Get the up-to-date DHCS Discrimination Complaint Form - State of California 2024 now

Get Form
DHCS Discrimination Complaint Form - State of California Preview on Page 1

Here's how it works

01. Edit your form online
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

The easiest way to edit DHCS Discrimination Complaint Form - State of California in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Handling documents with our extensive and intuitive PDF editor is simple. Make the steps below to complete DHCS Discrimination Complaint Form - State of California online easily and quickly:

  1. Log in to your account. Sign up with your credentials or create a free account to test the service prior to upgrading the subscription.
  2. Upload a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit DHCS Discrimination Complaint Form - State of California. Easily add and highlight text, insert pictures, checkmarks, and symbols, drop new fillable areas, and rearrange or delete pages from your document.
  4. Get the DHCS Discrimination Complaint Form - State of California accomplished. Download your updated document, export it to the cloud, print it from the editor, or share it with other people using a Shareable link or as an email attachment.

Make the most of DocHub, the most straightforward editor to rapidly handle your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Complaints may also be filed by calling the DHCS Office of Civil Rights at (916) 440-7370 or by written correspondence. DHCS Provides free aids and services to people with disabilities to communicate effectively with DHCS. discrimination-grievance-procedures - DHCS - CA.gov DHCS.ca.gov. discrimination-grievance-pr DHCS.ca.gov. discrimination-grievance-pr
If you would like to file a Medi-Cal discrimination complaint, you may call the DHCS Office of Civil Rights at (916) 440-7370 or visit the DHCS Office of Civil Rights page for additional information. Discrimination Complaints - California Department of Social Services ca.gov reporting file-a-complaint ca.gov reporting file-a-complaint
To file a complaint of discrimination, go to the DFEH Web site home page and click on File a Pre- Complaint Inquiry. If assistance is required to complete the online Pre-Complaint Inquiry, please call 800-884-1684. The completion and submission of the Pre-Complaint Inquiry will initiate the complaint process. File Discrimination Complaint Service Details - CA.gov CA.gov service item=file-discriminatio CA.gov service item=file-discriminatio
Online at BenefitsCal.com. Online through Covered California, at or by calling 1-800-300-1506. Call DPSS at 1-877-410-8827.
If you have a Medi-Cal Managed Care plan, you can call the Medi-Cal Managed Care Ombudsman at 1-888-452-8609 for guidance about how to address a problem or complaint. The office is open 8am-5pm/ Monday to Friday.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

[Health Plan] does not unlawfully discriminate, exclude people, or treat them differently because of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual nondiscrimination notice - DHCS - CA.gov DHCS.ca.gov. NoticeTemplate DHCS.ca.gov. NoticeTemplate PDF
Call Health Care Options (HCO) Medi-Cal Managed Care at 1-800-430-4263 (TTY 1-800-430-7077). The call is free.
About the Department of Health Care Services. ​​​ ​​Welcome to the California Department of Health Care Services (DHCS). DHCS is the backbone of Californias health care safety net, helping millions of low-income and disabled Californians each and every day.

Related links