1. How do I call the Member Solutions Department?
2. What are the changes surrounding CHOC Health Alliance?
3. Can my child enroll in a different health network than me?
4. If my child is not with CHA, can I enroll my child with CHA?
5. When is CalOptima's annual Open Enrollment period?
6. How will I know when the Open Enrollment period is coming?
7. What do I do if I lost my child's ID card?
8. My child is assigned to a Primary Care Physician (PCP) I did not choose. Can I change his/her PCP?
9. What do I do if my child needs to see a specialist or needs special medical services?
10. What do I do if I get billed for health care services?
11. What if my child has other health insurance?
12. What if my child needs care when he/she is outside of Orange County?
13. What if I need care after hours?
14. Who do I call for dental care?
15. Where do I call for mental health services?
16. Is transportation available to a doctor's appointment?
17. Can I talk to the doctor in my own language?
18. Who do I report my change of address or name to?

You can call us at (714) 835-9627 or toll free at 1-800-424-CHOC (2462). You can also reach us by using the Contact Us page.

2. What are the changes surrounding CHOC Health Alliance?
As of January 1, 2007, CHOC Health Alliance began providing health care services to children and young adults ages 0 through 20.

3. Can my child enroll in a different health network than me?
Yes, CalOptima members can now choose different health networks for different family members. This means your children up to age 21 can continue getting their health care services through CHA and you can be in another health network.

4. If my child is not with CHA, can I enroll my child with CHA?
Yes, your child can enroll with CHA during the first three (3) months of becoming a CalOptima member or CalOptima's annual Open Enrollment period.

5. When is CalOptima's annual Open Enrollment period?
CalOptima's annual Open Enrollment period is from September 15 to December 15.

6. How will I know when the Open Enrollment period is coming?
Each year, CalOptima will mail a letter reminding members that the Open Enrollment period is coming.

7. What do I do if I lost my child's ID card?

• For the Medi-Cal Beneficiary Identification Card (BIC), call your local County of Orange Social Services Agency.
• For the CalOptima card, call CalOptima Customer Service Department toll free 1-888-587-8088.
• For the Healthy Families/CalOptima Kids card, call CalOptima Kids Member Services Department toll free at 1-800-530-2899.

8. My child is assigned to a Primary Care Physician (PCP) I did not choose. Can I change his/her PCP?
If you did not choose a PCP on the CalOptima Selection Form, CHOC Health Alliance will assign your child a PCP close to your home. You may change your child's PCP every 30 days. To do so, call our Member Solutions Department.

9. What do I do if my child needs to see a specialist or needs special medical services?
You can ask your PCP for a referral. Your PCP will work with CHOC Health Alliance to get an approval.

10. What do I do if I get billed for health care services?
You should first call the provider who is billing you. This should be the same provider who provided care to your child. You should give this provider your child's CHOC Health Alliance Medi-Cal information. You should then call CHOC Health Alliance for further assistance or use the Contact Us page located on our Web site.

11. What if my child has other health insurance?
The other health insurance will be the primary payor responsible for covering the services your child needs and/or received. CHOC Health Alliance will be the last payor. You will need to seek payment for services through your child's primary insurance before CHOC Health Alliance will pay.

12. What if my child needs care when he/she is outside of Orange County?
If your child is outside of Orange County and has an emergency situation, go to the nearest hospital emergency room. Show the hospital staff your child's CalOptima and/or BIC card and identify your child as a CHOC Health Alliance member. Ask the hospital staff to call CHOC Health Alliance within 24 hours. If you are not sure if it is an emergency, call your child's PCP. Do not use the emergency room for routine care.

14. Who do I call for dental care?
As a Medi-Cal member, your child can go to any dentist who takes Medi-Cal. You can call Denti-Cal toll free at 1-800-322-6384 for a list of dentists.
For Healthy Families members, call CalOptima Kids at 1-800-530-2899 to find out your dental plan.

15. Where do I call for mental health services?
As a Medi-Cal member, your child can get most mental health benefits through PacifiCare Behavioral Health Services. To get these services, call toll-free 1-800-723-8641.
For Healthy Families members, you may self-refer to a Participating Behavioral Health Provider of your choice for an initial face-to-face assessment.

16. Is transportation available to a doctor's appointment?
Emergency transportation is available to CHOC Health Alliance members when the member's medical conditions are life threatening. Non-emergency transportation will require approval in advance from CHOC Health Alliance. You should call your PCP to schedule transportation service.

17. Can I talk to the doctor in my own language?
Yes. As a CHOC Health Alliance member, you can get free interpreter services when you have a doctor's appointment. You can also ask to have an interpreter assist you when you call CHOC Health Alliance. This includes sign language interpreters. Call our Member Solutions Representative for more information.

18. Who do I report my change of address or name to?
Call the County of Orange Social Services Agency and/or the U.S. Social Security Administration to report any changes such as name, telephone number and/or address.