Grievance & Appeals
- Appointment of Representative Form
- File A Grievance
- Redetermination Request Form Last Modified: 2/1/2018
- Request for Medicare Prescription Drug Determination Request Form Last Modified: 6/14/2022
Important: Are you enrolled in Medi-Cal? Has your contact information changed in the past two years? Give your county office your updated contact information so you can stay enrolled. Find your local county office. For more information click here.
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