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Medi-Cal Managed Care and Mental Health Office of the Ombudsman - 211 San Joaquin | Get Connected. Get Help.

Medi-Cal Managed Care and Mental Health Office of the Ombudsman

Agency: CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS)

  • Description: Helps solve problems from a neutral standpoint to ensure that members receive all medically necessary covered services for which plans are contractually responsible.

    The Mental Health Ombudsman is designed to create a bridge between the Mental Health Plan system and individuals, family members and friends of individuals, in need of mental health services by providing information and assistance in navigating through the system.

    The Office of the Ombudsman:
    • Serves as an objective resource to resolve issues between Medi-Cal managed care members and managed care health plans.
    • Helps members with urgent enrollment and disenrollment problems.
    • Offers information and referrals.
    • Identifies ways to improve the effectiveness of the Medi-Cal managed care program.
    • Educates members on how to effectively navigate through the Medi-Cal managed care system.
    • Help you find information in order to access appropriate mental health services 
    • Connect you with the right person/department to help you resolve a problem 
    • Connect you with local resources in your county who can help you
    • Connect you with patient’s rights services
    For more information, visit Medi-Cal Managed Care and Mental Health Office of the Ombudsman

    • Phone:

    Email: MMCDOmbudsmanOffice@dhcs.ca.gov
    Website: https://www.dhcs.ca.gov/services/medi-cal/Pages/MMCDOfficeoftheOmbudsman.aspx

    Program Hours

  • Hours: Mon: 8am - 5pm; Tue: 8am - 5pm; Wed: 8am - 5pm; Thu: 8am - 5pm; Fri: 8am - 5pm;

    • Location(s)

    Program Delivery

    • Eligibility: Open to all
    • Languages: Other languages available through the language line, English, Spanish
    • Application Process: Telephone call or email
    • Program Fees: Free
    • Required Documents: Call for information or check website at www.dhcs.ca.gov/services/medi-cal/Pages/MMCDOfficeoftheOmbudsman.aspx

      • Service Area

    • Defined Coverage Area: N/A