California
Interested in Joining our California Provider Network?
Visit the Join the Network page for more information.
Questions? Contact us at [email protected] or the Provider Services Line at 1-800-788-4005.
Quick Reference Guide
California Provider Quick Reference Guide (PDF)
Handbook Supplement
Handbook Supplement for California (PDF)
Appendices
- California Member Grievance Form -- English (PDF)
- California Member Grievance Form -- Spanish (PDF)
- Independent Medical Review Policy (PDF)
- Claims Settlement Practices and Dispute Resolution (PDF)
- Language Assistance Services (PDF)
- Sample Patient Financial Responsibility Acknowledgement Form (PDF)
California Senate Bill 855
For key points relating to SB 855, see Handbook Supplement for California (PDF), section 3.
California Review Criteria / Guidelines Grid (PDF)
Access Standards
We expect you to return member's call in accordance with good professional practice guidelines. For more information, refer to the California provider handbook supplement, section 3 (PDF).
California Provider Orientation
Provider Orientation Training (PDF)
Provider Specialty Information
California providers can update their specialty information via our online Provider Data Change Form. Sign in to this website, then click Display/Edit Practice Information.
Applied Behavior Analysis
Visit our California ABA COVID-19 webpage for information on using telehealth for ABA during the crisis.
For California-specific ABA resources, sign in to this website. From the Resources section, select State & Plan Information, then choose California.
Electroconvulsive Therapy and Transcranial Magnetic Stimulation
California ECT Authorization Request Form (PDF)
TMS authorization requests (initial and concurrent) – Sign in to submit your request online via our Request Member Care app. If you prefer to handwrite and fax your request, use this form (PDF).
California Medi-Cal Enrollment
COVID-19 emergency Medi-Cal enrollment provision (PDF)
Medicaid/Medi-Cal providers: Enroll with California Medicaid today (PDF)
Med-Cal Managed Care Provider Enrollment Frequently Asked Questions (PDF)