One-stop learning and resource center for Medi-Cal billers and providers. When you enroll in (join) a medical plan, you must choose a primary care provider (PCP). If you need help finding a pharmacy, you can use the Pharmacy Locator online at www.Medi-CalRx.dhcs.ca.gov. Beneficiaries; For more information click here. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. Medi-Cal also offers certain dental benefits for adults and children, and full-scope Medi-Cal members are offered vison benefits. Main Content. Click the Perform Claim Status Request link. Access Medi-Cal Provider Manuals, Provider Bulletins and news. This does not change your Medi-Cal eligibility or benefits. Find a provider. Covered medical providers: Your plans company can help you find a covered medical provider or change your primary care physician. A. Medi-Cal providers should follow these steps in order to check the status of a claim: Click the Transactions tab on the Medi-Cal website home page. If you need help finding a pharmacy, you can use the Pharmacy Locator online at www.Medi-CalRx.dhcs.ca.gov. Find a provider Find a provider. DHCS' hours are Monday through Friday from 8 a.m. to 5 p.m., except holidays. Blue Shield Promise Medi-Cal. For assistance, call the Medi-Cal Rx Customer Service Center at 1-800-977-2273 (TTY 711), 24 hours a day, 7 days a week, 365 days a year. National Provider ID (NPI) Provider's name contains. A. Medi-Cal providers should follow these steps in order to check the status of a claim: Click the Transactions tab on the Medi-Cal website home page. Social Services Agency Regional Centers by City You can fax your Medi-Cal application at 1-714-645-3489; Links. When you enroll in (join) a medical plan, you must choose a primary care provider (PCP). Medi-Cal Subscription Service. How to View/Download Files. Under the "Elig" tab, click the Automated Provider Service (PTN) link. 239 Medi-Cal Managed Care doctor results for: ZIP code: Located within 5 miles of 90504 Change program, provider type, or location. When your provider uses your Benefits Identification Card (BIC) to verify your Medi-Cal eligibility, your provider will know if Medi-Cal will pay for a medical/dental treatment or if you need to make a Co-Payment for any treatment. National Provider ID (NPI) Provider's name contains. This can be thought of as a deductible and is based on ones monthly income. Medi-Cal Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 541-5555 (outside of California, please call (916) 636-1980) for our Telephone Service Center. Free subscription service to keep you up-to-date with the latest Medi-Cal news. Obtain secure and private benefit information for CalWORKs, CalFresh, Medi-Cal, and/or General Relief; Request a replacement Electronic Benefit Transfer (EBT) and/or Medi-Cal Card; Access Frequently Asked Questions (FAQs) By Fax. To view and/or download a file, click the desired link. This includes adults, children, families with children, seniors, and persons with disabilities. If you choose to enroll in the ACEs Aware provider directory, the information you provide below will be shared publicly. If you choose to enroll in the ACEs Aware provider directory, the information you provide below will be shared publicly. Medi-Cal Provider Directories. Your prescription medications will be covered by Medi-Cal Rx. It is also provided to you in Adobe Acrobat Reader. It could take up to 60 days to find out if you are eligible for Medi-Cal Managed Care. Beneficiaries; 239 Medi-Cal Managed Care doctor results for: ZIP code: Located within 5 miles of 90504 Change program, provider type, or location. It is supported by federal and state taxes. Free subscription service to keep you up-to-date with the latest Medi-Cal news. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Your PCP is the doctor or clinic you go to when you are sick or need a checkup. To view and/or download a file, click the desired link. Filter providersClose. Effective January 1, 2014, the Affordable Care Act (ACA) expanded Medi-Cal coverage to previously ineligible adults (childless, non-disabled, non-elderly). Your prescription medications will be covered by Medi-Cal Rx. Medi-Cal Member and Provider Helpline (800) 541-5555. You will receive a packet from the State about 45 days after your application is approved. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Main Content. Outreach and Education. Effective January 1, 2014, the Affordable Care Act (ACA) expanded Medi-Cal coverage to previously ineligible adults (childless, non-disabled, non-elderly). This is a public health insurance program which provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, pregnant women, and low income people with specific diseases such as tuberculosis, breast cancer, or HIV/AIDS. The California Medi-Cal Dental Program Provider Handbook, also known as the Handbook, is updated with the information from the Provider Bulletins each month. Outreach and Education. Your PCP is the doctor or clinic you go to when you are sick or need a checkup. Medi-Cal Subscription Service. Medi-Cal is California's Medicaid healthcare program that offers free or low-cost health coverage. As a Medi-Cal member, you have access to member services like anyone who has a private insurance plan. Medi-Cal has a share of cost program, which may also be called a medically needy program. On the "Login To Medi-Cal" page, enter the user ID and password. Medi-Cal Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 541-5555 (outside of California, please call (916) 636-1980) for our Telephone Service Center. This is not a guarantee they will be available to accept additional patients at the time you contact them. The Handbook is provided to you in a Table of Contents format. The ACEs Aware Initiative is developing a directory of Medi-Cal providers who have completed a certified ACEs Aware training to help Medi-Cal patients find ACEs Aware providers. From there, you can also download or print the Starting on January 1, 2022 you will get your Medi-Cal covered prescriptions through Medi-Cal Rx instead of CalOptima . Medi-Cal also offers certain dental benefits for adults and children, and full-scope Medi-Cal members are offered vison benefits. Click the Perform Claim Status Request link. For more information click here. With this program, an applicant with income over Medi-Cals income limit qualifies for the program by paying a share of cost for their care services / medical expenses. Medi-Cal Member and Provider Helpline (800) 541-5555. Find a provider Find a provider. This is not a guarantee they will be available to accept additional patients at the time you contact them. It is supported by federal and state taxes. It is also provided to you in Adobe Acrobat Reader. You can call the Medi-Cal Rx Call Center at (800) 977-2273, 24 hours a day, 7 days a week, or 711 for TTY, Monday through Friday, 8 a.m. to 5 p.m. Search for providers near you. The PDF file will download or open in a new window or tab of your browser. Medi-Cal Medi-Cal is California's Medicaid program. As a Medi-Cal member, you have access to member services like anyone who has a private insurance plan. Social Services Agency Regional Centers by City You may have a share of cost, similar to a Co-Payment, for medical/dental treatment based on your income and family size. Covered medical providers: Your plans company can help you find a covered medical provider or change your primary care physician. It is for people who meet the income requirements and live in the state. DHCS' hours are Monday through Friday from 8 a.m. to 5 p.m., except holidays. This is a public health insurance program which provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, pregnant women, and low income people with specific diseases such as tuberculosis, breast cancer, or HIV/AIDS. This can be thought of as a deductible and is based on ones monthly income. Medi-Cal has a share of cost program, which may also be called a medically needy program. These resources let you get the most out of your Medi-Cal coverage. It could take up to 60 days to find out if you are eligible for Medi-Cal Managed Care. You can fax your Medi-Cal application at 1-714-645-3489; Links. When your provider uses your Benefits Identification Card (BIC) to verify your Medi-Cal eligibility, your provider will know if Medi-Cal will pay for a medical/dental treatment or if you need to make a Co-Payment for any treatment. Medi-Cal provides free or low-cost medical services for children and adults with limited income (and limited resources for some Medi-Cal programs). One-stop learning and resource center for Medi-Cal billers and providers. With this program, an applicant with income over Medi-Cals income limit qualifies for the program by paying a share of cost for their care services / medical expenses. Medi-Cal Provider Directories. Partnership HealthPlan of California (PHC) is a non-profit community based health care organization that contracts with the State to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to It is for people who meet the income requirements and live in the state. You can call the Medi-Cal Rx Call Center at (800) 977-2273, 24 hours a day, 7 days a week, or 711 for TTY, Monday through Friday, 8 a.m. to 5 p.m. The Handbook is provided to you in a Table of Contents format. The California Medi-Cal Dental Program Provider Handbook, also known as the Handbook, is updated with the information from the Provider Bulletins each month. Medi-Cal provides free or low-cost medical services for children and adults with limited income (and limited resources for some Medi-Cal programs). On the "Login To Medi-Cal" page, enter the user ID and password. Obtain secure and private benefit information for CalWORKs, CalFresh, Medi-Cal, and/or General Relief; Request a replacement Electronic Benefit Transfer (EBT) and/or Medi-Cal Card; Access Frequently Asked Questions (FAQs) By Fax. You will receive a packet from the State about 45 days after your application is approved. Find a provider. These resources let you get the most out of your Medi-Cal coverage. Medi-Cal Medi-Cal is California's Medicaid program. While your eligibility is being determined you will receive a Benefits Identification Card (BIC) that will give you access to health care through Medi-Cal Fee for Service. Medi-Cal Provider Directory. Blue Shield Promise Medi-Cal. Starting on January 1, 2022 you will get your Medi-Cal covered prescriptions through Medi-Cal Rx instead of CalOptima . Main Content. Filter providersClose. This does not change your Medi-Cal eligibility or benefits. Under the "Elig" tab, click the Automated Provider Service (PTN) link. Access Medi-Cal Provider Manuals, Provider Bulletins and news. While your eligibility is being determined you will receive a Benefits Identification Card (BIC) that will give you access to health care through Medi-Cal Fee for Service. Medi-Cal Provider Directory. From there, you can also download or print the Search for providers near you. You may have a share of cost, similar to a Co-Payment, for medical/dental treatment based on your income and family size. This includes adults, children, families with children, seniors, and persons with disabilities. Main Content. The ACEs Aware Initiative is developing a directory of Medi-Cal providers who have completed a certified ACEs Aware training to help Medi-Cal patients find ACEs Aware providers. Partnership HealthPlan of California (PHC) is a non-profit community based health care organization that contracts with the State to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to For assistance, call the Medi-Cal Rx Customer Service Center at 1-800-977-2273 (TTY 711), 24 hours a day, 7 days a week, 365 days a year. How to View/Download Files. The PDF file will download or open in a new window or tab of your browser.