Appeals & Grievances

These processes have been approved by Medicare and Medi-Cal. Each process has a set of rules, procedures, and deadlines that must be followed by us and by you.

Sometimes it can be confusing to start or follow through the process for dealing with a problem. This can be especially true if you do not feel well or have limited energy. Other times, you may not have the knowledge you need to take the next step.

Check out the Topics Below on Appeals & Grievances


CMS Approved
Updated 01/11/2018


For Members Affected by the Wildfires

L.A. Care wants to ensure you have access to needed health services as our state deals with the current wildfire disaster. If you have been impacted by the wildfires, please note the following:

  • Prescriptions can be refilled at an out-of-network pharmacy if medications have been lost or left behind. Call 1-888-839-9909 for further assistance.
  • Clinical Services can be accessed out-of-network if your usual provider is unable to work due to the wildfires. Call 1-888-522-1298 for guidance in this situation.

Medical transportation, mental health services and additional information is available at the L.A. Care website.

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