Beneficiary Information

The Department of Behavioral Wellness encourages individuals to contact the program supervisor or manager as a first step in solving a problem.. Clinic contact information is here. This page lists resources are available to clients who have comments or concerns about programs or services.

Know Your Rights as a Medi-Cal Beneficiary

The following will help you learn about and ensure your rights: 

Beneficiary Brochure (Mental Health Plan Services) English | Spanish

Beneficiary Brochure (Mental Health Plan Services) read in English | in Spanish

To learn more about your rights as a Medi-Cal beneficiary, consult this booklet in English | Spanish.

Directory of Network Providers

Network Provider Brochure English | Spanish

Advance Directives English | Spanish

Problem Resolution Poster English | Spanish

Patients' Rights brochures and flyers in English and Spanish are here.

Filing a Grievance

Beneficiary Concerns is part of the Behavioral Wellness Quality Assurance program.  If a consumer, family member, or member of the community thinks that a person or program has done something improper, that person can file an official grievance form.  Forms are available in English and Spanish here. All grievances are thoroughly investigated by licensed mental health professionals.  The staff who investigate grievances have no connection to any person or program being investigated.  Except in unusually complex situations, grievance investigations are completed within 60 days. The person who filed the grievance is notified of the result by mail.

If someone is not satisfied with the result of a grievance investigation, the person can file an appeal, which will be investigated by a different licensed professional.  A person who is not satisfied with a grievance or appeal can also request a State Fair Hearing.  All State Fair Hearings are heard by an independent administrative law judge. (More information is here.)

You may also wish to consult the Guide to Medi-Cal Mental  Health Services | Guía Para Servicios de Salud Mental de Medi-Cal.  Key beneficiary forms are here.

Alcohol and Drug Program

Client Concerns is a part of the Alcohol and Drug Program (ADP).  If a client, family member, or member of the community thinks that a person or program has done something improper, that person may file an ADP grievance.  Forms are here in English and Spanish.

All grievances are thoroughly investigated by Alcohol and Drug Program Specialists.  The staff who investigate grievances have no connection to any person or program being investigated.  Except in unusually complex situations, grievance investigations are completed within 60 days.  The person who filed the grievance is notified of the result by mail.

If you are a Drug Medi-Cal client, you may also request a State Fair Hearing.  All State Fair Hearings are heard by an independent administrative law judge.