SLO COUNTY HEALTH ACCESS
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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: cencalhealth.org/members/file-complaint or you can call Member Services at (877) 814-1861.

CenCal Health can also be contacted for customer service questions at:
​
cencalhealth.org/contact-us Keep in mind that CenCal Health plans do not include dental or specialty mental health.

If the issue cannot be resolved locally:
  • Health Consumer Alliance: http://healthconsumer.org/
  • Medi-Cal Managed Care Office of the Ombudsman: http://www.dhcs.ca.gov/services/medi-cal/Pages/MMCDOfficeoftheOmbudsman.aspx.

Need Advocacy Help?

Contact an advocate or staff member at a Family Resource Center for support with non-medical needs such as food, clothing, shelter, parent education and navigating social services. A full listing of Family Resource Centers in San Luis Obispo County can be found here: 
​
https://sloparents.org/slo-frc-directory/​

Medi-Cal Dental Program Advocacy

Children's dental access issues?  Call the SLO County Oral Health Program at (805) 781-5503 for help obtaining dental services for children.

For general assistance with Medi-Cal Dental Program coverage or complaints about providers:
dental.dhcs.ca.gov

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 and Medi-Cal Dental Program 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

Covered California Advocacy

For help with Covered California issues, contact:
Local
  • The insurance agent who sold the policy
Statewide
  • The health insurance plan: Anthem Blue Cross or Blue Shield
  • Health Consumer Alliance, which is contracted by Covered California and the Department of Managed Health Care to assist consumers.
  • Home
    • About
    • Contact Us
  • Insurance
    • Medi-Cal
    • Covered CA
    • No Insurance
    • Enrollment Assistance
    • Advocacy
  • Health Care Services
    • Medical
    • Dental
    • Medications
    • Behavioral Health
    • Parental Substance Use
    • Transportation
    • Special Needs
    • Prenatal and Postpartum Care
  • Practical Support
    • Immigration
    • Basic Needs
    • Child Development
    • Caregiver Affidavit