medicare, household income at or below 500% of the federal poverty level.",
"jurisdiction":"US-CA-San Francisco",
"value_percent_fpl":500,
"value_age_min":18,
"source":"s_hsf_qualify",
"status":"verified 2026-10-09"
},
{
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{
"id":"rule:hsf_renew_12",
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{
"id":"rule:hsf_report",
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{
"id":"rule:hsf_disenroll",
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{
"id":"rule:other_counties",
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"jurisdiction":"US-CA",
"source":"s_leg_17000",
"status":"verified 2026-10-09 (the statute); each county's program rules were not read"
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{
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"title":"County indigent health programs: ask the article",
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"starters": [
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"## What County indigent health programs is, in one paragraph\n\nCalifornia law makes every county responsible for the care of poor residents who have no other support (rule:county_duty_17000). Counties meet that duty in different ways. Thirty-five mostly rural counties pool it in the **County Medical Services Program (CMSP)**, which covers uninsured low-income adults who are not eligible for other public programs, and run **Connect to Care**, a primary and preventive care program for adults just above Medi-Cal income (rule:cmsp_definition, rule:cmsp_counties, rule:connect_to_care). San Francisco runs **Healthy San Francisco**, which is not insurance but a medical home with low-cost care for uninsured residents (rule:hsf_not_insurance). Other counties run their own programs (rule:other_counties).",
{
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"value":"300%",
"label":"of the federal poverty level: the CMSP income limit in its 35 counties, 2026 ($64,945.98 a year for a household of two) (CMSP, rule:cmsp_income)"
},
"## Who may qualify\n\n**County first.** CMSP serves these 35 counties: Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Imperial, Inyo, Kings, Lake, Lassen, Madera, Marin, Mariposa, Mendocino, Modoc, Mono, Napa, Nevada, Plumas, San Benito, Shasta, Sierra, Siskiyou, Solano, Sonoma, Sutter, Tehama, Trinity, Tuolumne, Yolo and Yuba (rule:cmsp_counties).\n\n**CMSP** (rule:cmsp_income, rule:cmsp_age, rule:cmsp_immigration): ages 21 to 64; income at or below 300% of the poverty level, which is $64,945.98 a year for a household of two in 2026; available regardless of immigration status. **Connect to Care** (rule:connect_to_care): ages 21 to 64, income above 138% and up to 300% (above $29,875.15 up to $64,945.98 for two people), not enrolled in Medi-Cal or private insurance.\n\n**Healthy San Francisco** (rule:hsf_eligibility): living in San Francisco, 18 or older, uninsured, not eligible for Medi-Cal or Medicare, and household income at or below 500% of the poverty level. It charges a quarterly fee per person by income (rule:hsf_fees):\n\n| Household size | Fee $0 (up to 100%) | Fee $60 (to 200%) | Fee $150 (to 300%) | Fee $300 (to 400%) | Fee $450 (to 500%) |\n|---|---|---|---|---|---|\n| 1 | $1,330 | $2,660 | $3,990 | $5,320 | $6,650 |\n| 2 | $1,804 | $3,608 | $5,410 | $7,216 | $9,017 |\n| 3 | $2,277 | $4,554 | $6,830 | $9,108 | $11,384 |\n| 4 | $2,750 | $5,500 | $8,250 | $11,000 | $13,750 |\n| 5 | $3,224 | $6,448 | $9,670 | $12,896 | $16,117 |\n| 6 | $3,697 | $7,394 | $11,090 | $14,788 | $18,484 |\n| 7 | $4,170 | $8,340 | $12,510 | $16,680 | $20,850 |\n| 8 | $4,644 | $9,288 | $13,930 | $18,576 | $23,217 |\n\nThe figures are the top of each monthly income band, from the March 2026 poverty level. Point-of-service fees are added at visits for income above 100%.",
"## What the model on this page can do for you\n\nThis article is also the context of a model you can text or chat with. The buttons under the title open Messages with a note already written, or a chat on this page. The model has read this exact page: the rules above with their source ids, the procedure below, and the other programs the same facts open. It asks for one or two facts at a time, starting with your county and age, then income and insurance, tells you which county program applies and whether the figures fit it, and gives the exact next step. It has no tools: it cannot apply for you, and it says so. Every message is kept on this build's Ledger.\n\nA screening here is a screening, not a decision. The county decides.",
"## How to apply, and what happens after\n\n**CMSP**: apply at the county social services or human services department, or at a participating enrollment provider; the application can be started on BenefitsCal (rule:cmsp_apply). Bring proof of residency, income and resources (rule:cmsp_documents). The county checks Medi-Cal first. An approved person gets a Notice of Action with the start and end dates, a benefits card, a CMSP ID card and a member guide; all non-emergency care must be from CMSP network providers, and some services carry a share of cost (rule:cmsp_issuance, rule:cmsp_share_of_cost). One month of retroactive coverage can be requested (rule:cmsp_retro). To continue, reapply during the last month of the term (rule:cmsp_reapply). **Connect to Care**: apply at a participating community health center.\n\n**Healthy San Francisco**: enroll with a Certified Application Assistor at an enrollment site, pay the quarterly fee, report income or household changes, and reapply every 12 months before the anniversary date (rule:hsf_renew_12, rule:hsf_report). Enrollment ends on getting insurance, moving away, or becoming eligible for Medi-Cal or Medicare (rule:hsf_disenroll).\n\n**Disagree with a decision?** The decision comes on a county Notice of Action; the CMSP pages read do not state the appeal deadline (rule:cmsp_appeal).",
{
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"## The same facts open other programs\n\nCounty, age, income and insurance status are the facts county care runs on. The same facts are asked first by every health program in California.\n\n- **Medi-Cal (Medicaid) (B011)**: [[california-medi-cal]]. Counties screen for Medi-Cal first; county programs are for people Medi-Cal does not cover.\n- **Covered California premium tax credits (APTC) (B012)**: [[california-covered-california-premium-tax-credits]]. Income between 138% and 400% may qualify for a subsidized Covered California plan instead.\n- **State-only Medi-Cal categories for immigrants (incl. pregnancy & emergency) (B080)**: [[california-state-only-medi-cal-immigrants]]. Some immigrants qualify for state-only Medi-Cal categories, which come before county care.\n- **Family PACT (B019)**: [[california-family-pact]]. Family planning is free through Family PACT at the same clinics.\n- **Cancer detection/treatment: Every Woman Counts + BCCTP (B020)**: [[california-every-woman-counts-bcctp]]. Breast and cervical cancer screening and treatment have their own state programs.",
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"## How this page works\n\nThis page is one JSON object. The page, the Markdown and the machine copy at [/a/california-county-indigent-health.json](https://miscsubjects.com/a/california-county-indigent-health.json) are three views of it. Its `facts` carry the article's identity and jurisdiction, the procedure with its stages, every rule with its source id and verification status, the fields a screening asks for with their canonical fact names, the ontology edges into the benefits graph, the declared actions, the model's instructions, and the permissions the model has (none). The model's context is served separately at [/a/california-county-indigent-health/context](https://miscsubjects.com/a/california-county-indigent-health/context): the same object, projected for a model, so there is one source of truth for the reader and the machine.\n\nWhat is saved: a thread per phone number that texts, holding which articles it asked about, how many messages, and the facts it stated, so a person who comes back continues rather than restarts. Every message, in either direction, is a row on this build's Ledger.\n\nFigures carry their status in `facts.rules[].status`. The CMSP and Healthy San Francisco pages refuse automated fetches and were read in a browser on the Mac on 9 October 2026; their hashes are in `facts.verification`. CMSP publishes its 2026 dollar limit only for a household of two; other sizes, the CMSP appeal deadline and the rules of the other counties' programs are UNKNOWN here.",
"## Official addresses\n\n- CMSP: [cmspcounties.org](https://cmspcounties.org/), [apply](https://cmspcounties.org/apply-now/), [eligibility](https://cmspcounties.org/healthcare-within-reach/), [participating counties](https://cmspcounties.org/cmsp-map/); CMSP Governing Board Office, 1545 River Park Drive, Suite 435, Sacramento, CA 95815\n- Healthy San Francisco: [healthysanfrancisco.org](https://healthysanfrancisco.org/), [do I qualify](https://healthysanfrancisco.org/hsf-program/do-i-qualify/), [fees](https://healthysanfrancisco.org/participants/fees/)\n- The county duty: [Welfare and Institutions Code section 17000](https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=17000)\n- Phone: CMSP Governing Board (916) 649-2631; Healthy San Francisco Customer Service 1(415) 615-4555 (rule:contact)"
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