medi-cal for former foster youth: county specific · pdf filethis document provides...

4
www.coveredtil26.org | updated February 2018 means this is the best and easiest way to sign up for Medi-Cal in that county. If there isn’t a star, we are working to identify more checking back for more info. Not sure which county you live in? Go to: http://www.naco.org/counties/pages/citysearch.aspx. and enter your zip Medi-Cal for Former Foster Youth: County Specific Information Alameda County Call the Foster Care Eligibility Hotline at (510) 268-2500 to enroll. Marilyn Balderas and Selia Johnson are the Foster Care Program Specialists. Alpine County Call Lucie Morotti at (530) 694-2235 ext. 231 OR Gabriel Chavarin at (530) 694-2235 ext. 224 Amador County Department of Social Services 1003 Broadway Jackson, CA 95642 (209) 223-6550 Butte County Call Tami McArthur at (530) 538-5238 Calaveras County Call Brian Galicia at (209) 754-6872 Colusa County Department of Social Services 251 East Webster Street Colusa, CA 95932 (530) 458-0250 Contra Costa County Call the Children & Family Services Bureau Foster Care Unit at (925) 522-7410 Del Norte County Call Melissa Golden at (707) 464-3191 ext. 2622 OR Sara Tucker at (707) 464-3191 ext. 2636 El Dorado County Call (530) 642-7300. Say you are a former foster youth and ask to speak with someone in the Foster Care Unit. Fresno County Call Raul Hurtado at (559) 600-4019, OR Christina Escobedo at (559) 600-4024 Crocker Building (1st Floor) 2135 Fresno Street Fresno, CA 93721 Glenn County Human Resources Agency P.O. Box 611, 420 East Laurel Street Willows, CA 95988-0611 (530) 934-6514 Humboldt County Call Tim McDermond, Health Care Coverage Analyst, at (707) 268-2783 Imperial County Call Rosa Quihuis at (760) 337-6820 2995 South Fourth Street, Suite 105 El Centro, CA 92243 Inyo County Department of Social Services 920 N Main St. Bishop, CA, 93514 (760) 872-1394 Kern County Former foster youth in Kern County have two convenient options: 1. Call or visit the Dream Center 1212 18th Street (661) 636-4488 2. Call the Kern County Department of Human Services at (661) 631-6807

Upload: lamminh

Post on 05-Feb-2018

215 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Medi-Cal for Former Foster Youth: County Specific · PDF fileThis document provides information about where to go to apply for Medi-Cal in ... Email your MC 250A form to convenient

www.coveredtil26.org | updated February 2018

★ means this is the best and easiest way to sign up for Medi-Cal in that county. If there isn’t a star, we are working to identify more

checking back for more info.

Not sure which county you live in? Go to: http://www.naco.org/counties/pages/citysearch.aspx. and enter your zip

Medi-Cal for Former Foster Youth: County Specific Information

Alameda County ★ Call the Foster Care Eligibility Hotline at (510) 268-2500 to enroll. Marilyn Balderas and Selia Johnson are the Foster Care Program Specialists.

Alpine County ★ Call Lucie Morotti at (530) 694-2235 ext. 231 OR Gabriel Chavarin at (530) 694-2235 ext. 224

Amador County Department of Social Services 1003 Broadway Jackson, CA 95642 (209) 223-6550

Butte County ★ Call Tami McArthur at (530) 538-5238

Calaveras County ★ Call Brian Galicia at (209) 754-6872

Colusa County Department of Social Services 251 East Webster Street Colusa, CA 95932 (530) 458-0250

Contra Costa County ★ Call the Children & Family Services Bureau Foster Care Unit at (925) 522-7410

Del Norte County ★ Call Melissa Golden at (707) 464-3191 ext. 2622 OR Sara Tucker at (707) 464-3191 ext. 2636

El Dorado County ★ Call (530) 642-7300. Say you are a former foster youth and ask to speak with someone in the Foster Care Unit.

Fresno County ★ Call Raul Hurtado at (559) 600-4019, OR Christina Escobedo at (559) 600-4024 Crocker Building (1st Floor) 2135 Fresno Street Fresno, CA 93721

Glenn County Human Resources Agency P.O. Box 611, 420 East Laurel Street Willows, CA 95988-0611 (530) 934-6514

Humboldt County ★ Call Tim McDermond, Health Care Coverage Analyst, at (707) 268-2783

Imperial County ★ Call Rosa Quihuis at (760) 337-6820 2995 South Fourth Street, Suite 105 El Centro, CA 92243

Inyo County Department of Social Services 920 N Main St. Bishop, CA, 93514 (760) 872-1394

Kern County ★ Former foster youth in Kern County have two convenient options: 1. Call or visit the Dream Center 1212 18th Street

(661) 636-4488

2. Call the Kern County Department of Human Services at (661) 631-6807

Page 2: Medi-Cal for Former Foster Youth: County Specific · PDF fileThis document provides information about where to go to apply for Medi-Cal in ... Email your MC 250A form to convenient

www.coveredtil26.org | updated February 2018

Kings County Human Services Agency 1400 W. Lacey Blvd., Building #8 Hanford, CA 93230 (877) 410-8813

Lake County Department of Social Services 15975 Anderson Ranch Parkway P.O. Box 9000 Lower Lake, CA 95457-9000 (707) 995-4200

Lassen County Lassen WORKS Roosevelt Annex, 720 Richmond Road Susanville, CA 96130 (530) 251-8152

Los Angeles County ★ Call Dorian Madrid, DPSS, at (626) 927-2690 or Duy Johnson, DPSS, at (626) 927-2687

Madera County ★ Call Marilyn Quick, Eligibility Worker III, at (559) 662-8366

Marin County Dept Health & Human Services (Public Assistance) 120 N. Redwood Dr-West Wing San Rafael, CA 94903 (415) 473-3400

Mariposa County ★ Former foster youth in Mariposa County have three convenient options:

1. Call Maria Swiecki, Eligibility Worker III, at (209) 742-0834

2. Email your MC 250A form to [email protected]

3. Apply in person at 5362 Lemee Lane, Mariposa CA 95338.

Mendocino County ★ Call Jan Wellman at (707) 463-7967

Merced County Human Services Agency 2115 West Wardrobe Avenue Merced, CA 95340 (209) 385-3000

Modoc County ★ Former foster youth in Modoc County have two convenient options:

1. Apply in person at the Department of Social Services. Ask for Paige Fuentes. 120 N. Main St., Alturas, CA 96101

2 Fax your MC 250A form to Paige Fuentes at (530) 233-2136

Mono County Department of Social Services

452 Old Mammoth Rd, 3rd Floor, P.O. Box 2969 Mammoth Lakes, CA 93546 (760) 924-1770

85 Emigrant Street, P.O. Box 576 Bridgeport, CA 93517 (760) 932-5600

Monterey County ★ Former foster youth in Monterey County have two convenient options:

1. Call (866) 323-1953 to apply by phone.

2. Apply in-person at 1000 S. Main Street Suite 216, Salinas, CA 93901

Napa County ★ Call Vivian Wesley at (707) 253-4538 or email [email protected]

Nevada County ★ Call Beth Andrews at (530) 265-1646

Orange County ★ Former foster youth in Orange County have three convenient options:

1. Call the Social Services Agency Foster Care (714) 704-8382

2. Fax your MC 250A form to “Attention: Claudia Gomez” at (714) 704-8757

3. Apply in person at the Social Services Agency CA 92868

Page 3: Medi-Cal for Former Foster Youth: County Specific · PDF fileThis document provides information about where to go to apply for Medi-Cal in ... Email your MC 250A form to convenient

www.coveredtil26.org | updated February 2018

Placer County ★ Call Patricia Honstein at (530) 886-5219

You can also apply in-person at any of the

Placer County Government Center 11542 B Avenue Auburn, CA 95603 (530) 889-7610

1000 Sunset Blvd. Suite 220 Rocklin, CA 95765 (916) 784-6000

5225 North Lake Blvd. Carnelian Bay, CA 96140 (530) 546-1900

Plumas County Department of Social Services 270 County Hospital Rd., Suite 207 Quincy, CA 95971 (530) 283-6350 OR (800) 242-3338 Toll Free

Riverside County ★ Call the Medi-Cal hotline for current and former foster youth at (951) 358-3544

Sacramento County ★ Sacramento County Department of Human Assistance 1725 28th Street Sacramento, 95816-9915 (916) 874-3100 OR (209) 744-0499 If you have problems signing up, call Alisa Young, Assistant Program Specialist Medi-Cal, at (916) 875-3528

San Benito County Human Services Agency 1111 San Felipe Rd, Ste 206 Hollister, CA 95023-3801 (831) 636-4180

San Bernardino County ★ Call Kalilah Hudson at (909) 475-8505 or email your MC 250A form to [email protected]

San Diego County ★ Call or visit the Family Resource Center closest to you.

Center City: Call Anna Yvette Velasquez at (619) 338-2128or Ana Chavez at (619) 338-2017

or Toni Warmuth at (619) 401-6020

or Candis Baptiste at (619) 668-3909

1255 Imperial Ave. 5th Floor, San Diego, CA 92101

El Cajon: Call Veronica Martinez at (619) 401-6015

220 S. First St., El Cajon, CA 92019

Lemon Grove: Call Jacqueline Castleman at (619) 668-3865

7065 Broadway, Lemon Grove, CA 91945

National City: Call Nancy DeLeon at (619) 731-3231 Live Well Center, 401 Mile of Cars Way, Suite 203, National City, CA 91950

Metro: Call Iliana Rabago at (619) 744-5177 1130 10th Ave., San Diego, CA 92010

North Central: Ed Wortham at (858) 573-7490 ,

,,

,

Midori Roberson at (858) 573-7451 Miriam Brilliante at (858) 573-7457or Nereida Ho�man at (858) 573-7356

North Coastal: Call Evelyn Sifuentes at (760) 754-5824 1315 Union Plaza Court, Oceanside, CA 92054

North Inland: Call Tina Ibarra at (760) 451-8315 Live Well Center, 649 W. Mission Ave. #3, Escondido, CA 92025

Northeast: Call Veronica Cruz at (619) 589-4536 5001 73rd St., San Diego, CA 92115

South Region: Call Armando Galvan at (619) 409-3336

or

Tony Phatsenhann at (619) 409-3391Samuel Conston at (619) 409-3172

690 Oxford St. Ste. E, Chula Vista, CA 91910

Southeast: Call Jenine Lawrence at (619) 266-3917Call Veasna Ngan at (619) 266-3960

4588 Market St., San Diego, CA 92102

San Francisco County ★ Call Dora Granera, Supervisor, at (415) 558-1934

San Joaquin County ★ Call Frank Hernandez, Foster Care Eligibility Supervisor, at (209) 468-2025

Page 4: Medi-Cal for Former Foster Youth: County Specific · PDF fileThis document provides information about where to go to apply for Medi-Cal in ... Email your MC 250A form to convenient

www.coveredtil26.org | updated February 2018

San Luis Obispo County ★ Call JoAnn Overbey, Foster Care Program Specialist, at (805) 781-1891

San Mateo County ★ Call Yadira Santillan at (650) 802-7674 OR Eileen Bruins at (650) 802-5103 1 Davis Drive Belmont, CA 94002 (800) 223-8383 Toll Free

Santa Barbara County ★ Call Vidal Chiprez, Eligibility Supervisor, at (805) 681-4442 OR Blanca Diaz at (805) 346-7271

Santa Clara County ★ Former foster youth in Santa Clara County have three convenient options: 1. Meet with County Social Worker Nicolas

King Road, San Jose, CA 95133.

2. Call Nicolas to make an appointment to meet at another time: (408) 501-6889

3. Call the County’s Foster Care Eligibility unit: (408) 271-7400

Santa Cruz County ★ (888) 421-8080

Shasta County ★ Call Rod Delfer at (530) 229-8283

Sierra County Social Services 202 Front Street, P.O. Box 1019 Loyalton, CA 96118 (530) 993-6721 Downieville: (530) 289-3711

Siskiyou County ★ Call Ginger Johnston, Eligibility Worker III, at (530) 841-4821

Solano County ★ Call Jackie Coleman, Special Programs Supervisor, at (707) 784-8424

Sonoma County ★ Family Youth and Children’s Services 1202 Apollo Way Santa Rosa, CA 95402 (707) 565-4300

Stanislaus County ★ Call Ginny Townsley at (209) 558-1193 OR Eleanore McClaran at (209) 558-2236

Sutter County Department of Human Services Welfare Social Services Division 539 Garden Highway, P.O. Box 1535, Yuba City, CA 95991 (877) 652-0735

Tehama County

310 South Main Street, P.O. Box 1515

(530) 527-1911

Corning: 275 Solano Street Corning, CA 96021 (530) 824-9182

Trinity County Dept of Health and Human Services #51 Industrial Parkway, P.O. Box 1470, Weaverville, CA 96093-1470 (530) 623-1265 OR (800) 851-5658 Toll Free TDD: (530) 623-1233

Tulare County ★ Call Rosemary Juarez, Foster Care Supervisor, at (559) 623-0358

Tuolumne County Department of Social Services 20075 Cedar Road North Sonora, CA 95370 (209) 533-5711

Ventura County ★ Call Laura Pariseau at (805) 654-3451 OR Laura Wuertele at (805) 654-3427

Yolo County ★

Call Katya Lopez-Arreola at (530) 661-2787 or email [email protected] Department of Employment & Social Services 25 N. Cottonwood Drive Woodland, CA 95695

Yuba County Health and Human Services Agency 5730 Packard Avenue, Suite 100, P.O. Box 2320, Marysville, CA 95901-9987 (530) 749-6311

Funded by a grant from The California Wellness Foundation.