In California, any payments that are made by Medi-Cal where there is third party liability and the injured victim recovered damages from a settlement or judgment, a lien is automatically created by statute that allows Medi-Cal to get reimbursed for all medical expenses paid by Medi-Cal. In California, all personal injury claims that have payments made by Medi-Cal must be reported to Medi-Cal. ‍

First Step: Submitting a Claim Online

Claims for personal injury liens can be reported online via the Department of Health Care Service’s online portal at https://apps.dhcs.ca.gov/AutoForm2/Page/SecureCode.aspx.

Second Step: Following Up With Additional Information

When the claim has settled with he third party, log onto the Department of Health Care Service’s online portal at https://apps.dhcs.ca.gov/AutoForm2/Page/SecureCode.aspx and submit additional information regarding the final date of treatment related to the injury with the Medi-Cal provide and the date of settlement. After submitting the additional information, a lien will be generated by Medi-Cal.

Third Step: How Do I Pay A Lien Received From Medi-Cal?

Payments can be made via the Department of Health Care Service’s online portal at https://www.govone.com/PAYCAL/DHCSTP/Account/Logon. Payment can also be made via check and mailed to:

Department of Health Care Services

Personal Injury Branch - MS 4720

P.O. Box 997421

Sacramento, CA 95899-7421

When Must A Claim Be Reported To Medi-Cal?

Pursuant to the California Welfare and Institutions Code § 14124, notifications must be submitted online or by mail within thirty days of filing an action or claim.

What Information Must Be Included When Reporting A Claim To Medi-Cal?

1. The date of the incident;
2. The Medi-Cal member’s identification number;
3. The contact information of the liable party;
4. The contact information of the claims administrative of the liable party; and
5. The contact information of any defense counsel representing the liable party.
   

Consult with an attorney

Liens can be negotiated. It is important to understand the extent of your damages and what can be recovered based on the specific facts surrounding the claim. It is just as important to consult an attorney in your state immediately following an incident to better understand and protect your legal rights. Do not wait, never hesitate, and reach out to a professional who is ready to serve your needs.