Home | Medi-Cal Managed Care Health Care Options The mission of the California Department of Health Care Services (DHCS) is to provide Californians with access to affordable, integrated, high-quality health care [Read more ]
CA HCO Online Enrollment Portal - California Login To login, you must answer at least 3 of the questions below If Last Name, Date of Birth, and Client Identification Number (CIN) are entered, the Social Security Number (SSN) is not required
CA HCO Online Enrollment Portal Los Angeles Fires: Go to ca gov LAfires for wildfire tips and latest information Get more info
Request for Temporary Medical Exemption from Plan Enrollment Form You and your doctor will get a copy of the denial letter You may appeal the denial Information on how to appeal will be in the denial letter Your new Medi-Cal plan will know about the denial and will try to arrange for you to see your Regular Medi-Cal doctor (over) HCO 7101 MA_0004048_ENG1_0715 Instructions Continued:
Medi-Cal Choice Form for Los Angeles County - California Mail form back to: California Department of Health Care Services P O Box 989009 • W Sacramento, CA 95798-9850 Use this form to join or change plans For help, call 1-800-430-4263 Please print Fill in the ovals to indicate your choice
MU_0005206_ENG_1123 - healthcareoptions. dhcs. ca. gov Medi-Cal Choice Form Instructions These instructions will help you fill out the Medi-Cal Choice Form on the next page For help filling out the form, call Medi-Cal Health Care Options (HCO) at 1-800-430-4263 Please print clearly, using blue or black ink only Write in block letters, and completely fill in all areas to indicate your choice
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How to Fill Out the Medi-Cal Choice Form - California How to Fill Out the Medi-Cal Choice Form Use the MEDI-CAL CHOICE FORM(S) in this packet to join a health plan or to choose Regular Medi-Cal (Fee-For-Service) Benefits will not change for voluntary beneficiaries who remain in Regular Medi-Cal (Fee-For-Service) Fill out one form for each family member You can get more forms by calling Health Care Options at 1-800-430-4263