The Medi-Cal Office of the Ombudsman helps solve problems from a neutral standpoint to ensure members receive all medically necessary covered services for which plans are contractually responsible.

The Office of the Ombudsman:

• Serves as an objective resource to resolve issues between Medi-Cal managed care members and managed care health plans
• Conducts impartial investigations of member complaints about 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
  
  

Web pages

• Home - https://www.dhcs.ca.gov/services/medi-cal/Pages/MMCDOfficeoftheOmbudsman.aspx