We do not respond to voicemails.  If we do not answer, we are on the line with another client.  Please text or email us.  We respond throughout the day or attempt to call again at another time.

Beneficiary Rights Under the Drug Medi-Cal Organized Delivery System (DMC-ODS)

Understanding beneficiary rights is crucial for clinicians working in substance use and mental health treatment. Clients receiving services funded through Medicaid or other public programs have the right to file grievances, request appeals, and pursue State Fair Hearings if they disagree with service decisions. Understanding beneficiary rights is crucial for clinicians working in substance use and mental health treatment. Clients receiving services funded through Medicaid or other public programs have the right to file grievances, request appeals, and pursue State Fair Hearings if they disagree with service decisions. The Notice of Adverse Benefit Determination (NOABD) process ensures that clients are informed when services are denied, reduced, or terminated, allowing them to challenge these decisions. Additionally, Alcohol and Other Drug (AOD) certification standards uphold client rights by ensuring ethical, evidence-based care and protecting individuals from discrimination or substandard treatment.

Clinicians must be well-versed in these rights to advocate for their clients, navigate regulatory requirements, and foster a fair, transparent treatment environment that promotes recovery and trust. This course will explore Client Rights in the County of San Diego’s Drug Medi-Cal Organized Delivery System, or DMC-ODS,
with specific attention to the grievance and appeals, and State Fair Hearing processes.

This course will award 2 continuing education hours.