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Email to Jacob Jimenez at JOJimene@tularecounty.ca.gov

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Use this form to submit a question to the Medi-Cal Program Specialists. The questions submitted will be addressed when they visit the training.

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Our Mission, Vision, and Values

Healthy children and adults, supportive families, thriving communities.

Dedicated to protecting and strengthening the well-being of the community through development of effective policies, practices, and services delivered in a culturally and linguistically competent manner.

1) HHSA sponsors services and policies that are: collaborative, community-driven, evidence-based.

2) HHSA promotes service delivery that is: culturally competent, respectful, a model of excellence.

3) HHSA supports a work environment that demonstrates: diversity, integrity, accountability, teamwork and mutual respect, staff development and recognition.

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Our Mission, Vision, and Values Healthy children and adults, supportive families, thriving communities. Dedicated to protecting and strengthening the well-being of the community through development of effective policies, practices, and services delivered in a culturally and linguistically competent manner. 1) HHSA sponsors services and policies that are: collaborative, community-driven, evidence-based.

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TulareWORKs Family Advocate

The TulareWORKs Family Advocate responds to inquiries, complaints, or concerns regarding various TulareWORKs services, including CalWORKs (cash aid), Medi-Cal, CalFresh (formerly known as Food Stamps), and General Assistance (GA).

With a high level of discretion and integrity, the TulareWORKs Family Advocate provides assistance and support to clients and community partners to help them better understand TulareWORKs policies and procedures, and assists with concerns and complaints that haven't been resolved through other avenues.

Take these steps to resolve a problem or issue regarding your case:

1. Discuss the problem with a Self-Sufficiency Counselor.

2. If you cannot resolve the problem, discuss with the counselor's supervisor and/or manager.

3. If the problem is still not resolved or continues to occur, contact the TulareWORKs Family Advocate.

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TulareWORKs Family Advocate The TulareWORKs Family Advocate responds to inquiries, complaints, or concerns regarding various TulareWORKs services, including CalWORKs (cash aid), Medi-Cal, CalFresh (formerly known as Food Stamps), and General Assistance (GA).

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Child Health & Disability Prevention (CHDP)

Regular health checkups can help your children stay healthy by revealing health problems early. When found early, diseases and other health problems are usually easier to treat, and early treatment can often prevent serious health issues later in life.

If you can't afford these checkups, the Public Health branch may be able to help. The Child Health and Disability Prevention (CHDP) program provides no-cost health checkups to children and youth from low-income families and links families to ongoing health care coverage.

Children and youth ages 21 and younger who receive Medi-Cal are eligible for the CHDP Program. Those age 19 or younger with low-to-moderate incomes may be eligible.

Related Documents & Links

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health care program for foster care children

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Child Health & Disability Prevention (CHDP)

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Child Health & Disability Prevention (CHDP) Regular health checkups can help your children stay healthy by revealing health problems early. When found early, diseases and other health problems are usually easier to treat, and early treatment can often prevent serious health issues later in life.

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CCS is a State program for children with certain diseases or health problems. Through this program, children up to 21 years old can get the health care and services they need. CCS will connect you with doctors and trained health care people who know how to care for your child with special health care needs

CCS SAR Updates

The Integrated Systems of Care Division (ISCD) has updated our process for the Service Authorization Request (SAR) adjudication process. The new process aims to streamline communications with counties and improve internal routing. To support improved SAR adjudication, ISCD has:

Updated the SAR Cover Sheet to improve internal routing of SARs

Created three new email inboxes to reduce confusion related to submission of inquiries from the counties to ISCD

Please note that the purpose of the new mailboxes is to:

Notify ISCD that additional documentation for a pending SAR has been entered to the CMS Net system

Follow-up on an expedited request

Bring to ISCD's attention any issue or concern regarding a SAR that shows a pending status after certain period of time (usually, more than 45 days)

Request review of a SAR

Request other services from ISCD

New SARs should be directed to the local County CCS office and not sent to the mailboxes listed below.

Email inboxes and the SAR Fax Sheet are as follows:

New Email Inboxes and Right Faxes

CCSPhysicianReview@dhcs.ca.gov; RightFax (916) 440-5308

This inbox will process ONLY the following SAR requests:

Cochlear Implant Surgery Requests

Out-of-State Requests

Transplant Requests (including CAR-T: Yescarta, Kymriah)

CCSExpeditedReview@dhcs.ca.gov; RightFax (916) 440-5306

This inbox will process SARs that require expedited clinician review, but are not limited to:

Bleeding Disorders: Blood Factor and Hemlibra

Cystic Fibrosis: Kalydeco, Orkambi, Symdeko, Trikafta

Duchenne Muscular Dystrophy: Exondys 51, Golodirsen, Deflazacort

Growth Disorders: Lupron, Histrelin, Triporelin

High-Risk Infants: Synagis

Hospital Discharge Needs

Metabolic Diseases: Kuvan, Palynziq, Brineura, medical foods, enteral nutrition products

Retinal Disease: Luxturna

Seizure management: Epidiolex

Spasticity management: Botulinum Toxin

Spinal Muscular Atrophy: Spinraza, Zolgensma

Upcoming Surgery including Selective Dorsal Rhizotomy

This inbox will process all other requests that require ISCD action, including, but not limited to:

Annual Medical Reviews (AMRs)

Diabetic Supplies, Pumps, Monitoring Devices

Durable Medical Equipment

Genetic Testing

Inter-County Transfers

Medical Eligibility Determination

Whole Child Model Counties

CMIPS III Counties

Medical Therapy Program

Neonatal Intensive Care Unit

Off-label or investigational services

Previous Decision Reconsiderations

Request for ISCD Second Opinion

SARs submitted more than 45 days ago

Any requests that are not routed as outlined above, or are submitted without the SAR Cover sheet, will be returned to the requesting county for correction.
Please send any referrals or applications to the LOCAL COUNTY CCS OFFICE for processing.

Providers are encouraged to continue to work with the local county CCS office for SAR processing.

These mailboxes are primarily for communication between the county CCS offices and ISCD.

SAR inquiries received directly from providers may be returned and deferred to the county. ​

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CCS is a State program for children with certain diseases or health problems. Through this program, children up to 21 years old can get the health care and services they need.

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Wondering how to sign up for Medicare now that you are almost 65? Confused about all the different parts to Medicare-do you need A, B, C, D? Have questions on prescription drug coverage, co-pays, or eligibility rules? Need help filing an appeal or challenging a denial? Considering long-term care insurance? Are you looking for rewarding volunteer work?
HICAP (Health Insurance Counseling and Advocacy Program) has answers to these and many other questions! Our counselors are trained in Medi-Cal and Medicare and can help you navigate the complex insurance options to find the best fit for you. HICAP services are free of charge and are available at several locations throughout Tulare and Kings Counties, including Visalia, Tulare, Porterville, Dinuba, and Hanford. You can also learn about Medicare or Medi-Cal by attending one of the many community presentations or conferences conducted by HICAP counselors.

To contact a HICAP counselor, or to request that HICAP make a presentation at your organization, conference, or place of business, please call: 1-800-434-0222. Alternatively, you may email us your questions at ktaaa@tularecounty.ca.gov.

"This project was supported, in whole or in part, by grant number(s) 2101CAMISH, 2101CAMIAA, 2101CAMIDR, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy"

This project is funded in part through a grant from the California Department of Aging, as allocated by the Kings/Tulare Area Agency on Aging.

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Wondering how to sign up for Medicare now that you are almost 65? Confused about all the different parts to Medicare-do you need A, B, C, D? Have questions on prescription drug coverage, co-pays, or eligibility rules? Need help filing an appeal or challenging a denial? Considering long-term care insurance?

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Quick Reference cheat sheet - Tulare County

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Veterans Services Office (VSO)

The Veterans Services office is dedicated to serving Tulare County veterans and their families. Many veterans are unaware of the services and benefits they could be receiving, and others need help to understand the paperwork required to file claims. We can make the process of obtaining benefits easier for you.

If you're applying for veterans benefit programs, we can:

Verify your eligibility and help you complete the necessary paperwork

Prepare, submit, and monitor the progress of your claim

Help you understand and respond to correspondence from the Department of Veterans Affairs (VA)

Get answers to questions about the laws and regulations that apply to veterans benefits

Help you through the appeal process if you've been denied benefits

Provide information and assistance on health care options, home loans, life insurance, and rehabilitation programs

Make home visits when veterans or their dependents or survivors cannot come to the office because of a disability.

If you are a veteran, a veteran's spouse, or other family member, call the Veterans Services Office for assistance with applying for the benefits you deserve.

Related Documents & Links

California Fee Waiver Program

Click here for resources on the California Fee Waiver Program.

Veterans Corner Archive

Click on the links below to read informative articles written by the Tulare County Veterans Services Officer. These articles contain valuable information on the many programs and services available to U.S. military veterans.

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Veterans Services Office (VSO) The Veterans Services office is dedicated to serving Tulare County veterans and their families. Many veterans are unaware of the services and benefits they could be receiving, and others need help to understand the paperwork required to file claims. We can make the process of obtaining benefits easier for you.

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This new law expands and extends eligibility for care and benefits for Veterans and survivors related to toxic exposures.

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SSI Advocacy

The SSI Advocacy program is a specialized program that assists disabled clients who have a physical and/or mental health condition(s) expected to last 12 months or more, and that prevents the client from engaging in substantial, gainful employment.

Self-sufficiency counselors assist disabled clients through the process of applying for Social Security and/or the appeal process, with the ultimate goal of obtaining an SSI/SSDI approval for clients.

Related Documents & Links

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SSI Advocacy The SSI Advocacy program is a specialized program that assists disabled clients who have a physical and/or mental health condition(s) expected to last 12 months or more, and that prevents the client from engaging in substantial, gainful employment.

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The General Assistance or General Relief (GA/GR) Program is designed to provide relief and support to indigent adults who are not supported by their own means, other public funds, or assistance programs. Each county's GA/GR program is established and funded (100 percent) by its own Board of Supervisors. As the state is not involved in this program, benefits, payment levels, and eligibility requirements will vary among each of California's 58 counties. For further information or to apply for the GA/GR Program, contact your county social services agency.

Many recipients of GA/GR are also eligible to participate in the CalFresh Program. The CalFresh Program is designed to raise the level of nutrition among low-income households. You can find additional information on the CalFresh Program here. To apply for GA/GR and/or CalFresh benefits, contact your county social services agency.

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The General Assistance or General Relief (GA/GR) Program is designed to provide relief and support to indigent adults who are not supported by their own means, other public funds, or assistance programs. Each county's GA/GR program is established and funded (100 percent) by its own Board of Supervisors.

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CAPI is a 100 percent state-funded program designed to provide monthly cash benefits to aged, blind, or disabled non-citizens who are ineligible for SSI/SSP solely due to their immigration status. The Welfare Reform Act of 1996 (P.L. 104-193) eliminated Supplemental Security Income/State Supplementary Payment (SSI/SSP) eligibility for most non-citizens. As a result, most immigrants who were not receiving SSI/SSP in August 1996 are no longer eligible for SSI/SSP.

To be eligible for CAPI you must:

1. Be ineligible for SSI/SSP solely due to immigration status,

2. Be aged, blind, or disabled,

3. Be a resident of California,

4. Have resources below the allowable limits of $2,000 for an individual or $3,000 for a couple,

5. Have income that is less than the CAPI payment standards, and

6. Be a non-citizen and meet the immigration status criteria (See Manual of Policies and Procedures (MPP) Section 49.020 "Immigration Status")

State regulations governing CAPI are found in Manual of Policies and Procedures, Division 49.

How CAPI Works

You can complete the CAPI application (SOC 814) by calling your local county social services office. You may also complete the application and deliver it to your local county social services office in person, by mail, fax, or email.

A county eligibility worker will be assigned to your case, and you may be asked to provide additional information including (but not limited to) immigration documents, a rental agreement, and bank statements.

You have the right to ask for extra help with completing your application or with any other matter related to your CAPI case. If you are not sure what kind of help is available, just ask your county eligibility worker.

You will be notified by mail if your CAPI application has been approved or denied, or if more information is needed for the county to make an eligibility determination.

CAPI benefit amounts vary depending on your marital status, living arrangement, and income. CAPI payment standards are equivalent to the payment standards for SSI/SSP.

If approved, you will be asked to complete a redetermination of your CAPI benefits every 12 months or if any changes occur such as if you move, your income changes, or if new people join your household. It is very important to report all changes to your local county social services office within 10 days.

If you disagree with the county's decision regarding your eligibility for CAPI or the benefit amount, you will be provided with instructions on how to file an appeal.

How to Apply:

You may apply by completing an application (SOC 814) in person, by phone, email, fax, or mail at your county social services agency. If you wish to find out more about CAPI, please contact your county social services agency.

Golden State Grant (GSG) Payments

Recent California legislation authorized a one-time payment of $600 to CAPI recipients to provide relief from hardship due to the COVID-19 pandemic. Payments will be automatically mailed out based on zip code. Recipients can expect to receive their payment based on the following schedule:

For general information about the GSG payments, refer to the CAPI GSG FAQs; CAPI GSG FAQs Spanish. For any additional questions, please contact: 1 (866) 312-3100.
Please Note: Due to new guidance issued by the federal government, this payment will not be counted toward the CAPI resource limit of $2,000 for an individual and $3,000 for a couple.

For information regarding the GSG for CalWORKS families and Supplemental Security Income/State Supplementary Payment (SSI/SSP) recipients, visit the links below.

Also enacted as part of the same legislation is the Golden State Stimulus. For information regarding the Golden State Stimulus Payment, visit the link below.

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CAPI is a 100 percent state-funded program designed to provide monthly cash benefits to aged, blind, or disabled non-citizens who are ineligible for SSI/SSP solely due to their immigration status. The Welfare Reform Act of 1996 (P.L. 104-193) eliminated Supplemental Security Income/State Supplementary Payment (SSI/SSP) eligibility for most non-citizens.