California Medi-Cal fair hearing and aid-paid-pending routes
California DHCS explains Medi-Cal hearing requests, 90-day filing timing, aid paid pending, discrimination complaints, and managed-care hearing rights for people whose benefits or services are denied, changed, delayed, or reduced.
California · Active · Hearing Jul 4, 2026
What it is
- What changed
- DHCS says Medi-Cal applicants, recipients, and current beneficiaries with complaints about how benefits or services were handled, denied, or modified may talk with the county, file a discrimination complaint, or request a hearing. The page says a hearing request generally must be filed within 90 days of receiving a Notice of Action and that benefits may continue pending review when aid-paid-pending timing is met. Welfare and Institutions Code Section 10950 gives applicants and recipients an opportunity for a state hearing when dissatisfied with county action, delay, or refusal to accept an application, and defines Medi-Cal managed-care adverse benefit determinations. California's official regulations index includes State Administrative Hearings under Title 22, Chapter 2 and the medical-assistance-pending-hearing rule under Title 22, Chapter 3, Article 1.3.
- Why it matters
- Caregivers often help interpret notices, preserve services during a dispute, collect records, and request hearings on time. This row gives California an official appeal and hearing anchor without giving case-specific legal advice.
- Who it touches
- Family caregivers, People receiving careMedi-Cal applicants, Medi-Cal members, family caregivers, authorized representatives, older adults, disabled people, managed care members
- What it does
- Gives people a right or protection; Requires something of providers, companies or agencies
Sources
- DHCS Medi-Cal Fair Hearing
- California Welfare and Institutions Code Section 10950
- California Code of Regulations Title 22 Article 18 State Administrative Hearings
- California Code of Regulations Title 22 Article 1.3 General Provisions
Last reviewed Jul 4, 2026. This is information, not legal advice; check the source for the current text.