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

Fact Sheet

Beware the Failure to Reconcile

Covered California has identified around 50,000 cases that are in danger of losing their premium assistance because they failed to reconcile the amount of premium assistance they received with their actual income in the 2017 tax year. Read on to learn more.

Fact Sheet

What’s the Department of Fair Employment & Housing Got to Do with Health Care Discrimination?

You can now report discrimination at a health facility to California’s Department of Fair Employment & Housing (DFEH). DFEH’s complaint process is a bit different than an administrative fair hearing conducted by the Department of Social Services. Read on to learn more.

Fact Sheet

Medi-Cal and Court-Ordered Other Health Coverage (OHC)

Starting June 1, 2019, Medi-Cal beneficiaries with court-ordered OHC should face no obstacles in accessing Medi-Cal services. Read on to learn more.

Fact Sheet

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.

Fact Sheet

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.

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.

Consumer Brochure Fact Sheet

How to Address Quality of Care Concerns?

Use the link above 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. Additional contacts for raising concerns may be found here. 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

Medi-Cal Coverage of Transportation Services

This fact sheet addresses the forms of transportation available to Medi-Cal beneficiaries: emergency medical transportation, non-emergency medical transportation and nonmedical transportation. This fact sheet also addresses how consumers should go about accessing these transportation benefits.

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

Updated: Medi-Cal Managed Care & Network Adequacy

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.

Advocate Brief

The Pickle Program

The Pickle Amendment, legislated in 1977 (42 U.S.C. § 1396a), designated a separate category of medical eligibility. An individual may be deemed a Supplemental Security Insurance (S.S.I.) recipient if certain conditions are met. Please use the link above for an in-depth outline of this important legislation.

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.

Fact Sheet

Department of Health Care Services DACA FAQ

This Department of Health Care Services factsheet outlines existing Medi-Cal coverage for individuals with DACA status (Deferred Action for Childhood Arrivals).

Consumer Brochure

County Contacts for Fee for Service (FFS) Non-Medical Transportation (NMT) Requests

This roster should be used to request fee for service (FFS) non-medical transportation (NMT) for Medi-Cal beneficiaries. Non-Medical Transportation (NMT) is defined as transportation provided by ordinary forms of conveyance including passenger car, taxicab, or any other form of public or private transportation, including private vehicles.

Know Your Rights: Consumer Health Coverage Info

Fact Sheet

Beware the Failure to Reconcile

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Search HCA's Consumer Health Insurance Info

Fact Sheet

What’s the Department of Fair Employment & Housing Got to Do with Health Care Discrimination?

Fact Sheet

Medi-Cal and Court-Ordered Other Health Coverage (OHC)

Fact Sheet

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

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

Medi-Cal Coverage of Transportation Services

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

Updated: Medi-Cal Managed Care & Network Adequacy

Advocate Brief

Internal and External Review in Medi-Cal Managed Care Plans

Consumer Brochure

Sample Letter to a Medi-Cal Provider About a Bill

Advocate Brief

The Pickle Program

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

Fact Sheet

Department of Health Care Services DACA FAQ

Consumer Brochure

County Contacts for Fee for Service (FFS) Non-Medical Transportation (NMT) Requests