Covered California Certified Enroller Practice Exam

Which entity should consumers contact for assistance with Medi-Cal eligibility issues?

1. Local health department

2. Local county social services office

3. Medi-Cal Managed Care Ombudsman

4. Department of Health Care Services

The correct answer is: Local county social services office

Consumers experiencing issues with Medi-Cal eligibility should contact the local county social services office for assistance. This office is responsible for determining eligibility for Medi-Cal and overseeing the administration of the program at the county level. They have the resources and personnel trained to assist consumers with application processes, eligibility requirements, and any appeals or problems that may arise during the enrollment process. While other entities may provide valuable information or support related to Medi-Cal, the local county social services office is specifically designated to handle eligibility matters. The local health department may offer public health services and programs but is not the primary contact for Medi-Cal eligibility. The Medi-Cal Managed Care Ombudsman can assist with complaints and issues related to managed care plans but does not address eligibility directly. The Department of Health Care Services oversees Medi-Cal policy and administration on a state level but directs individuals to their local county resources for eligibility-specific inquiries.