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Información de Seguro de Salud del Consumidor

Use this link to access the reference guide for consumers seeking to raise concerns about the quality of their care whether the problem is caused by a provider, plan or facility. Translation: Español/Spanish.  

This is a sample letter consumers can use when they go to a Medi-Cal provider for a Medi-Cal covered service and are incorrectly billed for the service.

This consumer brochure explains a Medi-Cal Share of Cost and how you can "meet your share of cost."

This consumer brochure addresses how to access care through your Medi-Cal managed care plan and your rights if you are not getting the health care you need.

This HCA factsheet address the Early and Periodic Screening, Diagnostic, and Treatment (ESPDT) program and how children access EPSDT services. The fact sheet also addresses other Medi-Cal programs that provide special services to children under 21.

In an updated series of fact sheets called Protect Medicaid Funding, NHeLP provides succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of low-income individuals who depend on the Medicaid guarantee every year.

Has Medi-Cal told you No?  You have options! Use the link above to access a valuable resource presented by the Health Consumer Alliance and learn how to make them say Yes!

The National Health Law Program's (NHeLP) experts cover a number of issues impacting access to and the quality of care for low-income and underserved people and families. This issue brief analyzes the legal requirements that require County Medical Health Plans (MHPs) to ensure Medi-Cal beneficiaries’ access to Specialty Mental Health Services (SMHS) and maintain adequate provider networks. It also discusses the different types of enforcement and monitoring tools to hold MHPs accountable.

Western Center’s Getting and Keeping Health Care Coverage for Low-Income Californians: A Guide for Advocates provides California advocates with the relevant statutes, regulations, and guidance needed to help their clients access health care coverage.

California is making major changes to the delivery of Medi-Cal services over the next two years. NHeLP has created a fact sheet briefly outlining some of these upcoming changes to Medi-Cal services in 2023-2024 and discusses important consumer protections that are designed to ensure that beneficiaries maintain access to needed care during these major programmatic transitions. (Jun. 2023)