Member Handbook (EOC)
Select your health plan to view the Member Handbook (EOC)
Medi-Cal
Public program for low income people
CommuniCare Advantage
Medicare and Medi-Cal benefits
Community y Más
Medicare plan for chronic care needs
Materials and Resources
Medi-Cal
Forms
Referral and Service Request Form
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Request a Prescription Drug Authorization
View
Filing a Grievance
View
Appointment Of Representative Form - AOR (English)
View
Appointment of Representative Form (English) - Large Print
View
Appointment Of Representative Form - AOR (Spanish)
View
Appointment of Representative Form (Spanish) - Large Print
View
Medication Request Form
View
Request for Confidential Delivery of Protected Health Information
View
Authorization for Use and Disclosure of Protected Health Information (PHI) Form
View
Additional Resources for Members
- Dental Benefits: Denti-Cal 1-800-322-6384
- Medi-Cal Eligibility & Other County Public Assistance: ACCESS 1-866-262-9881
- San Diego County Resources: 2-1-1
- In-Home Supportive Services (IHSS) 1-800-510-2020
- Adult Protective Services (APS) 1-800-339-4661
- Child Protective Services (CPS) 1-800-344-6000
- Department of Social Services 1-916-651-8848
- Behavior Health Access and Crisis Line: 1-888-724-7240
Medi-Cal Member Services