Medi-Cal

HPSM Medi-Cal

Member Materials

Handbooks and Directories

 
Nutritional Supplements for Medical Conditions Formulary (63 KB)
 
Medi-Cal Member Handbook / Evidence of Coverage (2183 KB)
 
Medi-Cal Guide for New Members (9350 KB)
 
Medi-Cal Provider Directory (5276 KB)

Download the list of covered drugs

 Download the formulary

The formulary includes covered medications. See the last section for an alphabetical index.

Forms

 
Confidential Member Complaint Form (178 KB)
 
Appointment of Representative Form (93 KB)
 
Advanced Health Care Directive (240 KB)
 
Protected Health Information Request Form (153 KB)

Notices and Announcements

 
Notice of Privacy Practices (143 KB)
 
Member Nondiscrimination Notice - Large Print (436 KB)
 
DHCS Dental Transition Notice (81 KB)
 
Frequently Asked Questions about the Transition (435 KB)

Member Newsletter

 
Health Matters Spring 2020 (2790 KB)

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