​Class Action Recovery Program

About Us 

 
The Department of Health Care Services’ (DHCS) Class Action Recovery Program seeks reimbursement for services that Medi-Cal paid for on behalf of its members who are involved in third party actions, such as product liability, vaccine/ medication-related injuries, and exposure to asbestos/ other environmental toxins. When a Medi-Cal member receives a class action or mass tort settlement, judgment, or award from a liable third party, as compensation for injuries they incurred, the Class Action Recovery Program is required by federal and state law to recover funds for any related services paid for by Medi-Cal.
 
For claims involving personal injury, medical malpractice, or workers’ compensation, use the links below to be directed to the appropriate recovery unit’s website.

Lien Process

 

The Medi-Cal member(s) or representative on behalf of the member(s) is required, by law, to report an action or claim in writing to DHCS, pursuant to Welfare and Institutions (W&I) Code Section 14124.70 et seq. Notifications must be submitted via email to ClassAction@dhcs.ca.gov and should include the following information:
(1)   The Medi-Cal member’s name
(2)   The Medi-Cal member’s date of birth
(3)   The Medi-Cal member’s social security number (SSN)
(4)   The date of the Medi-Cal member’s injury
(5)   The Medi-Cal member’s Medi-Cal identification number,
(6)   The contact information of the claims administrator, including their claim number
Please allow 30 days for DHCS to send a letter confirming receipt of the notification.
When a settlement has occurred, the member, or representative on behalf of the member is required to notify DHCS. DHCS will request and review the medical payment records to establish a “lien”, or an itemization of injury related services subject to collection. Upon each settlement, the member, or representative on behalf of the member, is required to notify DHCS, so an updated lien may be prepared pursuant to W&I Code Section 14124.76 and 14124.79. DHCS has the right to recover up to the date of settlement and/or full resolution of all actions associated with the injury, pursuant to W&I Code Section 14127.785.
To follow up on an established Class Action case or if a settlement has occurred, you may contact the unit at ClassAction@dhcs.ca.gov. Please include the DHCS case name and account number.

Paying a Lien

In order to apply a payment to the correct account, the DHCS account number must be included with each payment submission. For your convenience, the following payment options are available:
 
1. Payment via Electronic Fund Transfers (EFT) – To get started go to the EFT ​website. Two unique EFT options are available:
·         One-Time Payment – For Medi-Cal members and entities with few claims
·         Enrolled User Payment – For entities with numerous claims and multiple payments. This option allows users to schedule advance payments and track payment history.
o    Select “Register” to register as an Enrolled User - Allow DHCS 5 business days to create and confirm your new Enrolled User account
 
2. Payment via check – Submit to:
Department of Health Care Services
Third Party Liability and Recovery Division
Class Action Unit - MS 4720
P.O. Box 997421
Sacramento, CA 95899-7421
Please reference the DHCS account number on the check and allow 15 to 30 business days for DHCS to receive and apply the payment.
If an insurance company issues a single check with both you and DHCS listed, please review instructions under item #19 in the Frequently Asked Questions​.

Contact Information

·        Email Address: ClassAction@dhcs.ca.gov
·         Phone Support Unit (916) 445-9891
·         Online Forms​​ – notify and update DHCS electronically! 
·         Mailing Address for written correspondence:
 
Department of Health Care Services
Third Party Liability and Recovery Division
Workers’ Compensation Unit - MS 4720
P.O. Box 997425
Sacramento, CA 95899-7425
 

 

Last modified date: 12/19/2019 11:04 AM