人身伤害常见问题
以下是与人身伤害计划有关的常见问题。 请点击问题查看相应的答案，或向下滚动页面到列出的问题和答案。
我如何通过电话联系卫生保健服务部人身伤害计划？
我如何通过电话联系卫生保健服务部人身伤害计划？
请致电我们的电话支持部门 (916) 445-9891。
Hours of operation: Monday through Friday, from 8:00 a.m. to 5:00 p.m., and closed from 12:00 p.m. to 1:00 p.m. Closed on weekends and state holidays.
PIP 邮寄地址是什么？
PIP 邮寄地址是什么？
您可以将书面信函发送至：
Department of Health Care Services
Third Party Liability and Recovery Division
Personal Injury Branch – MS 4720
P.O. Box 997425
Sacramento, CA 95899-7425
付款邮寄地址：
Department of Health Care Services
Third Party Liability and Recovery Division
Personal Injury Branch – MS 4720
P.O. Box 997421
Sacramento, CA 95899-7421
快递邮件（UPS、FedEx 等）邮寄地址：
Department of Health Care Services
Third Party Liability and Recovery Division
1501 Capitol Avenue, MS 4720
Sacramento, CA 95814-5005
我对我的 Medi-Cal 福利和资格有疑问。
请联系加州医疗补助管理信息系统 (CA-MMIS) 电话服务中心，电话：(800) 541-5555。 他们可以回答您有关资格、福利和身份证的任何问题。
我出事了。 谁能帮助我？
You can represent yourself, or you can hire an attorney to represent you. DHCS does not provide assistance in filing claims against other parties.
我受伤了，我正在对责任方采取行动。我如何通知 Medi-Cal 以及需要提供什么信息？
For faster processing, please report the personal injury accident or claim by using our Online Forms webpage, “PI Step 1: Report a New Case (Personal Injury Notification Form).”
您也可以通过邮件举报：
Department of Health Care Services
Third Party Liability and Recovery Division
Personal Injury Branch – MS 4720
P.O. Box 997425
Sacramento, CA 95899-7425
我卷入了一场涉及多名 Medi-Cal 会员的事故。DHCS 是否需要了解每个涉及的成员？
Yes, DHCS requires notification of each Medi-Cal member involved. You may submit a separate form for each Medi-Cal member online or by mail.
为什么要求我通知 Medi-Cal？
电视 he Medi-Cal member or personal representative is required by law to report the third party tort action or claim in writing to the Department of Health Care Services (DHCS) pursuant to Welfare and Institutions Code section 14124.73 et seq. Notification must be submitted online or by mail within 30 days of filing a personal injury action or claim. Attorneys must submit a “Medical Authorization” form signed by their client.
如果我不通知 Medi-Cal 会发生什么情况？
作为 Medi-Cal 资格的一项条件，您同意当您从其他健康保险、法律和解或其他来源（责任第三方）收到钱时，DHCS 将获得因您发生事故或受伤而产生的医疗费用的报销。如果您没有通知 DHCS 您的事故或受伤情况，DHCS 可以对您采取法律行动，收取您所接受的医疗服务费用。
我向县工作人员讲述了我遭遇事故的情况。 这算是足够的通知吗？
不。 福利和机构法典第 14124.73 条要求您或您的代表在对责任第三方提起诉讼后 30 天内以书面形式通知 DHCS。
保险公司是否必须通知 Medi-Cal？
Yes. Welfare and Institutions Code section 14124.79 requires insurance carriers that have liability for a Medi-Cal member’s claim to notify DHCS. Liable third party insurance carriers are legally obligated to reimburse Medi-Cal.
为什么我会收到你们部门的来信？ （CAS1090D）
DHCS 收到通知，称您卷入了人身伤害事件并可能与第三方和解。 该信函告知您，DHCS 有权对从责任第三方收取的任何和解、判决或裁决主张留置权。
（福利和机构法典第 14124.70 至 14124.795 节。）
哪些法律管辖人身伤害计划？
Welfare and Institutions Code sections 14124.70 – 14124.795
我提交案件后，Medi-Cal 需要多长时间才能回复？
If the injured party is Medi-Cal eligible, DHCS will send a “Notice of Lien” within 30 days of the referral to assert its recovery rights. If the injured party is not currently Medi-Cal eligible, DHCS may send notification stating the Medi-Cal eligibility status will be rechecked for retroactive eligibility in 90 days.
在 Medi-Cal 会员完成治疗或达成和解后，DHCS 需要收到治疗的最终日期 (FDOT) 或和解通知以最终确定案件并建立留置权（如适用）。 然后，DHCS 会将留置权信函连同与伤害相关的服务的详细清单发送给 Medi-Cal 会员或其个人代表和承担责任的第三方。
我需要和某人谈谈我的人身伤害案件。 我怎样才能知道谁在处理我的案件？
To request information about your case or to speak with a live representative, please call our Phone Support Unit at (916) 445-9891. The operating hours are 8 a.m. to 12 p.m. and 1 p.m. to 5 p.m. Monday through Friday. The Phone Support Unit is closed on weekends and state holidays.
You can also use our online form, “Request the Status of an Open Case” at the bottom of the page.
为何准备留置权要花这么长时间？ 准备留置权的流程是什么？
请参阅人身伤害计划网页或参阅人身伤害留置权程序以获取详细信息。
我怎样才能加快我的案件进展？
您可以采取以下几种措施来减少处理案件所需的时间：
- Notify us within 30 days of taking an action or filing a claim using the online form, under Step 1 “Report a New Case (Personal Injury Notification Form).“
- If you are an attorney, include with the notification the letter of representation and a signed medical authorization using the online form. This will allow our office to speak with you regarding this case.
- If you have an upcoming court or mediation date and need a Medi-Cal lien amount, alert us as soon as you get the date. We will need time to obtain and review the claims payment data to determine the lien.
- Once your case settles, submit a copy of the signed settlement release using the online form, under Step 2 “Provide a Case Update or Documentation (All Other Notifications)” so we can apply the appropriate statutory reduction. If you’re an attorney, include information about your fees and itemization of litigation expenses.
- Provide the final date of treatment, using the online form, as soon as possible once the Medi-Cal member has completed treatment.
- For more information about our lien process, please go to Personal Injury Lien Process webpage.
获得初步清单的要求是什么？
A preliminary itemization may be requested online, under Step 2 “Provide a Case Update or Documentation (All Other Notifications)“. The request must include proof of hearing, settlement conference, mediation, or similar event and received at least 30 days in advance.
我是原告或辩护律师，需要请求医疗费用记录或亲自出庭。我应该把传票送到哪里？
Please refer to DHCS’ webpage, Service of Process, for all the options available for sending a subpoena.
我为什么会收到账单（CAS3025）？
Medi-Cal 计划支付与您的人身伤害事件相关的服务费用。 DHCS 保留针对因您的人身伤害事件而产生的任何和解、判决或奖励收取费用的权利。 当您从其他健康保险、法律和解或其他来源（责任第三方）收到款项时，应支付信中所述的应付金额。
Why am I receiving bills from providers? I have Medi-Cal, why hasn’t Medi-Cal paid them?
请联系提供商并提供您的 Medi-Cal 福利识别卡 (BIC) 信息，以便他们可以向 Medi-Cal 收费。 服务提供商最多有 1 年的时间向 Medi-Cal 收费。
人身伤害计划已对我的和解施加了留置权。 我可以减免吗？
The DHCS’ recovery is limited to the amount derived from applying Welfare and Institutions Code section 14124.785. To request a reduction, submit a copy of the settlement release documents along with the attorney’s fees and itemized litigation costs using the online form, under Step 2 “Provide a Case Update or Documentation (All Other Notifications)“.
我可以获得还款协议吗？
不。 案件解决后，应支付 Medi-Cal 留置权的金额。
我们可以通过电子资金转账（EFT）支付留置权吗？
Yes, we prefer electronic payments over checks and other forms of payment. Please use our Electronic Funds Transfer payment system. Please have your DHCS Account number available to ensure payment is applied to the correct case.
我应该将支票寄往何处以及支票抬头为谁？
支票抬头应为卫生保健服务部。 请在付款时注明您的 DHCS 帐号，以确保及时申请正确的案件。
请将付款邮寄至：
Department of Health Care Services
Third Party Liability and Recovery Division
Personal Injury Branch – MS 4720
P.O. Box 997421
Sacramento, CA 95899-7421
If you’re using courier mail (FedEx, UPS, etc.), please mail to:
Department of Health Care Services
Third Party Liability and Recovery Division
1501 Capitol Avenue, MS 4720
Sacramento, CA 95814-5005
如果保险公司给我寄一张以 Medi-Cal 和我为收款人的支票，会发生什么情况？
如果保险公司签发了一张抬头为 Medi-Cal 或 DHCS 的支票，并且您：
- 自1年 7 月2025起，加利福尼亚州卫生保健服务部 (DHCS) 将不再接受 DHCS 4204 表格，也不再将支票/票据背书为有多个收款人的支票/票据的共同收款人。因此，7 月1 、 2025之后收到的支票/票据将被退回，不予背书。
- 通知付款人/发行人停止此流程，并要求付款人/发行人分别为 Medi-Cal 会员和 DHCS 提供单独的支票。
请注意：DHCS 不再认可结算支票。如果 DHCS 对和解不感兴趣，请与保险公司合作获取一张以您为收款人的新的支票。如果 DHCS 有可收回的权益，请通知保险公司签发单独的支票 - 一张支付给 DHCS，一张支付给您。
我如何才能获得解除 Medi-Cal 留置权的信函？
Upon request, DHCS will issue a release letter after the lien amount has been paid in full. If the Medi-Cal lien was paid by check, DHCS will wait 30 days for the check payment to clear the bank before issuing a lien release letter. If you would like a release letter prior to 30 days, you can send a confirmation of the cleared check payment. You also need to provide the settlement information that includes the settlement amount, attorney fees, and litigation costs before DHCS can issue a lien release letter.
由于多付款，需要多长时间才能收到退款？
收到多付款时，需要等待 30 天，以确保银行不会拒绝兑现或退回支票付款。 在此等待期之后，退款流程通常需要长达 60 个工作日，然后相关方才能收到退款支票。请注意，时间范围还取决于您所在地区的 USPS 邮件递送。
我该如何申请加快退款支付？
现行加急收费如下：
- 当天发行及发放：$75/收款人
- 次日释放：$50/收款人
- 第二天释放：$25/收款人
- 第三天释放：$15/收款人
- 特定日期释放：$10/收款人
您将需要大约 2-3 周的时间才能收到加急退款支票。 时间范围还取决于您所在地区的 USPS 邮件递送。
可以通过我们的电子资金转账（EFT）支付系统支付加急费用。我们将接受通过支票发送的付款，但由于退款准备工作要等到收到加急费后才开始，因此这将延迟该流程。 加急费用支付时必须包含以下信息：
- 案件名称和/或案件编号。
- 付款原因，即退还加急费。
- 加急的时间范围，例如当天、第二天等。
- 退款支票收款人（退款支票的收款人姓名）。*
- 发送退款支票的邮寄地址。 *
* 此信息对于确保退款支票正确签发以及避免退款支票被退回非常重要。 如果退款支票付款被退回，则可能需要另一笔加急费用才能重新签发支票。
请拨打电话支持部门 (916) 445-9891 以获取更多信息或通知 PIP 您的请求。 开放时间：周一至周五，上午8点至下午5点，中午12点至下午1点，周末及国家法定节假日休息。