LIBERTY Dental Plan of California, Inc.
 
  
  
2019
 Los Angeles
  (PHP)







888-703-6999
(TTY
800-735-2929
)
 8:00  5:00 
 

www.libertydentalplan.com
2




 
 
 888-703-6999 (TTY 800-
735-2929) 




  
 
 888-703-6999 (TTY 800-735-
2929) 





24   
 7  

 


 888-703-6999 (TTY 800-735-
2929) 


888-703-6999
(TTY
800-735-2929
)
 8:00  5:00 
 

www.libertydentalplan.com
3
 

888-703-6999
(TTY
800-735-2929
)
 8:00  5:00 
 

www.libertydentalplan.com
4
 

888-703-6999
(TTY
800-735-2929
)
 8:00  5:00 
 

www.libertydentalplan.com
5
 

888-703-6999
(TTY
800-735-2929
)
 8:00  5:00 
 

www.libertydentalplan.com
6
 
 
  LIBERTY Dental Plan

 
  

 
   
 
   
   
   

 
LIBERTY Dental Plan 
 

  





(  
) 


 )









888-703-6999
(TTY
800-735-2929
)
 8:00  5:00 
 

www.libertydentalplan.com
7
 

  LIBERTY
Dental Plan  8:00  5:00

 888-703-6999
  

 800-735-2929
 
 LIBERTY Dental Plan 
 
 

   
     
 
      
   
  
LIBERTY  
  



  LIBERTY 
 888-
703-6999    
 800-
735-2929
    
PO Box 26110
Santa Ana, CA 92799-6110
Phone 888-704-9833

    LIBERTY
 

 
 LIBERTY 
www.libertydentalplan.com

-   CALIFORNIA
 



 

 


 
 916-440-7370 
  
 711 ( 
)
   

888-703-6999
(TTY
800-735-2929
)
 8:00  5:00 
 

www.libertydentalplan.com
8
 
Office of Civil Rights
Department of Health Care Services
Office of Civil Rights
P.O. Box 997413, MS 0009
Sacramento, CA 95899-7413
  
26http://www.dhcs.ca.gov/Pages/Language_Access.aspx

 26 CivilRights@dhcs.ca.gov

- 
 

    
    





 


 
 1-800-368-1019 
  
 TTY / TDD 1-800-537-7697
   


200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
  26http://www.hhs.gov/ocr/office/file/index.html.


  

 26
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

888-703-6999
(TTY
800-735-2929
)
 8:00  5:00 
 

www.libertydentalplan.com
9
LIBERTY Dental Plan  !



 LIBERTY Dental Plan ("LIBERTY"
 ) LIBERTY  
   Medi-Cal

California
   


   LIBERTY

 



 
LIBERTY

   (EOC)
  LIBERTY
  

  
 

 888-703-6999 (TTY 800-735-2929)  
  


  www.libertydentalplan.com


 
   
 888-703-6999 (TTY 800-
735-2929)
  8:00  5:00 


  www.libertydentalplan.com

LIBERTY Dental Plan of California
P.O. Box 26110
Santa Ana, CA 92799-6110
 888-703-6999 (TTY 800-735-2929)

  8:00  5:00 

 

www.libertydentalplan.com
10

2626 ................................................................................................................ 2
2626 .................................................................................................................................................................. 2
2626 ........................................................................................................................................................................... 2
2626 ........................................................................................................................................................ 2
26 26 ....................................................................................................................... 6
26LIBERTY Dental Plan  26 ....................................................................................................... 9
2626 ............................................................................................................................................................. 9
26 26 .................................................................................................................................................................... 9
2626.......................................................................................................................................... 10
26
1.
 26 ..................................................................................................... 13
2626 .......................................................................................................................................................... 13
26 26 ............................................................................................................................... 13
26  26 ............................................................................................................................................................... 14
26
 26 .......................................................................................................................... 14
26
2.
26 .......................................................................................... 16
26
  26 ............................................................................................................. 16
26 26 ............................................................................ 17
26    26 ....................................................................................................................... 18
2626 ...................................................................................................................................................... 18
2626 .............................................................................................................................................................................................. 19
2626 ........................................................................................................................... 19
26 26 .......................................................................................... 20
26  
26 ........................................................................................................... 20
26
3.
  26 ................................................................................................. 21
26 26 ........................................................................................................................................ 21
26  26 .............................................................................................................. 22
 888-703-6999 (TTY 800-735-2929)

  8:00  5:00 

 

www.libertydentalplan.com
11
26 26 .............................................................................................................. 23
26 26 .............................................................................................................. 23
26 26 ....................................................................................................................... 24
26    26 .................................................. 24
26  26 ..................................................................................................................................... 25
26  26 .......................................................................................................................................... 25
26 26 ......................................................................................................................................... 25
26  26 ............................................................................................................................................ 26
26 (PCD)26 ................................................................................................................................................. 26
26 26 ................................................................................................................................ 27
26

26 ............................................................................................................ 28
2626 ............................................................................................................................................ 28
26 26 ....................................................................................................................................... 28
2626 ............................................................................................................................... 29
2626 ............................................................................................................................... 30
2626 ............................................................................. 30
26
4.
26 ................................................................................................. 31
26   26 ....................................................................................... 31
2626 ............................................................................................................ 32
2626 .......................................................................................................................... 33
2626 ..................................................................................................... 33
26
    26 ............................................................................ 34
26
  26 ........................................................................................................... 35
26   26 ............................................................................... 36
26
Medi-Cal   21  26 ........... 36
26
26 ......................................................................................................................................... 38
26
5.

26 ....................................................................................................................... 39
26 26 .............................................................................................................................................................................. 39
26
26 ........................................................................................................................................................... 40
26 26 .................................................................................................................... 41
26 26 .......................................................................................................................................................... 41
26 
Medi-Cal  26 ............................................ 41
 888-703-6999 (TTY 800-735-2929)

  8:00  5:00 

 

www.libertydentalplan.com
12
26  26 .................................................. 42
26
6.
 26 ............................................................................................... 43
26 
26 ................................................................................................................................................................................... 45
26 26 ............................................................................................................................................................................. 46
26 26 ....................................................................................................................................................................... 47
26 26 ........................................................................................................................... 48
26
7.



26 ....................................................................................... 50
26
26 ................................................................................................................................................................ 50
26

26 ..................................................................................................................................................................... 50
 888-703-6999 (TTY 800-735-2929 )

  8:00  5:00 

 

www.
libertydentalplan.com
13
1.
 


 
 
 
 
!

 LIBERTY 
 
     
   (PCD)






 
 888-703-6999 (TTY 800-735-
2929
)
  8:00  5:00 
 
 
www.libertydentalplan.com
 
 LIBERTY 
 Medi-Cal   Los Angeles  

 Health Care Options  1-800-430-4263 (TTY 1-800-430-
7077) 
 http://www.healthcareoptions.dhcs.ca.gov.

  Medi-Cal
  
  
http://www.dhcs.ca.gov/services/medi-cal 
 1-800-300-1506 (TTY) 888
889-4500 
Covered California
 888-703-6999 (TTY 800-735-2929 )

  8:00  5:00 

 

www.
libertydentalplan.com
14
1 |  
  
 LIBERTY   

     
    Medi-Cal 
 
   
    

  
   
   
  


 
 
 
 
 
 888-703-6999 (TTY 800-735-2929)

 
LIBERTY   
 
 

 



  
!
  LIBERTY

    
 
  
 


 LIBERTY 





 


 




 
 888-703-6999 (TTY 800-735-2929 )

  8:00  5:00 

 

www.
libertydentalplan.com
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1 |  

  
  

 
 888-703-6999 (TTY
800-735-2929
)
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
16
2.



 
LIBERTY    
Medi-Cal   Los Angeles 
California

 


 
    
 
 888-703-6999 (TTY 800-735-2929)
  
 
 LIBERTY    LIBERTY
  (7) 
 
  LIBERTY
     
 LIBERTY


 
   LIBERTY 
 
  (PCD)    LIBERTY
     
  
 
 888-703-6999 (TTY 877-550-
2929  
 
    LIBERTY 


   Medi-Cal 


 DHCS    
 LIBERTY 
LIBERTY
  
  
 
  Medi-Cal 
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
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   
  
  

  
    
  
  

   
 Medi-
Cal  
  LIBERTY
 
 
  (Indian Health Service (IHS) Division of
Oral Health (DOH))
 
LIBERTY 
DHCS
LIBERTY  

 
 

 
 LIBERTY

 

( ) 
  
 LIBERTY



:
  (PCD)


PCD 
   LIBERTY

 
 


  

  
 
 
  
 888-703-6999 (TTY 800-735-2929)
 
www.libertydentalplan.com
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
18
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   
   
 LIBERTY 


 

 
 Health Care Options
 1-800-430-4263 (TTY 1-800-430-7077)   

 8:00  5:00 

26www.healthcareoptions.dhcs.ca.gov

 45   LIBERTY
  
 Health Care Options 
 
 1-800-430-4263 (TTY 1-800-430-7077)
  LIBERTY  
  Health Care Options  
 
  
 

 
  LIBERTY  
 
   http://www.dhcs.ca.gov/services/medi-
cal
 1-800-300-1506 
 Covered California   
 
   LIBERTY  

 Health Care Options



    LIBERTY

  12   


    12 

    LIBERTY 

 
  LIBERTY 

 
 888-703-6999 (TTY 800-735-2929) 
   
LIBERTY

 
 


 LIBERTY  LIBERTY 
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
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   
 
 Medi-
Cal  
  Fee-for-Service (FFS) Medi-Cal

 LIBERTY 



   
  
 888-703-
6999 (TTY 800-735-2929)

LIBERTY
 
LIBERTY  
  

 LIBERTY


   LIBERTY

   

 
 LIBERTY
LIBERTY 



 
 


  LIBERTY
LIBERTY    

  
   
   
  
     LIBERTY
  
 888-703-
6999 (TTY 800-735-2929)


LIBERTY  Medi-Cal
 LIBERTY  
 
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
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   
   

  
  



 


 
  

  
    
 http://www.dhcs.ca.gov/services/medi-cal
 
LIBERTY   
 
LIBERTY  

  LIBERTY 


  LIBERTY
 
 
 

 LIBERTY
 
 LIBERTY 
 
 
LIBERTY  
 

 
 LIBERTY   

888-703-6999 (TTY 800-735-2929)
  



 

  888-703-6999 (TTY 800-735-2929)
 LIBERTY  

  888-703-6999 (TTY 800-735-2929)
   
  


 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
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3.





 



   
     
  BIC 
 Medi-Cal 
   
    BIC 
 
  

   (PCD)    
  LIBERTY 
 


 PCD   30  
LIBERTY  PCD     
 PCD  PCD 

LIBERTY
     PCD 
    
    PCD    
  

  

  

 888-703-6999 (TTY 800-735-2929)   
 
www.libertydentalplan.com
3 |    
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
22


 


   PCD 
  LIBERTY
  
  PCD  
  
  


PCD
  
  LIBERTY
  

 
    Medi-Cal (BIC)   
    
  California 


  

 
 
PCD  
 
   


  PCD 
 
  
 



Medi-Cal Dental 
 

   LIBERTY
  PCD 


  



( ) 


 Medi-
Cal Dental 
 
 
 
 






3 |    
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
23



 

 
 

 

  (  )




()




   
  
 4
  
 
LIBERTY   


    

   72 
 
   
  
 


  
 LIBERTY
 888-703-6999 (TTY 800-735-2929) 
 
LIBERTY    
   
 
  24  
 7  



 LIBERTY  
3 |    
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
24
 
   
  
 


  
 LIBERTY
 888-703-6999 (TTY 800-735-2929) 

 911   
    

LIBERTY  
   

   
 911
  

 
 888-703-6999 (TTY 800-735-
2929)
  8:00  5:00 


 PCD  PCD

 
 PCD   (  )



   
   
LIBERTY   

  LIBERTY
 

LIBERTY
    LIBERTY
   
   (FQHCs)
   (Indian Health Center (IHC))
  (Native American Health
Clinics)
     
 
  





 
   
 www.libertydentalplan.com
3 |    
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
25

   

 888-703-6999 (TTY 800-735-2929)
 
  
  

LIBERTY 

   

   LIBERTY 

   

PCD  
  
   

 888-703-6999 (TTY 800-735-2929)
 
   
 www.libertydentalplan.com
      PCD 


   888-703-6999 (TTY 800-735-
2929)
   
 911
  
 
  
LIBERTY   

 

 
 

   



 

 888-703-6999 (TTY 800-735-2929)

 
    PCD   

888-703-6999 (TTY 800-735-2929)
3 |    
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
26
    
888-703-6999 (TTY 800-735-2929)

   (PCD)  
  LIBERTY PCD

 

  
    
   
 
 888-703-6999 (TTY 800-735-
2929)


 PCD




 

 LIBERTY 

   

  17 
  
 888-703-6999 (TTY 800-735-2929)
  (PCD)

 PCD  30   
LIBERTY
  
  PCD 
   
(FQHC)   
       PCD

   LIBERTY 


    
 PCD   

 LIBERTY
 PCD  30   
 

 LIBERTY 
  PCD 
PCD 
 
 
 
3 |    
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
27

  


   (  )
 
    
  PCD   LIBERTY 
     FQHCs

 LIBERTY
 
   
 www.libertydentalplan.com 
 888-
703-6999 (TTY 800-735-2929) 
  PCD


 


  
PCD 
 
PCD   

     
PCD   
 
 
 PCD
    LIBERTY


  PCD   
  

  PCD  
 888-703-6999 (TTY 800-735-2929)
    PCD  PCD 

  


 LIBERTY PCD  
  PCD 


PCD   
 
  PCD   
  PCD   
 
     PCD 

 

  
3 |    
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
28






 PCD 
    LIBERTY 


 
 
   BIC     




   



 

   



  
 


 



 (EOB)  
EOB 


 
 888-703-6999 (TTY 800-735-2929)
 

  




 
 

 


 
 

      
888-703-6999 (TTY 800-735-2929)
 
PCD 
  


 


 PCD 
 
 PCD 



PCD 
  
  
 PCD 
 
3 |    
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
29

 888-703-6999 (TTY 800-735-2929)

 


PCD
   


 PCD  

 
 
 
  LIBERTY 
  
  

  


  

 Medi-Cal  



  LIBERTY 




  (  )

  
  





 

 
   5   72
  



 
   

 
 
  
   
 
LIBERTY 

 
3 |    
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
30


 PCD 


 


 
 
 PCD  PCD
   
 888-703-6999 (TTY 800-735-2929)
  2  
     

  
 


    72 

 888-703-6999 (TTY 800-735-2929 )
  
      45
 

LIBERTY 

  


 (
 ) - 4 


 - 30  ( 21 ) 30
 ( 21  )

  - 72 
 - 
 24   7  


 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
31
4.


   

  LIBERTY
 


  
  









 
 
 
 
 

 

   
  

 




 


-


 
 
 
 
  



 
4 |


 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
32



 










  

(SNF/ICF)
 ( 3  )
 ( 3 )
 ( 3 )



 
- /
*
 ()**

 (  )

()

()


/ 
  

*1.  13 
2.  21  
** 13   
4 |


 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
33


 
 

  



 -  6  ( 21  )  12  ( 21 )
   -- 6 
 -- 36 
 
 -  36 
 -  6  ( 21  )  12  ( 21 )
   -  6  ( 21  )  12  ( 21
)
 -  36  ( 21  )
  -  12  (
  )  36 
( 
)
 -  5  ( 13 )
 (/) -  24  

( 13 )
 -  5 

 -  







(EPSDT)
  EPSDT  EPSDT
   Denti-Cal
 21 


  Denti-Cal

 

 Denti-Cal 


 

 
 LIBERTY

 EPSDT 
888-703-6999 (TTY 800-735-2929)
4 |


 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
34

    


 
   (NEMT)  
 
   

 
NEMT 
  
 
 

   NEMT  
 LIBERTY  
NEMT 

 


     


  
 LIBERTY  

  
 

  

NEMT 


  

 

 
  


 LIBERTY 

  NEMT 
 LIBERTY  877-550-3868  10
 ( - ) 
 
  

   




NEMT

NEMT 

 
  LIBERTY
 

?
   

 

 


 

 
LIBERTY   
    

4 |


 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
35


 
  LIBERTY

 
 
  (NMT)  

 LIBERTY 
  
LIBERTY    
 /

 
   


   

 
 
 LIBERTY

 NMT  
 


  NMT 
 LIBERTY  888-703-6999
 10  ()




    




NMT

NMT 

 
  LIBERTY
 

?
NMT  
   
 
  NEMT
  
 
 
  LIBERTY  
 
   

 
 
   LIBERTY
4 |


 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
36
   
  Los Angeles

 

Medi-Cal    
21 
 ()

  

 
 ( )





 


   

  (    ) 
 
   


 Denti-Cal 
 1-800-322-6384 (TTY 1-800-
735-2922) 

 Denti-Cal 
denti-cal.ca.gov 
  LIBERTY 
Medi-Cal

  LIBERTY 
 Medi-Cal
  

California (CCS)



  
 Medi-Cal Dental
 
   

4 |


 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
37
 
 

   
(TMJ)










 

 
 
 
  (      )
  
/
  


  

 
 
  LIBERTY
 

 
    
/


   
 888-703-6999 (TTY 800-735-
2929)

California (CCS)
CCS 
 21  

  
 

 CCS  LIBERTY PCP 
 
CCS 
 
 CCS

 CCS
 CCS 
   CCS
 
CCS LIBERTY
  CCS
  
LIBERTY  

 CCS
 
 CCS    
 CCS 

  
4 |


 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
38

 CCS    CCS  


 (   ) 
 CCS  










 
 


  




/
 



 





 

  

 





 

 
 CCS 
  
CCS   
   LIBERTY 
 
 CCS 
 888-703-6999 (TTY 800-
735-2929)


LIBERTY  
 

 
  
  
 888-703-6999 (TTY 800-735-2929)
 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
39
5.

  LIBERTY 


 
 
  
  LIBERTY

 LIBERTY




   



 
    

 



   

 


 
   
   

  
 


 
 
  

888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
40
5 | 
  (

 

)
  
  W & I Code Section 14182 (b) (12)


 


 



  


 

 
   




LIBERTY


  



  
 

    

 

  



  
 


  
   
 


 


888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
41
5 | 
 



  
 


  
 
  (PHI)

 
 PHI 
 
 
 
  


    PHI
    
    26 www.libertydentalplan.com

  888-703-6999 (TTY 800-735-
2929)
   

 

  



   

   

 Medi-Cal  

 
 Medi-Cal 

  


    

 LIBERTY  Medi-Cal 
   
  


888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
42
5 | 

California 


 Medi-Cal 
 

 Medi-Cal 


 Medi-Cal  

  
 
  
 Medi-Cal

  

 
   
 (NABD) 
  
  
  

 

888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
43
6.


 
  
  (  )  
LIBERTY



  

 LIBERTY   
    
LIBERTY   
  




  
   
 
  
 
  
 
 

 
(DMHC)  
  
   

  LIBERTY
  
 
   (IMR) 
DMHC
 IMR 
 
 
  IMR    

  
  IMR
  6    LIBERTY 
  
      

  (IMR)     IMR  
    

 
 California
6 |
 

 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
44

  California

  
   

   888-703-6999 (TTY: 800-735-2929) 
   


   

  

 
  
 
 
  

 30   

  

   (IMR)  
 IMR  IMR 
 
  
   
 

 
    
 

  (1-888-HMO-2219) 
 TDD (1-877-688-9891)   
http://www.hmohelp.ca.gov   
  IMR

 
 Medi-Cal

 California

 

 
 


   

 Medi-Cal

  1-888-452-8609
  8:00  to 5:00 
 
  
 
 Medi-Cal 
 


 888-703-6999 (TTY 800-735-2929)
6 |
 

 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
45
 
 
( )  
    LIBERTY 
  
 
PCD 
LIBERTY
  
 
 

 

 
 
  PCD 

888-703-6999 (TTY 800-735-2929)  
     

  
 888-703-6999 (TTY 800-735-2929)
  
  
 
  
 
  
  

 
  

  
LIBERTY Dental Plan
Quality Management Department
340 Commerce, Suite 100
Irvine, CA 92602
Fax: (949) 270-0109

   
 
 
 
 888-703-6999
(TTY 800-735-2929)
 5   


  30 
     
 

 
     
 
 
 888-703-6999 (TTY 800-735-
2929)
   72   
 
6 |
 

 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
46
 
     LIBERTY 

   

   

  (NABD) 
    PCD 
 
  

  
   60 

 
 
 888-703-6999
(TTY 800-735-2929)
 
  

 
 
 888-703-6999 (TTY
800-735-2929)
  
 
 
  
 
    

  
LIBERTY Dental Plan
Quality Management Department
340 Commerce, Suite 100
Irvine, CA 92602
Fax: (949) 270-0109
   
      

  PCD 
    10
 
  
   

      

  
 

888-703-6999 (TTY 800-735-2929)
 5    


  30 
 
  
6 |
 

 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
47
   

 
     
()   
 

888-703-6999 (TTY 800-735-2929)    72 
  
 
  

California (DSS)
 
     
     LIBERTY 
  
   30 
   
  
  
 120   

  PCD
   
 DSS 
 DSS  
 PCD   
   
      

  PCD 
     
10  
  
   
  
 
 

   California (DSS) 
 1-800-952-5253
(TTD 1-800-952-8349)
    


 

California Department of Social Services
State Hearings Division
P.O. Box 944243, MS 09-17-37
Sacramento, CA 94244-2430

     

 
 
 888-703-6999
(TTY 800-735-2929)
6 |
 

 888-703-6999 (TTY 800-735-2929)
  8:00  5:00 
 

www.libertydentalplan.com
48
 
   
  
  90   
  

 
 
      PCD

DSS 
 <