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Eligibility Appeals

If you disagree with a decision that MCAP has made regarding your eligibility, disenrollment, or transfer, you may appeal to the Executive Director. Your appeal must be in writing and submitted to the address provided below within 60 calendar days from the date of the decision letter. An appeal shall include all of the following:

  1. A statement specifically describing the issues which are disputed.
  2. A statement of the resolution requested.
  3. Any other relevant information. This includes copies of the decision letter and all the documentation submitted with the MCAP application (except for the payment).

Mail your appeal to:

Executive Director-Benefits Appeal
Medi-Cal Access Program
P.O. Box 15559
Sacramento, CA 95852-0559