Know Your Rights: Consumer Health Coverage Info

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Fact Sheet Web Page
CA State D-SNP Fact Sheet 2024
As part of Justice In Aging's recently launched project to build capacity and educate advocates about dual populations in Dual Eligible Special Needs Plans or D-SNPs, this fact sheet provides an overview of California's D-SNP landscape, including the number and characteristics of people who are dually eligible in the state. To review other state's D-SNP profiles, please visit Justice In Aging's D-SNP Data Landscape page . The Health Consumer Alliance (HCA) services the Medicare Medi-Cal Ombudsman Program (MMOP) - which provides support to dual eligible members of Medi-Medi plans, DSNPs, and PACE programs, helping these consumers to overcome barriers to accessing needed health care benefits and services.
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Fact Sheet
May is Mental Health Awareness Month
Mental Health Awareness Month is an important initiative that helps people understand how mental illness affects their lives. By promoting recognition, education, and open conversations, this month plays a crucial role in reducing the stigma associated with mental health conditions and creating a supportive environment for those in need. Make sure to use these mental health resources to fully understand your rights and access the support available to you.  
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Fact Sheet
Continuity of Care in Medi-Cal Managed Care (Updated 2023)
Continuity of Care (“COC”) is critical to Medi-Cal beneficiaries in a variety of circumstances. There are a number of laws and policies that govern COC for Medi-Cal beneficiaries, depending on the situation. This fact sheet provides an overview of the laws and regulations that require COC for Medi-Cal beneficiaries.
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Fact Sheet
DHCS Cultural Competency and Gender Affirming Care postcard
DHCS partnered with HCA to create a content-rich postcard that provides information and resources to support plan, provider, and stakeholder efforts to serve the needs of the LGBTQIA+ community and provide gender-affirming care. The postcard serves as a valuable resource for those seeking to improve the quality of care provided to this marginalized community and to ensure that they receive the best possible healthcare services.
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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.
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Fact Sheet
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.
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Advocate Brief
Grievances & Appeals in Covered CA
Managed Care in CA #5: Covered California members have the right to a notice when their plan denies access to a service, and there are many ways to challenge the plan’s decision through a grievance or appeal.
Mr. Jackson
@mrjackson
HCA