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CMAA tau dhau los ua qhov kev pab cuam Medi-Cal thaum Lub Ib Hlis 1, 1995 raws li  Welfare and Institutions (W&I) Code § 14132.47 . Lub Chaw Saib Xyuas Kev Lag Luam Hauv Zos (LGAs) thiab koom nrog CMAA qhov kev pab cuam tsim nyog tau txais cov nyiaj them rov qab los ntawm tsoomfwv rau tus nqi ntawm kev ua haujlwm tswj hwm uas ncaj qha txhawb kev siv zog los txheeb xyuas thiab tso npe cov neeg muaj peev xwm tsim nyog rau hauv Medi-Cal. Los ntawm txoj haujlwm CMAA, DHCS thiab cov koom haum hauv nroog ib leeg txhawb kev nkag mus rau kev saib xyuas kev noj qab haus huv rau cov neeg siv khoom hauv lub nroog pej xeem kev noj qab haus huv, txo cov nqi kho mob thiab kev xav tau kev noj qab haus huv mus sij hawm ntev rau cov neeg muaj kev pheej hmoo, thiab koom tes nrog cov neeg siv khoom xav tau kev kho mob nrog lwm tus kws kho mob. CMAA cov dej num suav nrog, tab sis tsis txwv rau, ua Medi-Cal kev nthuav qhia, ua kom yooj yim rau kev txiav txim siab txog kev tsim nyog Medi-Cal, Medi-Cal phiaj xwm phiaj xwm, thiab kev tswj hwm kev cog lus Medi-Cal.​​ 

A “claiming unit” is defined as a part of an LGA, such as a public agency, or is a private Community Based Organization (CBO) contracted by an LGA to perform CMAA activities. Reimbursements are based on certified public expenditures for CMAA activities as disclosed in the claiming units’ quarterly invoice. Each LGA determines the number of claiming units participating in the CMAA program.​​