Links for Advocates

   LEGAL AID SOCIETY OF SAN DIEGO, INC.  

 http://www.healthlaw.org

 The National Health Law Program’s excellent website. Contains important up-to-date information on Medicaid and other public health programs. Has good links.

 http://www.pai-ca.org

 The website for Protection and Advocacy. Has good practice manuals, and information materials on a variety of public health benefits.

http://www.healthconsumer.org/

The website contains HCA’s consumer flyers and information materials. Has a link to the Medi-Cal Overview Manual. This book is an excellent, and well-organized, summary of Medi-Cal’s programs. A new edition will be out shortly.

http://www.healthconsumer.org/Medi-CalOverview.pdf

 Link for the Medi-Cal Overview Manual discussed above.

http://www.wclp.org/

Western Center’s website. This site has a link to the always informational WCLP Health Task Force Mailings. This newsletter updates advocates on issues facing public health beneficiaries throughout the state as well as court rulings and administrative law decisions.

http://www.ssa.gov

Social Security’s website. Has very useful information and links on Medicare Part D and Social Security disability benefits.

http://www.dss.cahwnet.gov/shd/default.htm

This is the link to the State Department of Social Services, State Fair Hearings Division website. This website contains information on fair hearings, and contains the ALJ Bench Book and DSS’ Training Bureau Notes. It also contains paraphrased regulations.

http://www.dss.cahwnet.gov/getinfo/pdf/4cfcman.pdf

The Department of Social Services’ Fair Hearing Manual. Contains the rules ALJs and DSS SFHD must follow when consumers request hearings. Very important and essential information regarding the State Fair Hearing process.

http://www.ssas.com

The Social Security Advisory Service. This website is run by a Social Security disability lawyer and it contains links to important information regarding the Social Security disability process and Social Security’s procedures.  Includes links to the POMS and the HALLEX.

http://www.canhr.org/medcal/medcal_other.htm

The Coalition for Nursing Home Reform. Has good links and information useful to Long Term Care Medi-Cal beneficiaries.

http://www.dhs.ca.gov/publications/forms/pdf/mc007inf.pdf

DHS forms.

http://www.dhs.ca.gov/mcs/mcpd/MEB/ACLs

Link to DHS All County Welfare Directors Letters (ACLs).

http://www.denti-cal.dhs.ca.gov/provider_services/local/4q2003manual_sections/section4/Manual_of_Criteria_for_Medi-Cal_Authorization.pdf

This is the link to Denti-Cal’s Manual of Criteria for Medi-Cal (dental services) authorizations.

http://www.denti-cal.dhs.ca.gov/publications.htm

Denti-Cal’s Provider Bulletins and the Provider Manual.  

http://www.cms.hhs.gov/MedicaidDentalCoverage/ 

Centers for Medicare and Medicaid Services’ webpage with information on EPSDT and dental services. Contains links to valuable studies and materials.

http://ccr.oal.ca.gov/cgibin/om_isapi.dll?clientID=109937&E22=Title%2022&E23=50133&E24=&infobase=ccr&querytemplate=%261.%20Go%20to%20a%20Specific%20Section&record={5C3F0}&softpage=Browse_Frame_Pg42

Link to Medi-Cal’s regulations. Note that the site allows the user to find specific sections.

http://www.dmh.ca.gov/Admin/regulations/docs/dmh-2005.pdf

Department of Mental Health Laws and Regulations.

http://www.dss.cahwnet.gov/ord/CDSSManual_240.htm

The link to the Department of Social Services Manuals of Policies and Procedures. Includes links to the Civil Rights Unit, the State Fair Hearings Division and IHSS.

http://www.dss.cahwnet.gov/getinfo/pdf/ss2.pdf

DSS’s Manual of Policies and Procedures governing the IHSS Program.

http://www.medicareadvocacy.org/

The Center for Medicare Advocacy. Contains good information on Medicare Part D.

http://www.chcf.org/

The California Healthcare Foundation website. Important research and analysis on issues effecting public health beneficiaries in California.

http://www.statecoverage.net/statereports/ca79.pdf

The California Healthcare Foundation’s 2005 study of who makes up the uninsured in California.

http://www.californiahealthline.org/

Daily news regarding public health beneficiaries.

http://www2.sdcounty.ca.gov/hhsa/documents/CMSPrimaryCareHandbook.pdf

San Diego Handbook/Manual governing the CMS Program.

https://www2.sdcounty.ca.gov/hhsa/documents/Formulary.pdf

San Diego County link to Information on the CMS prescription drug formulary. Includes pre-authorization requirements and appeal information.

http://www2.sdcounty.ca.gov/hhsa/documents/Ancillary_HB_2003.pdf

Additional link to useful information regarding the CMS Program as administered through AmeriChoice.

http://www.medicare.gov/Basics/appealsoverview.asp

Information from Medicare regarding the coverage appeal process. Includes forms.

http://www.hhs.gov/omha/

Office of Medicare Hearings and Appeals website. Contains information concerning appealing Medicare cases before Administrative Law Judges.

http://a257.g.akamaitech.net/7/257/2422/01jan20051800/edocket.access.gpo.gov/2005/pdf/05-1321.pdf

The link to the Volume 70, Number 18, January 28, 2005 of the pertinent volume of the Federal Register. Contains the agency’s responses to the public’s comments regarding implementation of Medicare Part D

http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?sid=e35b6a2462ba6a6b49396b2e3060b26b&c=ecfr&tpl=/ecfrbrowse/Title42/42cfrv3_02.tpl

Link to the electronic code of federal regulations through the Government Publications Office (GPO), Title 42 Public Health.

http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=e35b6a2462ba6a6b49396b2e3060b26b&tpl=/ecfrbrowse/Title42/42cfr498_main_02.tpl

http://frwebgate5.access.gpo.gov/cgi-bin/waisgate.cgi?WAISdocID=299353182454+0+0+0&WAISaction=retrieve

Link to SS proposed rule creating the LIS appeal process

http://www.ptla.org/links/services.htm

Link to Legal Services organization links around the country