Medi Cal Contact Info

 

Email Addresses & Phone #'s: 

Email  [email protected]  regarding general Medi-Cal eligibility.  If the question contains specific details  the county or the  district office that handles your case must  answer. 

Medi-Cal Member & Provider helpline, at (800) 541-5555.

1-844-253-0883

Email: [email protected] 

Ombudsman

Phone: 1-888-452-8609 

Email:   [email protected] 

The Office of Ombudsman cannot approve/terminate/reinstate Medi-Cal eligibility; alter aid codes, change/update addresses, change/update name or initiate inter-county transfers.

[email protected]   Ms. Leslie Benson 

Complex Questions Assistance

Call Disability Rights California at 1-800-776-5746.

Covered CA Facebook Page https://www.facebook.com/CoveredCA/

Medi-Cal for All Children program 

[email protected]

 

Medi Cal - County Office Lookup

County Offices

Appeal & Hearing Rights

Health Care Services and Benefits

You have the right to ask for an appeal if you disagree with the denial of a health care service or benefit.

If you are in a Medi-Cal managed care plan and you get a Notice of Action letter telling you that a health care service or benefit is denied, you have the right to ask for an appeal.

You must file an appeal with your plan within 60 days of the date on the Notice of Action. After you file your appeal, the plan will send you a decision within 30 days. If you do not get a decision within 30 days or are not happy with the plan’s decision, you can then ask for a State Fair Hearing. A judge will review your case.  You must first file an appeal with your plan before you can ask for a State Fair Hearing. You must ask for a State Fair Hearing within 120 days of the date of the plan’s written appeal decision.

If you are in Fee-for-Service Medi-Cal and you get a Notice of Action letter telling you that a health service or benefit has been denied, you have the right to ask for a State Fair Hearing right away. You must ask for a State Fair Hearing within 90 days of the date on the Notice of Action.

You also have the right to ask for a State Fair Hearing if you disagree with what is happening with your Medi-Cal application or eligibility. This can be when:

• You do not agree with a county or State action on your Medi-Cal application
• The county does not give you a decision about your Medi-Cal application within 45 or 90 days
• Your Medi-Cal eligibility or Share of Cost changes Eligibility Decisions

If you get a Notice of Action letter telling you about an eligibility decision that you disagree with, you can talk to your county eligibility worker and/or ask for a State Fair Hearing. If you cannot solve your disagreement through the county, you must request a State Fair
Hearing within 90 days of the date on the Notice of Action. You can ask for a State Fair Hearing by contacting your local county office. You can also call or write to:

California Department of Social Services
Public Inquiry and Response
PO Box 944243, M.S. 9-17-37
Sacramento, CA 94244-2430
1-800-743-8525, (TTY 1-800-952-8349)

You can also file a hearing request online at:

https://www.cdss.ca.gov/hearing-requests 

If you believe you have been unlawfully discriminated against on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation, you can make a complaint to the DHCS Office of Civil Rights.

You can learn how to make a discrimination complaint in “Federally Required Notice Informing Individuals About Nondiscrimination and Accessibility Requirements” on page 21.

About State Fair Hearings

The State will tell you it got your hearing request. You will get a notice of the time, date and place of your hearing. A hearing representative will review your case and try to resolve your issue. If the county/State offers you an agreement to solve your issue, you will get it in writing.

You can give permission in writing for a friend, family member or advocate to help you at the hearing. If you cannot fully solve your issue with the county or State, you or your representative must attend the State Fair Hearing. Your hearing can be in person or by phone. A judge who does not work for the county or Medi-Cal program will hear your case.

You have the right to free language help. List your language on your hearing request. Or tell the hearing representative you would like a free interpreter. You cannot use family or friends to interpret for you at the hearing.

If you have a disability and need reasonable accommodations to fully take part in the Fair Hearing process, you may call 1-800-743-8525 (TTY 1-800-952-8349).

You can also send an email to To get help with your hearing, you can ask for a legal aid referral. You may get free legal help at your local
legal aid or welfare rights office MyMedi-Cal Pamphlet *

 

See also our webpage on appeals & grievances,  Medicare Appeals & grievances.

 

Insurance Agents pretty much can't help you with Medi Cal

Excerpt of email from DHCA

Thank you for contacting the Department of Health Care Services (DHCS).

We are prohibited by law from sharing Protected Health Information (PHI), and Personal Confidential Information (PCI).

Please refer the consumer to the Medi-Cal Now In-Box at [email protected] and we will be happy to assist them with any Medi-Cal issues they may have.

Protected Health Information (PHI) is individually identifiable health information that describes the past, present, or future physical or mental health or the condition of an individual. PHI includes information about the health care services an individual has received or will receive and information about payment for health care services provided in the past, present, or future. Personal confidential information (PCI) is information that is not public which identifies or describes an individual including names, home addresses, home telephone numbers, Social Security Numbers, medical or employment histories, personnel records, licensing records or workers’ compensation. Thank you for allowing DHCS to serve you.  Email dated 6.5.2017  10:43 AM   

Try Covered CA's Facebook Page https://www.facebook.com/CoveredCA/

 

Enroll in Medi-Cal?

 

Use C 4 yourself.com    or My Benefits cal.com - Cal Win? based on the County you live in

E-Benefits CA Website this site connects you to applications for Medi-Cal, County Medical Services Program (CMSP), CalFresh (formerly known as Food Stamps) and California Work Opportunity and Responsibility to Kids (CalWORKs) benefits in California.

Plus these programs -

County Medical Services Program (CMSP),

CalFresh (formerly known as Food Stamps) and

California Work Opportunity and Responsibility to Kids (CalWORKs)  or check their other website

C for yourself Website

Alpine  

Amador  

Butte  

Calaveras  

Colusa   

Del Norte  

El Dorado  

Glenn  

Humboldt  

Imperial  

Inyo  

Kern  

Kings  

Lake  

Lassen

Madera  

Marin  

Mariposa  

Mendocino  

Merced  

Modoc  

Mono  

Monterey 

Napa  

Nevada  

Plumas  

Riverside  

San Benito  

San Bernardino  

San Joaquin 

Shasta  

Sierra  

Siskiyou  

Stanislaus  

Sutter  

Tehama  

Trinity 

Tuolumne  

Yuba

NOT C 4 yourself
My --  Benefits.com - Cal Win

alameda social services.org 

Then find the webpage that you need

Contra Costa

Fresno

Los Angeles

Orange

Apply during business hours Monday – Friday 7:00 am – 5:00 pm at 1-800-281-9799

Placer

Sacramento

San Diego

San Diego County Website 
How to Apply for Medical

 

San Francisco

San Luis Obispo

San Mateo

Santa Barbara

Santa Clara

Santa Cruz

Solano

Sonoma

Tulare

Ventura

Yolo

Cal Win

Promotional Video

How to Video

 

Enroll ONLINE   my benefits calwin.org
My Benefits CalWIN Icon

Cash Aid

Food Assistance

Medical Services

Required Reporting

Cooking & Nutrition

Job Skills

You Tube Channel Videos

 

 

Dental for Everyone

For your friends & family that don't have Denti-Cal

Dental for Everyone

Dental For Everyone, has an excellent  website with full brochures, online quoting and enrollment

 

 

Call Blue Cross Direct - They don't pay me to help you with Medi-Cal
Call Blue Cross Direct - They don't pay me to help you with Medi-Cal Call Blue Cross Direct - Medi-Cal's Website - Contact Page, including secure email to ask a question

Direct Phone # for Medi Cal
866.613.3777
Direct Phone # 866.613.3777

    • If you did not receive your BIC or it is lost or stolen, you may ask for a BIC from your county social services office.

      If your BIC is stolen, you must tell your​ local police and your county social services office. You should give as much information about the theft as possible. If you are issued a new card, your old card will no longer be valid.

      Please contact your local county office.​ Source

      See above for San Diego County

      Are you in a Medi Cal HMO? Try contacting your Insurance Company for a new ID card.

  1. We’ve been trying all morning to call the county office but they don’t take calls. Do you have any suggestions?

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  1. Hello, my name is Harry M and my wife is Mary.

    we need to know HOW? she got on medi-cal as our Kaiser plan now says she has it. and we know she never applied. and if she does have it, why do we NOT have her card?

    she will not be able to get all of her med’s until this is cleared up.

    she will need them soon!
    Our home # is 510 274 xxx; her cell is 510 432 xxxx.

  2. I’m 75 and my wife is 93. We both have health problems and dementia.

    We need Medi-cal to help us pay for Health bills.

    Our income is about $22 k.

    Please email because I don’t hear well.

    I need to have an appointment with a person for help on paper work.. They gave me a worker named S. Ancheta and I can’ t get her on the phone. Have her email me

    I cant deal with all the phone recordings. Our land line is xxxx ask for AL Rodes.

    My wife gets confused.

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If a person has individual PPO with no deductible, are copay pharmacy benefits covered in entirety with Medi Cal that is not share of cost form (but rather below poverty).

If a medication is 15 dollar PPO copay, for instance, does medi cal cover that entire 15?

How does insurance know that it is covering pharmacy with Medi Cal.

Is it solely pharmacy that must bill correctly?

 

Too much Income for Medi-Cal?

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