Fraud and Complaint Reporting Process

Certified Applicant Assistants (CAA) continue to make a significant contribution towards the number of children enrolled in the Healthy Families and Medi-Cal for Families Programs. With the 2005 California Budget Act allocating funds for the restoration of EE reimbursements for application assistance, we are confident that the number of CAAs will continue to grow resulting in a positive impact for families seeking Healthy Families for Medi-Cal for Families.

Before you become certified, a CAA Agreement is required to be signed in order for you to receive your CAA number. This agreement lists the requirements for proper conduct and prohibited activities by CAAs when assisting families to complete their application. It is very important that the CAA process be maintained at the highest level of integrity to ensure this process continues.

While you perform your CAA duties, you may come upon situations which you feel are inappropriate or that someone is doing something that you feel is contrary to what is in the CAA Agreement. If you suspect misconduct or have a complaint about a person involved in the application process (e.g., CAA, EE, applicant, etc.), please call the EE/CAA Help Desk and ask that your complaint be documented. You can reach the EE/CAA Help Desk by calling (800) 279-5012 between 8:30 a.m. and 5:00 p.m. or by sending an e-mail at ee-caaliaison@maximus.com.

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