Please print your OHRA form, fill it out and mail it to us at:

LIBERTY Dental Plan,
P.O. Box 26110
Santa Ana, CA 92799-6110

Florida Healthy Kids:

If you need assistance, please call: 1-877-550-4436.
English Child OHRA
Spanish Child OHRA

California Medicaid:

If you need assistance with California Medicaid in Los Angeles County, please call: 1-888-703-6999.
If you need assistance with California Medicaid in Sacramento County, please call: 1-877-550-3875.