State of California Health and Human Services Agency Department of Health Services
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1 State of California Health and Human Services Agency Department of Health Services SANDRA SHEWRY Director ARNOLD SCHWARZENEGGER Governor February 10, 2006 TO: ALL COUNTY WELFARE DIRECTORS Letter No: 05-43E ALL COUNTY ADMINISTRATIVE OFFICERS ALL COUNTY MEDI-CAL PROGRAM SPECIALISTS/LIAISONS ALL COUNTY PUBLIC HEALTH DIRECTORS ALL COUNTY MENTAL HEALTH DIRECTORS SUBJECT: ERRATA TO MEDI-CAL PROGRAM REFERRAL TELEPHONE NUMBERS AND ADDRESS INFORMATION UPDATE Reference ACWDL Purpose Details This Errata is issued to correct the Medi-Cal Program Referral Telephone Numbers and Address Information list. Corrections have been made to pages 1 and 2 of the Beneficiaries referral list as follows: Page 1 The Electronic Data System (EDS) telephone line, in addition to answering calls for billing issues, responds to Medi-Cal inquiries. Under the listing for Medi-Cal General Information, the California Department of Social Services (CDSS), Public Inquiry and Response (PIAR) has been deleted and replaced with EDS, Beneficiary and HIPPA Help Desk information and telephone number. CDSS, PIAR s information is listed under State Hearings and PIAR on page 2. Note: Beneficiaries requesting general information about Medi-Cal must be referred to the EDS telephone line and not to the CDSS, PIAR telephone line Capitol Avenue, Suite , MS 4607, P.O. Box Sacramento, CA (916) Fax: (916)
2 All County Welfare Directors Letter No.: 05-43E Page 2 Page 2 Under the State Hearings and PIAR program three ways to request a state hearing are listed: 1. By Mail- CDSS, State Hearings Division P.O. Box , MS Sacramento, CA By Fax- CDSS, State Hearings Division at By Phone- Call CDSS, PIAR Bureau at: (Voice) (TDD) Required Actions Contact Please replace the previous list with the enclosed revised copy of the Medi-Cal Program Referral Telephone Number and Address Information for beneficiaries and providers. Mrs. Angelica Perez at aperez4@dhs.ca.gov or (916) for questions about this letter. Original signed by Tameron Mitchell, R.D., M.P.H., Chief Medi-Cal Eligibility Branch Attachment
3 BENEFICIARIES REFERRAL TELEPHONE NUMBERS AND ADDRESS INFORMATION Medi-Cal Eligibility Branch 1501 Capitol Avenue, Suite 4063, MS 4607 P.O. Box Sacramento, CA AIDS California AIDS Hotline P.O. Box San Francisco, CA (Hotline) (TDD) Office of Aids 1616 Capitol Avenue, Suite 616 MS-7700 P.O. Box Sacramento, CA (Main line) (Non-Medi-Cal services for persons with AIDS) BabyCal Denti-Cal Beneficiaries Services Group P.O. Box Sacramento, CA Electronic Data Systems (EDS) (Prenatal care information) (Billing inquiries) Medi-Cal (Medi-Cal inquiries & billing issues) Healthy Families (Application information) (To request an application) Medi-Cal Fraud (Statewide hotline) Medi-Cal General Information For information on Medi-Cal benefits, programs, the application process, and questions regarding county of residence refer beneficiaries to their local County Social Services Office listed in the white government pages of the telephone directory. For information regarding services provided under the Medi-Cal program, refer beneficiaries to the rendering provider. EDS Beneficiary and HIPPA Help Desk (To report beneficiary and provider fraud and patient abuse) Revised 1/30/06 1
4 BENEFICIARIES REFERRAL TELEPHONE NUMBERS AND ADDRESS INFORMATION Los Angeles County-Case Complaint, Inquiry and Referral Cross Roads Parkway South Industry, CA (Los Angeles calling area) (Main line) Medi-Cal Managed Care/Prepaid Health Plans San Diego County Public Assistance Information Health Care Options P.O. Box West Sacramento, CA (To enroll or disenroll) To file a plan specific complaint, refer beneficiaries to their specific health plan. Medical Board Central Complaint Unit MEDICARE If beneficiaries are not satisfied, and cannot resolve their complaint, refer them to the State Office of the Ombudsman. State Office of the Ombudsman MS 4412 P.O. Box Sacramento, CA Medical Board of California Central Complaint Unit Howe Avenue, Suite 54 Sacramento, CA MEDICARE ( ) Breast & Cervical Cancer Treatment Program (BCCTP) BCCTP MS 4611 P.O. Box Sacramento, CA State Hearings & PIAR California Department of Social Services State Hearings & Public Inquiry and Response (PIAR) Ways to Request a State Hearing: (Medigap & Medicare supplement information & general Medicare information) By Mail- California Department of Social Services (CDSS), State Hearings Division P.O. Box , MS Sacramento, CA By Fax- CDSS, State Hearings Division at (916) By Phone- Call CDSS, Public Inquiry and Response Bureau at: (Voice) (TDD) Revised 1/30/06 2
5 BENEFICIARIES REFERRAL TELEPHONE NUMBERS AND ADDRESS INFORMATION Supplemental Security Income (SSI), Social Security Administration (SSA) Third Party Liability Branch Recovery Section Box , MS 4720 Sacramento, CA Other Health Coverage (OHC) P. O. Box , MS 4719 Sacramento, CA COBRA Health Insurance Premium Payment Program (HIPP) P. O. Box Sacramento, CA Medicare Parts A, and B Buy-In and Medicare Part D Technical Problems P. O. Box Sacramento, CA (General information) Contact local SSA office to apply (Information line) (Main line) (Medi-Cal casualty, personal injury, probate, estate, liens, worker s compensation & overpayments) (OHC, Medi-Cal Eligibility Data System (MEDS) coding errors) (Information line) (Main line) Revised 1/30/06 3
6 PROVIDERS REFERRAL TELEPHONE NUMBER AND ADDRESS INFORMATION Medi-Cal Eligibility Branch 1501 Capitol Avenue, Suite 4063, MS 4607 Sacramento, CA County Medical Services Program (CMSP) Blue Cross Life & Health Insurance Company (Medical) Doral Dental (Dental) Vision Service Plan (Vision) MedImpact Healthcare Systems, Inc (Prescription Drug Services) Medical Benefit Hearing Requests CMSP Governing Board ATTN: Medical Benefit Hearings 1451 River Park Drive, Suite 222 Sacramento, CA FAX: Phone: Delta Dental, Denti-Cal EDS Delta Dental, Denti-Cal Provider Group P.O. Box Sacramento, CA (General questions, billing information and dental contract questions) Medi-Cal California Children s Services/Genetically Handicapped Persons Program Obstetrics or the Comprehensive Perinatal Services Program (General questions and billing information.) Out-of-State & In-State Medi-Cal Provider Billing Medicare Buy-In (Notices of overpayment) Out-of State Authorization for Treatment Provider Enrollment (CDHS) (CDHS) Field Services Section P.O. Box San Francisco, CA Payment Systems Division (PSD), Provider Services Information Unit (Including out-of-state providers) Revised 1/30/06 4
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