Dhcs 6168 Form
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People also ask
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How much can Medi-Cal take from a settlement?
Under Welfare and Institutions Code section 14124.72, Medi-Cal's reimbursement consists of the benefits it has paid minus 25% for attorney's fees and a pro rata share of the litigation costs. However, pursuant to section 14124.78, Medi-Cal cannot recover more than the plaintiff's net recovery. -
What is the phone number for DHCS personal injury?
To request information about your case or to speak with a live representative, please call our Phone Support Unit at (916) 445-9891. The operating hours are 8 a.m. to 12 p.m. and 1 p.m. to 5 p.m. Monday through Friday. -
Does a personal injury settlement affect Medi-Cal?
A personal injury settlement will not cause a cancellation or have any other adverse effects on an injured party's Medi-Cal coverage. Rather, the program is structured like all other health insurance such that an injured accident victim will not recover double benefits for the same injuries. -
How do I contact DHCS?
(800) 977-2273 Medi-Cal Rx Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 977-2273 for our Medi-Cal Rx Customer Service Center (CSC). CSC hours are available 24 hours a day, 7 days a week, 365 days a year. -
How do I find my Medi-Cal information?
Where Can I Access My Medi-Cal Member Services? You can access your member services online through your plan's website and the Covered California website. Each service manages different aspects of your coverage. Also, your local county office will take care of specific parts of your Medi-Cal membership. -
What address do I use for Medi-Cal?
Medi-Cal Contacts GENERAL PUBLICPHONE / EMAILMedi-Cal Eligibility P.O. Box 997417, MS 4607 Sacramento, CA 95899-7417(916) 552-9200Health Insurance Premium Payment P.O. Box 997421, MS 4719 Sacramento, CA 95899-7421hipp@dhcs.ca.govHIPAA Compliance P.O. Box 997413, MS 4721 Sacramento, CA 95899-7413(916) 552-944412 more rows • Sep 2, 2022 -
How do I report a claim to Medi-Cal?
To file a claim, you must submit a Medi-Cal Claim Form for Beneficiary Reimbursement. The claim form must be filled out in blue or black ink; • The claim form must have an original signature (no copies will be accepted); The Claim Form must include: • A photo copy of your Medi-Cal Beneficiary Identification Card (BIC). -
What is the phone number for Medi-Cal beneficiary?
(800) 977-2273 Medi-Cal Rx Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 977-2273 for our Medi-Cal Rx Customer Service Center (CSC).
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