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How to Resolve Medi-Cal Enrollment Problems

    • 1). Talk to the case worker. When you submit your application, there is usually a representative from the welfare department who is assigned to your case. One of her responsibilities is to do an initial screening before your application goes to the next level. Ask the case worker to go over the documents again and check if you missed some details that caused the denial. The same person can help you if you just need to resend the application.

    • 2). Request a hearing. On the back of the Notice of Action, there should be a portion that says, "Request for State Hearing." Fill out the form. Make sure that you provide all the important information, such as your name, address, contact number, the name of the county that made the decision and the reason why you need a hearing. Mail it to the address provided on the form. You may also call the California Department of Social Services and request to discuss the problem with them in person. You can find the agency's phone number on the Notice of Action.

    • 3). Ask for a third-party assistance. If you decide to use a third party to resolve the problem on your behalf, you have to provide the person's name to the Department of Social Services. Fill out and sign the Authorized Representative form or DPA 19. Most nonprofit organizations will be able to assist you to resolve the problem. They have the resources and the work force that could expedite the process. You may also contact a legal advocacy group if you want a lawyer to represent you.

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