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  • Home | Medi-Cal Managed Care Health Care Options
    California Children’s Services Whole Child Model Dental Managed Care Medi-Cal RX Medicare Medi-Cal Plans Dual Eligible Matching Policy Integrated Care for Dual Eligible Members Mental Health Services Division (MHSD) Program of All Inclusive Care for the Elderly (PACE) Senior Care Action Network (SCAN)
  • CA HCO Online Enrollment Portal - California
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  • How to Fill Out the Medi-Cal Choice Form - California
    How to Fill Out the Medi-Cal Choice Form Use the MEDI-CAL CHOICE FORM(S) in this packet to join a health plan or to choose Regular Medi-Cal (Fee-For-Service) Benefits will not change for voluntary beneficiaries who remain in Regular Medi-Cal (Fee-For-Service) Fill out one form for each family member You can get more forms by calling Health Care Options at 1-800-430-4263
  • CA HCO Online Enrollment Portal
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  • Member - California
    [member services telephone number] (TTY [member services TTY number] or 711) The call is free [MCP should edit “member services” as appropriate throughout this Member Handbook to match the name MCP uses MCP may also add contact information and information on member resources such as a member portal ] Read this Member Handbook to learn more about health care language assistance services
  • Request for Temporary Medical Exemption from Plan Enrollment Form
    This information will be used by the Medi-Cal program, its employees, and contractors only • If you have any questions about the following form, please call Health Care Options at 1-800-430-4263 HCO 7101 MA_0004048_ENG2_0715 State of California - Health and Human Services Agency Department of Health Care Services
  • Medi-Cal Choice Form for Los Angeles County - California
    Mail form back to: California Department of Health Care Services P O Box 989009 • W Sacramento, CA 95798-9850 Use this form to join or change plans For help, call 1-800-430-4263 Please print Fill in the ovals to indicate your choice
  • Medi-Cal Choice Form Highly Con dential 1) Head of Household Name . . .
    Use this form to join or change plans For help, call 1-800-430-4263 Please print Fill in the ovals to indicate your choice
  • Home | Medi-Cal Managed Care Health Care Options
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