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THE CONLAN ROUTE

Documenting the bureaucratic gauntlet of Medi-Cal out-of-network reimbursement — three certified mail attempts, two administrative rejections, one backdated acknowledgement, and a 30-day clock that nobody wants to honor.

EXHIBIT C

The Conlan Packet Gauntlet

FINDING: What should be a straightforward reimbursement process required three separate certified mail submissions over six weeks. Two were rejected on administrative technicalities. The third was acknowledged with a backdated letter — postmarked 5 days after its stated date — compressing the timeline and obscuring potential deadline violations. Every delivery is USPS-verified with timestamped tracking.
Packet Mailed Delivered DHCS Response Rejection Reason Status
Packet 1 Feb 11, 2026 Feb 18, 2026 Feb 24, 2026 STD204 Form Section 4 Error REJECTED
Packet 2 Mar 6, 2026 Mar 10, 2026 Mar 12, 2026 BIC card (never issued one) REJECTED
Packet 3 Mar 23, 2026 Mar 27, 2026 Dated Apr 2 / Postmarked Apr 7 N/A — Accepted UNDER REVIEW

PACKET 1 — FEB 18, 2026 → REJECTED FEB 24, 2026

USPS DELIVERY CONFIRMED: Feb 18, 2026 — Sacramento, CA 95813

DHCS ACKNOWLEDGEMENT: Feb 19, 2026

REJECTION: Feb 24, 2026 — STD204 Section 4 not completed (California resident box not checked)

PACKET 2 — MAR 10, 2026 → REJECTED MAR 12, 2026

USPS DELIVERY CONFIRMED: Mar 10, 2026 — Sacramento, CA 95813

REJECTION: Mar 12, 2026 — Missing BIC card (was never issued one, received one in mail +- a week later)

PACKET 3 — MAR 27, 2026 → BACKDATED ACKNOWLEDGEMENT

BACKDATE FINDING: DHCS acknowledgement letter is dated April 2, 2026. The envelope postmark reads April 7, 2026 — a 5-day discrepancy. Packet 3 was delivered March 27, 2026, restarting the 30-day response clock. The backdated letter attempts to compress the timeline and obscure potential deadline violations. Response deadline: April 26, 2026.

USPS DELIVERY CONFIRMED: Mar 27, 2026 — 30-day clock restarts

LETTER DATE (STATED): Apr 2, 2026

ENVELOPE POSTMARK (ACTUAL): Apr 7, 2026 — BACKDATED 5 DAYS

RESPONSE DEADLINE: Apr 26, 2026