Beginning today, Cal MediConnect participants can ask questions and resolve problems regarding their health care through the Cal MediConnect Ombudsman Program. Housed within the Department of Managed Health Care (DMHC) and initiated with help from the Department of Health Care Services (DHCS), the Ombudsman service will be performed by an independent, third party firm. This will allow for more objective analysis and observation.
The ombudsman program is designed to:
- assist enrollees filing appeals and complaints where needed
- investigate, negotiate and resolve enrollee problems/complaints with Cal MediConnect plans
- refer enrollees to relevant entities and programs as needed
Ombuds will offer independent, local, person-centered, and linguistically and culturally competent assistance with Cal MediConnect issues.
Call (855) 501-3077 (TTY 1-855-847-7914) for help with navigating Cal MediConnect.
For more detailed information about the service, visit CalDuals’ Ombudsman Resources section.