Section 6: Grievance

​Table of Contents - Medi-Cal

Policy/Procedure TitlePolicy NumberLast Review /
Revision Date

Member Discrimination Grievance Procedure

CGA-022​

11/08/2017​

Medi-Cal Member Grievance System

CGA-024

6/21/2017​

      Appeal Acknowledgement Letter

CGA024-A

      Grievance Acknowledgement Letter

CGA024-B

      Appeal Extension Letter

CGA024-C

 

               ​Appeal Modify Letter

CGA024-D
                 Appeal Overturned LetterCGA024-E
      Your Rights Under Medi-Cal Managed Care Letter​​CGA024-F
​                Resolution LetterCGA024-G​
              Appeal Decision Upheld Letter​CGA024-H
              Appeal Withdrawn Letter​CGA024-I
             Grievance Withdrawn Letter​CGA024-J
              ​ Member Grievance FormCGA024-K​

​​Please Direct Questions To:

Partnership HealthPlan of California

4665 Business Center Drive

Fairfield, CA 94534

Phone: (707) 863-4100