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California Department of Healthcare Services

Figure of two people holding a babyPrimary, Rural, and Indian Health

The mission of the Primary, Rural, and Indian Health (PRIH) Division is to improve the health status of special, targeted population groups living in medically underserved urban and rural areas of California. The principal objective of the PRIH Division is to improve and make more accessible comprehensive primary and preventive health care services and other public health services for at-risk persons, including the medically uninsured or indigent, and those who would otherwise have either limited or no access to services due to cultural or language barriers. 

Letters of Support for Affordable Care Act New Access Points (NAP) Grants
funded by Health Resources and Services Administration (HRSA), Bureau of Primary Health Care

State Medicaid Letters of Support (LOS): Request for a State Medicaid LOS should be accompanied by a Project Abstract and Project Narrative. Requests will be reviewed on a flow basis. Applicants should allow sufficient time for review. Submit all requests via email to

Note: NAP grant applications are due to be submitted to HRSA August 20, 2014

Primary, Rural, and Indian Health Programs