Other Coverage

Other Coverage is responsible for the identification of all health insurance belonging to Medi-Cal beneficiaries as well as maintaining the automated Health Insurance System.

Other Coverage identifies health insurance resources through referrals from county offices and the Social Security Administration.  This information is also obtained by conducting data exchanges with various health insurance companies.  When the health insurance information is received, our system is updated to ensure that Medi-Cal is the payer of last resort.  See our Current Trading Partners.

Individuals that need to add or remove Other Health Coverage (OHC) from their Medi-Cal record may use one of the OHC Processing Center forms below or contact their county eligibility worker for assistance.  If you cannot use the OHC Processing Center forms, you may submit your request via phone to (800) 541-5555 or fax to (916) 440-5675.  Please allow at least 48 hours for your request to be processed.

Please note that OHC staff cannot make changes to Healthly Families records.  Requests regarding erroneous Healthy Families coverage indicators need to be directed to CWD Liaisons / HFPMeds@maximus.com / 916-673-4602.

New!  Welcome to the OHC Processing Center that allows you to update commercial health insurance and to a limited extent - Medicare plans for Medi-Cal beneficiaries.  We strongly encourage county offices, as well as individuals, to take advantage of this online form, when requesting changes to OHC indicators.  The OHC Processing Center provides a secure means of transmitting minimum Personal Health Information required to process your request.

OHC Processing Center Forms

To add OHC:  OHC Additions

To remove OHC:  OHC Removals

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