Medi-Cal Member Resources

• Referral and Service Request Form
• Request a Prescription Drug Authorization 
• Filing a Grievance
• English Appointment Of Representative Form (AOR)
• Spanish Appointment of Representative Form (AOR)
• Medication Request Form

2023 Medi-Cal Member Handbook

• Member Handbook - Evidence of Coverage (EOC) (English)
• Member Handbook - Evidence of Coverage (EOC) (Spanish)
• Member Handbook - Evidence of Coverage (EOC) (Arabic)
• Member Handbook - Evidence of Coverage (EOC) (Vietnamese)
• Member Handbook - Evidence of Coverage (EOC) (Tagalog) 
• Member Handbook - Evidence of Coverage (EOC) (Mandarin)
• Member Handbook - Evidence of Coverage (EOC) (Farsi)

Documents

• Member Rights and Responsibilities
• Privacy Practices - HIPAA
• Medi-Cal Appeal Rights