Skip to main content

This page contains links to websites/forms that provide information of special interest to Medicare beneficiaries and their families. These websites may not be associated with CCHP, but the information they provide may be helpful in researching issues related to Medicare.

Centers for Medicare & Medicaid Services (CMS)
Detailed information and helpful links about the government’s Medicare program.
CMS Best Available Evidence (BAE) Policy
Up-to-date information on the BAE program for Medicare Part D.
Prescription Drug Prior Authorization / Step Therapy Exception Request Form
To request for Medicare Prescription drug coverage determination.
The official Medicare website provides general information and helpful tools.
Social Security Administration
Official Social Security website with information about eligibility requirements for Medicare coverage and special subsidy programs.
Medicare Ombudsman
The Medicare Ombudsman (OMO) helps you with complaints, grievances, and information requests.
Medicare Complaint Form
Submit feedback about your Medicare health plan or prescription drug plan directly to Medicare using this form.
Appointment of Representative Form
To appoint someone to be your representative.
Request for Redetermination of Medicare Prescription Drug Denial Form
To request for Medicare prescription drug denial redetermination.

Chinese Community Health Plan (CCHP) is a Medicare Advantage HMO plan with a Medicare contract and a California Medicaid program contract for our SNP. Enrollment in CCHP depends on contract renewal. Medicare beneficiaries may also enroll in Chinese Community Health Plan through the CMS Medicare Online Enrollment Center located at

H0571_2020_272_2020 Last Updated 7/6/2023

The owner of this website has made a commitment to accessibility and inclusion, please report any problems that you encounter using the contact form on this website. This site uses the WP ADA Compliance Check plugin to enhance accessibility.