Public Library Items Archive - Page 3 of 4 - Health Consumer Alliance (HCA)

Counting Census (and Other Temporary) Income for Medi-Cal Eligibility

Hiring temporary workers for the 2020 Census has already begun. Read on for details on helpful income-counting rules for census income, which also apply to both MAGI and Non-MAGI Medi-Cal programs.

Accessing Health Care After Surviving a Disaster

After disasters in California, survivors may need extra assistance to access health care. Read on for
special rights and remedies available to survivors who need assistance.

NHeLP’s Protect Medicaid Funding Series

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.

Consumer Brochure Fact Sheet

How to Address Quality of Care Concerns?

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.

Fact Sheet

Monitoring Plan’s Provision of Mental Health services to Medi-Cal Beneficiaries

This is an advocate fact sheet that discusses monitoring plan provisions of mental health services to Medi-Cal beneficiaries.

Advocate Brief Fact Sheet Web Page

Internal Grievances and External Review for Service Denials in Covered California Plans

Federal and state law and the Constitution ensure that enrollees in publicly-funded health care plans receive notice, grievance and appeal rights when they are denied access to medical services. Enrollees in Covered California plans have the right to a notice when their plan denies access to a service and have several avenues to contest the plan’s decision through a grievance or appeal. Frequently, however, enrollees fail to receive the required notice, get an inadequate notice, or do not understand their right to appeal the plan’s decision. This fact sheet will describe the legal protections available to consumers in California and how to enforce these rights.

Consumer Brochure

What Can I Do if I Get a Medical Bill? (with translations)

This consumer brochure discusses what a consumer can do if they get a medical bill and do not have health insurance. Translations: English: What can I do if I get a Medical Bill? Arabic: أن أفعله ماذا يمكنني إذا وصلتني فاتـورة طبــية؟ Armenian: ماذا يمكنني أن أفعله إذا وصلتني فاتـورة طبــية؟ Cambodian/Khmer: តើខ្ញុំគួរធ្វើបែបណា បើខ្ញុំទទួលបាន វិក័យប័ត្រពេទ្យ? Korean: 의료청구서를 받으면 어떻게 해야 하나요? Russian: Что делать, если я получил счет за медицинские услуги? Simplified Chinese/Cantonese: 如果我收到医疗费账单该怎么办? Tagalog: Ano Ang Maari Kong Gawin Kung Makatanggap Ako Ng Singil sa Medikal? Traditional Chinese/Mandarin: 如果我收到醫療費帳單該怎麼辦? Vietnamese: Tôi có thể làm gì nếu tôi nhận được hóa đơn y tế?

Advocate Brief

Managed Care in California Series: Network Adequacy Rules for Medi-Cal Managed Care Plans

The updated federal Medicaid regulations require states to develop and publish network adequacy standards, including specific time and distance, for certain types of providers, effective July 1, 2018.

Advocate Brief

Internal and External Review in Medi-Cal Managed Care Plans

Consumer Brochure

Sample Letter to a Medi-Cal Provider About a Bill

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.

Consumer Brochure

Medi-Cal Share of Cost

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

Fact Sheet

Cómo satisfacer su costo compartido (Share of Cost Spanish Version)

Su costo compartido es la cantidad de dinero que debe pagar u obligarse a pagar cada mes por los productos y servicios médicos antes de que Medi-Cal empiece a pagar.

Fact Sheet

HCA EPSDT Fact Sheet

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.

Consumer Brochure

Medi-Cal and Managed Care

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.

Consumer Brochure Fact Sheet

DMHC: facturas médicas inesperadas

Acceda a valiosos recursos proporcionados por el DMHC para navegar por facturas médicas sorpresa y comprender sus derechos y opciones. Obtenga la información que necesita para protegerse de gastos de atención médica inesperados.

Consumer Brochure

What if Medi-Cal says no?

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!

Advocate Brief

Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights

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.

Conoce tus derechos: Información de Seguro de Salud del Consumidor

Fact Sheet

Counting Census (and Other Temporary) Income for Medi-Cal Eligibility

Join Our Mailing List

Buscar información de seguro de salud en la base de datos de HCA

Fact Sheet

Accessing Health Care After Surviving a Disaster

Fact Sheet

NHeLP’s Protect Medicaid Funding Series

Consumer Brochure Fact Sheet

How to Address Quality of Care Concerns?

Fact Sheet

Monitoring Plan’s Provision of Mental Health services to Medi-Cal Beneficiaries

Advocate Brief Fact Sheet Web Page

Internal Grievances and External Review for Service Denials in Covered California Plans

Consumer Brochure

What Can I Do if I Get a Medical Bill? (with translations)

Advocate Brief

Managed Care in California Series: Network Adequacy Rules for Medi-Cal Managed Care Plans

Advocate Brief

Internal and External Review in Medi-Cal Managed Care Plans

Consumer Brochure

Sample Letter to a Medi-Cal Provider About a Bill

Consumer Brochure

Medi-Cal Share of Cost

Fact Sheet

Cómo satisfacer su costo compartido (Share of Cost Spanish Version)

Fact Sheet

HCA EPSDT Fact Sheet

Consumer Brochure

Medi-Cal and Managed Care

Consumer Brochure Fact Sheet

DMHC: facturas médicas inesperadas

Consumer Brochure

What if Medi-Cal says no?

Advocate Brief

Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights

Advocate Brief

Balance Billing: What advocates can do for dual eligibles.

Advocate Brief

Advocates Guide To California’s Coordinated Care Initiative

Advocate Brief

Grievances & Appeals in Covered CA

Conoce tus derechos:
Información de Seguro de Salud del Consumidor