How to File a Grievance or Appeal for Partnership HealthPlan of California
Partnership Grievance Process:
Partnership HealthPlan of California (PHC) is a non-profit community-based health care organization that contracts with the State to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care. PHC provides quality health care to over 560,000 lives. Beginning in Solano County in 1994, PHC now provides services to 14 Northern California counties - Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Shasta, Siskiyou, Solano, Sonoma, Trinity and Yolo.
How to File a Grievance or Appeal
By Phone:
1-800-863-4155
You may file an appeal or grievance by calling us at the number above. Our Member Services department is also available if you have any questions about the grievance process. Bilingual staff is available. PHC uses an interpreter service for members who speak other languages.
By Fax:
You may fax your Grievance or Appeal to: 1-707-863-4351
By Mail:
You may file you Grievance or Appeal by mailing it to the following address:
Partnership HealthPlan of California
4665 Business Center Drive
Fairfield, CA 94534
Attention: Grievance and Appeals Dept.
Online:
You may file your grievance online: http://www.partnershiphp.org
In Person:
You may file your Grievance or appeal in person at the following locations:
Fairfield: 4665 Business Center Drive, Fairfield, CA
Redding: 3688 Avtech Parkway, Redding, CA
If you have already filed an Appeal
State Fair Hearing Information:
A State Hearing is when a member requests an Administrative Law Judge (ALJ) to review PHC’s decision because they are still unhappy. The ALJ will review laws, PHC Policy, testimony, and evidence, then issue a new decision.
How to File a State Fair Hearing:
By Mail:
California State Department of Social Services State Hearing Division
PO Box 944243, Mail Station 09-17-37
Sacramento, CA 94244-2430
By Phone:
1-800-952-5253
Hearing Impaired members may use TTY/TDD by calling 1-800-952-8349
By Fax:
1-916-651-5210 or 1-916-651-2789
In Person:
You can turn in a Hearing request form or your own written request at one of the local County offices
| Attachment | Size |
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 Parternship Grievance and Appeal Form | 174.11 KB |