State of California Department of Health Care Services
Health and Human Services Agency Office of Regulations
OFFICE OF REGULATIONS MAILING LIST FORM
The Department of Health Care Services (Department), Office of Regulations (OOR)
maintains a mailing list pursuant to Section 14911 of the Government Code. This mailing
list is comprised of parties that have requested to receive public notices of proposed
regulations for program(s) administered by the Department.
To be added to the Department’s mailing list, please complete Sections A, B and C. To be
removed from the mailing list, please complete Section D.
Please submit the completed form by mail, fax or e-mail, as designated below in Section E.
SECTION A: Please select from the following mailing list categories:
□
ALL DEPARTMENT NOTICES OF REGULATORY ACTIONS
□
POLICY & PROGRAM SUPPORT (Includes Provider Enrollment, Clinical Assurance
and Administrative Support, Audits & Investigations, and Third Party Liability &
Recovery)
□
HEALTH CARE BENEFITS & ELIGIBILITY (Includes Medi-Cal Eligibility, Primary,
Rural, and Indian Health, Pharmacy Benefits, Medi-Cal Dental Services, Benefits, and
Office of Family Planning)
□
MENTAL HEALTH & SUBSTANCE USE DISORDER SERVICES (Includes Mental
Health Services, Substance Use Disorder Compliance, Substance Use Disorder
Program, Policy, and Fiscal Division)
□
HEALTH CARE DELIVERY SYSTEMS (Includes Managed Care Quality and
Monitoring, Managed Care Operations, and Integrated Systems of Care Division
including California Children's Services)
□
HEALTH CARE FINANCING (Includes Capitated Rates Development, Fee-For-
Service Rates Development, and Safety Net Financing including the Subacute Care
and Local Educational Agency Programs)
SECTION B: Please provide the following information
Name:
Title:
Organization:
Address:
City, State, Zip:
E-mail:
DHCS 9044 (08/17) Page 1 of 2
