Publications

Health benefits, Medi-Cal, Medicaid, Medicare, managed care, private health plans

PAI Publications - Please feel free to download and copy any of these materials for your personal use. We will appreciate your sending a donation so that PAI can continue its advocacy for people with disabilities - such as making these materials available.

You may order copies of publications. Please order by publication number. Call 1-800-776-5746 - or- fill out and mail the order form to the office nearest you.

Access to and Amendment of Health Records (htm) or (pdf) (December 2007, 10 pages, English, PAI #5112.01)

Social Security Rules for Deeming Income from Parents to a Disabled Child to Determine Whether a Child is Eligible for SSI and, if so, the Amount (htm) or (pdf) (June 2007, 19 pages, English, PAI #5017.01) also available in:
Spanish: Social Security Rules for Deeming Income ..., PAI #5017.02
Korean: Social Security Rules for Deeming Income ..., PAI #5017.03
Chinese: Social Security Rules for Deeming Income ..., PAI #5017.04
Vietnamese: Social Security Rules for Deeming Income ..., PAI #5017.05

Worksheets for Determining Eligibility under the Aged & Disabled Federal Poverty Level (A&D FPL) Medi-Cal Program (html) or (PDF) (September 2006, 17 pages, English, PAI #5450.01)

References for Consumer Complaints About Health Care Professionals & Facilities (May 2006, 46 pages including forms, English, PAI #5287.01).

How to Use Aids and Services in Medical Settings (htm) or (pdf) (March 2005, 13 pages, PAI #5447.01)

“Grandfather” protection for persons enrolled on December 1, 2004, in one of the Home and Community Based Services (HCBS) (html) or (PDF) (December 2004, 3 pages, PAI #5460.01)

How the AIDS Medi-Cal Waiver Can Help You Get the Care You Need at Home Instead of in a Medical Facility (html) or (PDF) (September 2004, 17 pages, English, PAI #5435.01)  

The Multipurpose Senior Services Program May Be the Answer to Staying at Home Rather than Going to a Nursing Home (html) or (PDF) (March 2004, 10 pages, English, PAI #5395.01)

How to Get the Extra Help You Need to Stay in Your Own Home and Avoid a Nursing Home (html) or (PDF) (March 2004, 29 pages, English, PAI #5392.01)

Advance Health Care Directives (PDF) March 2003, 40 pages, English, PAI #5088.01; also available in  
Spanish (PDF) #5088.02

Home and Community-Based Waivers Nursing Facility A/B, Sub-Acute, and In-Home Medical Care Waivers (August 2002, 72 pages, English, PAI #5399.01)

Medi-Cal Overview in PDF format - www.healthconsumer.org/Medi-CalOverview.pdf (March 2002, 297 pages, English, PAI #5360.01).

Note: If you do not want to print out the entire manual, you can print individual chapters by choosing File and Print from your browser menu and typing in the page numbers you wish to begin and end your printout with (for example "from 19 to 26"). You will find the page numbers listed in parentheses after each chapter link.

Overview of the Medi-Cal System - Chapter 1 - Introduction to the Medi-Cal Program (click on Chapter 1, print from 21 to 30; then click on Appendix to Chapter 1, print only page 273) (March 2002, 11 pages, English, PAI #5361.01)

Overview of the Medi-Cal System - Chapter 2 - About the Different Medi-Cal Programs (click on Chapter 2, print from 31 to 74; then click on Appendix to Chapter 2, print from 274 to 288) (March 2002, 59 pages, English, PAI #5362.01)

Overview of the Medi-Cal System - Chapter 3 - Applying for Medi-Cal Benefits and Retroactive Benefits (click on Chapter 3, print from 75 to 93) (March 2002, 19 pages, English, PAI #5363.01)

Overview of the Medi-Cal System - Chapter 4 - Income, Resources and Medi-Cal Eligibility (click on Chapter 4, print from 94 to 110) (March 2002, 17 pages, English, PAI #5364.01)

Overview of the Medi-Cal System - Chapter 5 - How Share of Cost is Determined; How Share of Cost Works (click on Chapter 5, print from 111 to 129) (March 2002, 19 pages, English, PAI #5365.01)

Overview of the Medi-Cal System - Chapter 6 - Medi-Cal Services and Benefits (click on Chapter 6, print from 130 to 146) (March 2002, 17 pages, English, PAI #5366.01)

Overview of the Medi-Cal System - Chapter 8 - Immigrants and Health Care. (Visit the Health Consumer Alliance publication page to read an Issue Brief on Immigrants and Health Care.) (January 2002, PAI #5368.01)

Overview of the Medi-Cal System - Chapter 10 - Eligibility and Where You Live - Institutions for Mental Disease (IMD) and Public Institutions (click on Chapter 10, print from 186 to 191) (March 2002, 6 pages, English, PAI #5370.01)

Overview of the Medi-Cal System - Chapter 11 - Medi-Cal and Long-Term Care (442) (click on Chapter 11, print from 192 to 211) (March 2002, 20 pages, English, PAI #5371.01)

Overview of the Medi-Cal System - Chapter 14 - Medi-Cal and Private Health Benefit Plans (click on Chapter 14, print from 216 to 224) (March 2002, 9 pages, English, PAI #5374.01)

Overview of the Medi-Cal System - Chapter 15 - Medi-Cal Managed Care (click on Chapter 15, print from 225 to 245; then click on Appendix to Chapter 15, print from 289 to 297) (March 2002, 21 pages, English, PAI #5375.01)

Overview of the Medi-Cal System - Chapter 16 - Medi-Cal Home and Community Based Waiver Plans (click on Chapter 16, print from 246 to 257) (March 2002, 12 pages, English, PAI #5376.01)

Overview of the Medi-Cal System - Chapter 17 - Appeals and Fair Hearings: When Medi-Cal, County Mental Health Plan or Managed Care Plan says "No" (click on Chapter 17, print from 258 to 273) (March 2002, 15 pages, English, PAI #5377.01)

What Money Can My Medi-Cal Provider Ask of Me (May 2000, 18 pages, English, PAI #5178.01)

New Medi-Cal A&D Program for Seniors and Disabled Begins January 1, 2001 (html) or (PDF)
(January 2001, 4 pages, English, PAI #5249.01)

Managing Mental Health Care: A Report on California's Medi-Cal Mental Health System, 1997-1999 (html) (January 2000, 57 pages, English, PAI #5071.01)

An Analysis of the GAO's Recent Report on Medicaid Managed Care Mental Health "Carveout" Programs and the Implications for California (November 1999, 8 pages, English, PAI #5103.01)

Medi-Cal Mental Health Managed Care Information/Access Hotlines (html) or (PDF) (June 2001, 6 pages, English, PAI #5294.01)

Medicare HMOs: Fact Sheet on Non-Renewals (December 1998, English, PAI #5312.01)

Non-PAI publications: If these non-PAI materials are not on line, you may order copies directly from the publisher by title, or from PAI by publication number. Again, we will appreciate your sending a donation so that PAI can continue its advocacy activities for people with disabilities - such as making these materials available.

Current federally approved Section 1915(c) Medi-Cal Home and Community-Based Services (HCBS) Waiver for regional center clients who would qualify for ICF/DD services, October 2006 through September 2011, 228 pages, English, State of California, Department of Health Care Services. This waiver is administered by the Department of Developmental Services and regional centers. The waiver does two important things: (1) Enable children to qualify for Medi-Cal by not counting prental income and/or resources ("institutional deeming") and (2) Fund through Medi-Cal many of the services that support children and adults in their homes and communities. For more information see Chapter 13 in "Rights Under the Lanterman Act" (htm) or (pdf)

Draft Application for a Section 1915(c) Medi-Cal Home and Community-Based (HCBS) Waiver, HCBS Waiver Application Version 3.4, January 3, 2008, 218 pages.

California Major Risk Medical Insurance Program (MRMIP) 2006 Application and Handbook (January 2006, 32 pages, English, PAI #5456.01)

The Guide to Medicare Part D Prescription Drug Coverage for People with Developmental Disabilities United Cerebral Palsy and The Arc, English - updated often

New Medi-Cal Program for Aged and Disabled Persons (PDF) (April 2005, 2 pages, English, PAI #5253.01; prepared by Protection & Advocacy, Inc., and Western Center on Law & Poverty) Spanish: New Medi-Cal Program for Aged and Disabled Persons (PDF) 
Chinese: New Medi-Cal Program for Aged and Disabled Persons (PDF) 
Korean: New Medi-Cal Program for Aged and Disabled Persons (PDF) 
Vietnamese: New Medi-Cal Program for Aged and Disabled Persons (PDF) 

Medi-Cal Information - Frequent Questions and Answers (January 2004, 18 pages, California Department of Health Services, English, PAI #5383.01)
Chinese: Medi-Cal Information - Frequent Questions and Answers (PDF)
Japanese: Medi-Cal Information - Frequent Questions and Answers (PDF)
Korean: Medi-Cal Information - Frequent Questions and Answers (PDF)
Spanish: Medi-Cal Information - Frequent Questions and Answers (PDF)
Vietnamese: Medi-Cal Information - Frequent Questions and Answers (PDF)

California Major Risk Medical Insurance Program - 2004 Application and Handbook (January 2004, 32 pages, English, PAI #5164.01).

Getting the Best Out of Managed Care, Fact Sheet #1 How Can This Information Help Me? doc and PDF (July 2001, 8 pages, PAI #5189.01
Spanish: Getting the Best out of Managed Care, Fact Sheet #1 doc and PDF (PAI #5189.02).

Getting the Best Out of Managed Care, Fact Sheet #2 Understanding Quality Measures (July 2001, 8 pages, PAI #5190.01)
Spanish: Getting the Best Out of Managed Care, Fact Sheet #2 Understanding Quality Measures, (PAI #5190.02)

Getting the Best Out of Managed Care, Fact Sheet #3 Figuring Out Which Health Care Plan Meets Your Needs (July 2001, 8 pages, PAI #5191.01)
Spanish: Getting the Best Out of Managed Care, Fact Sheet #3 Figuring Out Which Health Care Plan Meets Your Needs (PAI #5191.02)

Getting the Best Out of Managed Care, Fact Sheet #4 Report Cards (July 2001, 8 pages, PAI #5192.01)
Spanish: Getting the Best Out of Managed Care, Fact Sheet #4 Report Cards (PAI #5192.02)

Getting the Best Out of Managed Care, Fact Sheet #5 Consumer Surveys (July 2001, 8 pages, PAI #5193.01)
Spanish: Getting the Best Out of Managed Care, Fact Sheet #5 Consumer Surveys (PAI #5193.02)

Medicare, Managed Care and AAC Devices: Funding Augmentative and Alternative Communication (AAC) Devices Through Medicare
Available from: Assistive Technology Funding & Systems Change Project, United Cerebral Palsy Associations, Suite 700, 1660 L Street N.W., Washington DC 20036, 1-800-872-5827(voice), 202-776-0414 (fax), atproject@ucpa.org.
(December 1999, 23 pages, English, PAI #5016.01)

Guide to Medi-Cal Managed Care for people with Developmental Disabilities, Their Families and Professionals (1999, 14 pages, NHeLP, English, PAI #5184.01)
http://www.healthlaw.org/library.cfm?fa=download&resourceID=66292&appView

How to Get Care from a Board and Care Home: An Easy-to-use Guide to the Laws and Practices of California's Board and Care Homes - download from  http://www.bettzedek.org/publications.html or order from Bet Tzedek Legal Services, 145 South Fairfax Ave., Suite 200, Los Angeles, CA 90036, (213) 939-9506 (December 1994, 48 pages, English, PAI #5291.01)

If Only I Had Known: Misrepresentations by Nursing Homes Which Deprive Residents of Legal Protection - download from http://www.bettzedek.org/publications.html or order from Bet Tzedek Legal Services, 145 South Fairfax Ave., Suite 200, Los Angeles, CA 90036, (213) 939-9506 (1998, 68 pages, English, PAI #5409.01)

Nursing Home Companion: A User-Friendly Guide to Nursing Home Laws and Practices - download from http://www.bettzedek.org/publications.html or order from from Bet Tzedek Legal Services, 145 South Fairfax Ave., Suite 200, Los Angeles, CA 90036, (213) 939-9506 (February 1997, 56 pages, in English, PAI #5293.01)

Medicare (Spanish), available from Department of Health & Human Services, Social Security Administration, Baltimore, Maryland 21235. (July 1993, 20 pages, English, PAI #5138.02)

Respite Care and the Level of Care Providers Who May Be Authorized by CCS. Department of Health Services - Numbered Letter 26-0985. (September 1985, 2 pages, English, PAI #5159.01)