Advocacy

Advocacy

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

 

The Medi-Cal Managed Care and Mental Health Office of the Ombudsman helps solve problems from a neutral standpoint to ensure that our 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 Ombudsman will not automatically take sides in a complaint. We consider all sides in an impartial and objective way.  It is our job to help develop fair solutions to health care access problems.

 

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

 

How can I contact the Office of the Ombudsman?

•Hours of Operation:  Monday through Friday, 8am to 5pm PST; excluding holidays

•By Phone: (888) ​452-8609

•By email*:  MMCDOmbudsmanOffice@dhcs.ca.gov

 

 

Local Patient Rights Advocate of Lassen County:

Nicole Lamica 530-251-8322

 

Additional Resources:

https://www.accesscalifornia.org/

https://www.nami.org/Home

https://www.californiamentalhealth.org/