Ombudsman Resources

Call (855) 501-3077 (TTY 1-855-847-7914)
Hours of Operation: Monday through Friday, 9 a.m. to 5 p.m.
Visit their website at www.healthconsumer.org.

The State of California was recently awarded a Federal grant from the Centers of Medicare and Medicaid Services (CMS) to support and establish a program to perform ombudsman services for Cal MediConnect. This program will be an important consumer protection for all Cal MediConnect enrollees, ensuring that individual issues can be addressed. These services will be in addition to existing appeals and grievances processes.

The program will be housed within the Department of Managed Health Care (DMHC). Its independence from the Department of Health Care Services (DHCS) during implementation is a critical element of its creation, ensuring that there is a third-party charged with assisting enrollees and providing feedback to DHCS on one of its programs.

From January to February 2014, DHCS and DMHC ran a rigorous RFP process to select a primary independent entity that would be responsible for administering ombudsman services specific to the needs of Cal MediConnect beneficiaries, their family members, and caretakers. The chosen primary entity is the Legal Aid Society of San Diego. The Legal Aid Society of San Diego, and a number of experienced subcontractors throughout the demonstration counties, will be available to provide ombudsman services to Cal MediConnect beneficiaries. The Legal Aid Society of San Diego, and all their subcontractors, are highly experienced in providing ombudsman services. The Cal MediConnect Ombudsman will be operational starting April 1, 2014.

Below are links to important information, policy documents, and additional reading to help in understanding the Cal MediConnect Ombuds Program.

Walk-In Addresses

For appointments at all Ombudsman offices, call HCA’s toll-free number, 1-888-804-3536. Business hours will vary by location.

Los Angeles County
Neighborhood Legal Services of Los Angeles County

  • 13327 Van Nuys Boulevard
    Pacoima, CA 91131
  • 1104 E. Chevy Chase Drive
    Glendale, CA 91205
  • 9354 Telstar Avenue
    El Monte, CA 91731

Orange County

      Legal Aid Society of Orange County
      2101 N. Tustin Avenue
    Santa Ana, CA 92705

San Diego County

      Legal Aid Society of San Diego
      Consumer Center for Health Education & Advocacy
      1764 San Diego Avenue, Suite 200
    San Diego, CA 92110

San Mateo County

      Legal Aid Society of San Mateo County
      330 Twin Dolphin Drive, Suite 123
      Redwood City, CA 94065
    *Appointments are to be made in advance

Santa Clara County

      Bay Area Legal Aid
      4 N. Second Street, Suite 600
    San Jose, CA 95113

Ombudsman service locations available outside participating CCI counties

Alameda County

      1735 Telegraph Avenue
    Oakland, CA 94612

Contra Costa County

      1025 Macdonald Avenue
    Richmond, CA 94801

Marin/Napa Counties

      30 North San Pedro Road, Suite 170
    San Rafael, CA 94903

San Francisco County

      1035 Market Street, 6th Floor
    San Francisco, CA 94103

 

Fact Sheets

 

Documents

 

Additional/Background Reading

Please join our email list to make sure you get the latest updates on the Cal MediConnect Ombuds Program, including updates when policy documents are released and opportunities to give feedback on the program.

Questions can be sent to info@calduals.org.