Disclaimer: These materials are based on the law at the time we write them. We try to update our materials; however, laws are regularly changing. If you want to make sure the law has not changed, contact us or another legal source.
This pub tells you about appealing a decision by or raising other matters with a Medi-Cal managed health care plan. First talk to your provider or call your plan’s customer service number. If that does not work, this pub tells you about other options. It tells you about using a grievance, filing an appeal or asking the Department of Managed Health Care for help.
Most Californians who get Medi-Cal are in managed care through a Medi-Cal health plan. Health plans are also called managed care organizations or health maintenance organizations.
This publication provides information about California programs that help people with disabilities, including children and seniors, who receive Medi-Cal stay in their home or return home from long-term care facilities like hospitals, nursing homes, and other medical facilities.