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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Phone numbers: Medi-Cal Managed Care: 1-800-430-4263 (TTY 1-800-430-7077)
CCHP is the primary managed-care provider for Medi-Cal beneficiaries in Contra Costa and we also manage smaller plans for county employees and IHSS homecare workers. Our members have access to hundreds of family medicine doctors and specialists in our provider networks.
Check your Medi-Cal Benefit Status By Smart Phone or Tablet. Visit BenefitsCal to: By Desktop Computer. To check your benefits with a desktop computer visit BenefitsCal. By Phone. To check the status of your benefits, visit BenefitsCal or call 888-472-4463. Request a replacement Benefit Issuance Card (BIC)
CCHP is the primary managed-care provider for Medi-Cal beneficiaries in Contra Costa and we also manage smaller plans for county employees and IHSS homecare workers. Our members have access to hundreds of family medicine doctors and specialists in our provider networks.
Submitting Claims Claims received after 180 days will be denied for untimely filing.
Please email Contra Costa County Communications Director Kristi Jourdan at Kristi.Jourdan@contracostatv or call 925-313-1180 if you need assistance finding the right department or person.
The 10th Congressional District covers most of Contra Costa County, including Danville.
A: If your incident is an emergency, call 9-1-1. If it is a non-emergency, call (925) 646-2441.
Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources.
Our Medi-Cal product provides a full range of medical benefits and services for people that work and live in San Joaquin county. At HPSJ, you will have access to high quality health care in a timely, caring and culturally sensitive manner.