MedicaidAdministrativeMedium impact
Provider Responsibilities for Accessibility of Grievance & Appeals Forms Upon Member Request
L.A. Care Health Plan·CA·Provider Communication
Effective date
Dec 19, 2024
We identified it
Jun 20, 2026
Summary
L.A. Care is reminding providers that they must have grievance and appeals forms readily available in their offices for members upon request, as required by California regulations. Providers must maintain documented policies supporting member access to these forms and can direct members to online forms or call L.A. Care's Customer Solution Center.
Action Required
Immediately: Front desk staff must ensure grievance and appeals forms are readily available to L.A. Care members upon request. Download PDF forms from https://www.lacare.org/members/file-grievance/grievance-appeal-form or direct members to online access. Office managers must create and maintain a documented desktop policy supporting member access to grievance forms. Train staff on Customer Solution Center phone numbers for each member type.