California Medi-Cal Fair Hearing Attorney

I am a former State of California Administrative Law Judge (ALJ) who previously presided over and made decisions in Medi-Cal Fair Hearing cases before the California Department of Social Services. Since starting our law practice in October 2012, I have become a dedicated advocate of clients in Medi-Cal Fair Hearing cases.  With specialized expertise in California’s complex Medi-Cal system, I fight to protect your healthcare rights when benefits are wrongfully denied, reduced, or terminated.

How I Help Medi-Cal Recipients

As your attorney, I provide comprehensive representation throughout the administrative appeals process:

  • Analyzing Medi-Cal Notice of Action (NOA) letters to identify legal grounds for appeal
  • Explaining your rights and the Fair Hearing process in clear, understandable terms
  • Gathering essential medical documentation and evidence to support your case
  • Preparing strategic legal arguments based on California Medi-Cal regulations
  • Representing you at the Fair Hearing before Administrative Law Judges
  • Advocating for continued benefits during the appeal process (“Aid Paid Pending”)
  • Challenging improper eligibility determinations, share of cost calculations, and service denials

Areas of Expertise

  • Eligibility disputes for all Medi-Cal programs
  • Long-term care and nursing home coverage denials
  • In-Home Supportive Services (IHSS) hours reductions
  • Medi-Cal estate recovery claims
  • Spousal impoverishment protections
  • Community-Based Adult Services (CBAS) denials
  • Managed care plan service and prescription denials

I developed an intimate knowledge of the Welfare & Institutions Code and California Department of Health Care Services regulations during my time as a State Administrative Law Judge, Therefore, our office is prepared to navigate the complex legal landscape to help vulnerable Californians maintain their essential healthcare coverage.

I offer reasonable fees, flexible payment options, and serve clients throughout California. Contact me today for a consultation about your Medi-Cal Fair Hearing case.

Client Reviews

I would recommend anyone dealing with a licensing issue or a social security/disability case to see Kelvin immediately. He will put you at ease from the minute you talk to him on the phone. Attorney Kelvin Lee is single-handedly the...

Maxi

He helped to update my brother's will/trust and worked to probate it when my brother passed away. When it became more complicated he referred me to a good specialist. I appreciated his patience with my brother who was elderly and not...

Kathryn

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