Advocacy

Medi-Cal Managed Care Provider Advocacy

If you or a client have had attempted to resolve an issue with a health care provider without success, a complaint form can be submitted to CenCal Health, the Medi-Cal managed care provider, at: http://www.cencalhealth.org/for_members/grievance_intro_KKen.html or you can call Member Services at (877) 814-1861.
Keep in mind that CenCal plans do not include dental or specialty mental health. CenCal can also be contacted for customer service questions at: http://www.cencalhealth.org/contact_us/index.html

For issues with the "mild to moderate mental health services" provided by CenCal Health through the Holman Group, first contact the Holman Group at (800) 321-2843. If the issue is not resolved, contact CenCal Health Member Services via an online complaint form or by calling (877) 814-1861.

Community Health Centers of the Central Coast provides many Medi-Cal medical services and will take your calls directly; you can also submit a comment form.

If the issue cannot be resolved locally:

Need Advocacy Help?

Download the Family Resource Center Directory and contact the appropriate Family Resource Center for help from an advocate or other staff member.

Family Resource Centers can help with non-medical needs too, such as food, clothing, and shelter.

Denti-Cal Advocacy

Children's dental access issues?  Contact the SLO County Oral Health Coordinator, Navid Fardanesh, at 781-5503 or nfardanesh@co.slo.ca.us for help obtaining dental services for children.

For general assistance with Denti-Cal coverage or complaints about Denti-Cal providers: http://www.denti-cal.ca.gov/WSI/Bene.jsp?fname=BeneTSC

Medi-Cal Specialty Mental Health Advocacy

For issues regarding SLO County Mental Health Services:
SLO County Mental Health Patient's Rights Advocate, (805) 781-4738.

Medi-Cal/Denti-Cal Fraud and Abuse

The Department of Health Care Services asks that anyone who observes or has knowledge of suspicious health care activity to call the DHCS Medi-Cal Fraud Hotline telephone number, 1-800-822-6222, to report it. More information at: http://www.dhcs.ca.gov/individuals/Pages/StopMedi-CalFraud.aspx

Special Needs Advocacy

Several organizations assist with advocacy around special needs issues. See the Special Needs page for links to websites.

Covered California Advocacy

For help with Covered California issues, contact:
Local
  • The insurance agent who sold the policy
Statewide