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Grievance Procedure for Recipient Claims of Discrimination

August 23, 2018

In accordance with Section 1557 of the Patient Protection and Affordable Care Act (ACA), a health care provider must refer a Medi-Cal recipient to the grievance coordinator, if applicable, and to the Department of Health Care Services’ (DHCS) Office of Civil Rights in the event that the recipient makes a claim that the provider has failed to provide covered Medi-Cal services or unlawfully discriminated in another way on the basis of any of the following characteristics:

  • Sex
  • Race
  • Color
  • Religion
  • Ancestry
  • National origin
  • Ethnic group identification
  • Age
  • Mental or physical disability
  • Medical condition
  • Genetic information
  • Marital status
  • Gender or gender identity
  • Sexual orientation

The Office of Civil Rights may be contacted via phone, written or electronic communication. To access the appropriate contact information for recipient claims of discrimination, providers may refer to the Provider Regulations section of the Part 1 manual.