Workers’ Compensation Recovery Program
About Us
The Department of Health Care Services’ (DHCS) Workers’ Compensation Recovery Program seeks reimbursement for services that Medi-Cal paid on behalf of its beneficiaries who have workers’ compensation claims with employers, insurance companies, or the Workers’ Compensation Appeals Board (WCAB). When a Medi-Cal beneficiary receives a settlement, judgment or award from a liable third party as compensation for injuries they incurred, the Workers’ Compensation Recovery Program is required by federal and State law to recover funds for any related services paid by Medi-Cal.
For claims involving personal injury, medical malpractice, or class action litigation, use the links below to the appropriate recovery unit.
Lien Process
The Medi-Cal beneficiary or personal representative is required by law to report an action or claim in writing to DHCS pursuant to Welfare and Institutions (W&I) Code Section 14124.70 et seq. DHCS also receives workers’ compensation claims information from the Department of Industrial Relations in order to identify Medi-Cal beneficiaries and their claims. If the injured worker is Medi-Cal eligible, DHCS orders and reviews the payment records. Medical providers have up to one year from the date of service to submit bills to Medi-Cal for payment. DHCS will confirm all injury-related services have been identified and submit a lien to the appropriate parties.
If funds will be placed into a Special Needs Trust, please go to the
Special Needs Trust website for further instructions on notifying DHCS’ Special Needs Trust Unit.
Paying a Lien
In order to apply a payment to the correct account, the DHCS account number must be included with each payment submission. For your convenience, the following payment options are available:
One-Time Payment – Ideal for Medi-Cal beneficiaries and entities with few claims.
Enrolled User Payment – Ideal for entities with numerous claims and multiple payments. This option allows users to schedule advance payments and track payment history.
2. Payment via check – Submit to:
Department of Health Care Services
Third Party Liability and Recovery Division
Workers’ Compensation Unit - MS 4720
P.O. Box 997421
Sacramento, CA 95899-7421
Please reference the DHCS account number on the check and allow 15 to 30 business days for DHCS to receive and apply the payment.
If an insurance company issues a single check with both you and DHCS listed, please review visit the
Frequently Asked Questions. Instructions are provided in Question 11 under the FAQs for Beneficiaries/Attorneys heading.
Contact Information
Online Forms
Notify and update DHCS electronically using the
Online Forms webpage.
Phone Support Unit
The Phone Support Unit provides information to Medi-Cal Beneficiaries pursuing a workers' compensation claim.
Please visit the
Phone Support Unit - Online Inquiries webpage for more information.
Contact Us
You may contact us by phone, by email, and by mail.
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Phone: (916) 445-9891
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Hours of operation: Monday through Friday - 8:00 a.m. to 5:00 p.m., closed from 12:00 p.m. to 1:00 p.m.
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Closed on weekends and State Holidays
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Email:
WC@dhcs.ca.gov
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Mailing
Address for written correspondence:
Department of Health Care Services
Third Party Liability and Recovery Division
Workers’ Compensation Unit - MS 4720
P.O. Box 997425
Sacramento, CA 95899-7425
