Contact Us

Contact Information

New Address

Gold Coast Health Plan relocated its headquarters to Camarillo, California, on April 7, 2014. The new physical address is:

Gold Coast Health Plan
711 East Daily Drive
Suite 106
Camarillo, CA 93010-6082

Member Services: 888.301.1228
Administration: 805.437.5500
Fax: 805.437.5132
TTY line: 888.310.7347

Media Contact: Susana Enriquez-Euyoque, 805.437.5596

For Providers

Gold Coast Health Plan
Attn: Claims
P.O. Box 9152
Oxnard, CA 93031-9152

Gold Coast Health Plan
Attn: Correspondence
P.O. Box 9153
Oxnard, CA 93031-9153

Gold Coast Health Plan
Attn: Grievances
P.O. Box 9176
Oxnard, CA 93031-9176

General Claim Form

A general claim form must be completed and submitted to the Clerk of the Commission for persons wishing to file a non Medi-Cal claim against the Ventura County Medi-Cal Managed Care Commission (VCMMCC), doing business as Gold Coast Health Plan (GCHP).

General claim form

Committee Appointment Application Form

A committee appointment application form must be completed and submitted to the Clerk of the Commission for persons wishing to serve on committees and or boards that provide guidance to the Ventura County Medi-Cal Managed Care Commission (VCMMCC), doing business as Gold Coast Health Plan (GCHP).

Gold Coast Health Plan is currently accepting applications to fill vacancies on its Consumer Advisory Committee (CAC).

Click here to read the notice and access the application form. (updated 8/28/2017)

Legal

For legal inquiries and request for records, please contact Legal@goldchp.org. To serve GCHP with a Third-Party Liability subpoena or records request, please use the physical address below.

Gold Coast Health Plan
711 East Daily Drive, Suite 106
Camarillo, CA 93010-6082

Compliance

Gold Coast Health Plan has various methods in place in which Providers, Members, vendors and employees can report suspected fraud, waste or abuse. Reports can be made anonymously.

  • Toll-free hotline available 24/7: 866.672.2615
  • Via internet: gchp.alertline.com
  • Written report: Attention: Compliance Officer–Fraud Investigation
  • 711 East Daily Drive, Suite 106
  • Camarillo, CA 93010-6082

Please provide as much information as possible such as:

  • Name of person(s), facility, vendor, etc., suspected of fraud, waste or abuse.
  • Identifying information, such as: Member/Provider/Facility name, address or telephone number.
  • Description and details of the suspected fraud, waste or abuse: who, what, where, when, and date and time of incident or incident(s).
  • Documentation (any) that is related to the report.
  • Person filing the report: name and telephone number if you do not wish to remain anonymous.

Fraud

An intentional deception or misrepresentation made with the knowledge that the deception could result in some unauthorized benefit to himself or some other person. It includes any act that constitutes fraud under applicable federal or state law. (Title 42 CFR 455.2; Welfare and Institutions Code 14043.1(i))

Waste

Overutilization of services and/or misuse of resources not caused by a violation of law.

Abuse

Provider practices that are inconsistent with sound fiscal, business or medical practices, and result in an unnecessary cost to the Medicaid program or in reimbursement for services that are not medically necessary or that fail to meet professionally recognized standards for healthcare. It also includes recipient practices that result in unnecessary cost to the Medicaid program. (Title 42 CFR 455.2; Welfare and Institutions Code 14043.1(a))

Attention providers: You are required to report incidents of fraud to Gold Coast Health Plan within 10 days from the date you became aware of such activity.

Enterprise Systems Catalog (SB 272)

Which Enterprise Systems Are Covered by SB 272
Governor Brown approved SB 272 in October 2015, adding section 6270.5 to the California Public Records Act (the "Act," Government Code Sections 6250-6276.48). Section 6270.5 defines an enterprise system as a software application or computer system that collects, stores, exchanges, and analyzes information that the agency uses that is (1) a multi-departmental system or system that contains information collected about the public and (2) a system of record. A system of record means a system that serves as an original source of data within an agency. Stated plainly, SB 272 requires local agencies to create a catalog of multi-departmental systems or systems containing information about the public that store original records and post the catalog on their agency website.

Which Systems Are Excluded
Enterprise systems do not include cyber security systems, infrastructure and mechanical control systems, or information that would reveal vulnerabilities to, or otherwise increase the potential for an attack on, a public agency's IT system. Additionally, section 6270.5 does not automatically require disclosure of the specific records that the IT systems collect, store, exchange or analyze, however, the Act's other provisions pertaining to disclosure of such records still apply.

Approved on October 11, 2015, SB272 adds a section to the California Public Records Act requiring local agencies to create a catalog of Enterprise Systems by July 1, 2016 with annual updates.

Enterprise Systems Catalog (updated July 1, 2019)

Download to the full text of SB 272

Procurement

Gold Coast Health Plan (GCHP) is a County Organized Health System (COHS) created by County Ordinance and authorized through Federal Legislation serving Medi-Cal beneficiaries living in Ventura County, California.

GCHP makes purchases and enters into contracts with a variety of vendors for goods and services. These contracts range from office supplies, computers, equipment leases, building and professional services. GCHP suppliers include firms, individuals, licensed professionals, contractors and others.

At various times, GCHP seeks to purchase goods and services and encourages all qualified vendors to submit bids/proposals. GCHP recognizes the need for vendors to understand how the procurement process works if they are to be successful.

Please review the following documents.

Vendor Frequently Asked Questions

Purchase Order Terms & Conditions

Vendor Setup Form

RFP Documents

Some RFPs contain links to Microsoft® Word and Excel documents. Please download and save the RFP to your desktop to access embedded attachments.

Bid #TitleBid StatusBid End DateBid Document
GCHP05282019 Claims Recovery Services Open 08/05/2019 05282019_final_rfp.pdf
GCHP05282019 SSI/SSDI Member Identification and Transition Services Closed 07/29/2019  
GCHP06262019 Desktop Hardware Closed 07/15/2019  
GCHP03262019 HEDIS Gap Closure Services Closed 05/09/2019  
GCHP040819 Printing Services RFP Closed 04/29/2019  
GCHP02262019 Enterprise Transformation Project, ETP, Consulting Services Closed 04/01/2019  
GCHP072718 Non-Emergency Medical and Non-Medical Transportation Services
(updated August 20, 2018, 1:26 p.m.)
Closed 10/01/2018  

 

To learn more about Gold Coast Health Plan, visit us at: goldcoasthealthplan.org