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
2022 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)
2022 Medi-Cal Member Handbook Errata
- 2022 Medi-Cal Member Handbook Errata (English)
- 2022 Medi-Cal Member Handbook Errata- B (English)
- 2022 Medi-cal Member Handbook Errata (Spanish)
- 2022 Medi-Cal Member Handbook Errata- B (Spanish)
- 2022 Medi-cal Member Handbook Errata (Arabic)
- 2022 Medi-Cal Member Handbook Errata- B (Arabic)
- 2022 Medi-cal Member Handbook Errata (Vietnamese)
- 2022 Medi-Cal Member Handbook Errata- B (Vietnamese)
- 2022 Medi-cal Member Handbook Errata (Tagalog)
- 2022 Medi-Cal Member Handbook Errata- B (Tagalog)
- 2022 Medi-cal Member Handbook Errata (Mandarin)
- 2022 Medi-Cal Member Handbook Errata- B (Mandarin)
- 2022 Medi-cal Member Handbook Errata (Farsi)
- 2022 Medi-Cal Member Handbook Errata- B (Farsi)