CenCal Health

Select Your Plan Health Initiative Healthy Families Access for Infants and Mothers In-Home Supportive Services Healthy Kids Santa Barbara Healthy Kids San Luis Obispo Enrollment Information Health Education HIPAA Privacy Practices & Confidentiality Fraud and Abuse Reporting

Para Miembros

Seleccione Su Plan Iniciativa de Salud Healthy Families Acceso para Bebes y Madras (AIM) Servicios de Apoyo en el Hogar (IHSS) Healthy Kids Santa Barbara Healthy Kids San Luis Obispo Informacion de Inscripcion Educacion de Salud HIPAA Privacy Practices & Confidentiality Reporte Fraude y Abuso

For Providers

Providers Only (restricted) Care Management

Care Management Program Description Care Management Referral Form Care Management Fillable Form

Claims and Billing

Claims and Billing HIPAA Transactions

Contracted Provider List Contracting with CenCal Health Cultural and Linguistic Resources Eligibility Verification Ensuring Quality

HEDIS Report Disease Management Programs Provider Audit Process Clinical Guidelines Preventive Health Guidelines Medical Advisory Committee Members Quality Assessment & Improvement Program Combating Obesity

FAQ Formulary Fraud and Abuse Reporting Health Education

Nutrition Education and Healthy Weight Tools Asthma Action Plans Staying Healthy Forms Lead Screening Handout Diabetes Action Plan Smoking Cessation Services Text4baby: Flyers and Referral Cards Pertussis (Whooping Cough) Flyers Community Resource Lists

Health Resource Links ICD 10 Code Conversion Manuals, CenCal Health Manuals, Medi-Cal Online Procedures Requiring TAR Provider Bulletin Provider Profiles Archives

About CenCal Health

Introduction Mission Statement Statutes Calendar of Events Management Team Medical Advisory Committee Members Board Members

Board Agendas Board Meeting Schedules Board Packet Request

CenCal Health Budget Annual Reports Audited Financial Statements Glossary of Terms Careers at CenCal Health

Current Job Opportunities Benefits Summary Mission, Vision & Values Apply Now!

SITEMAP

For Members > Enrollment Forms

In-Home Supportive Services
Healthy Kids Santa Barbara
Healthy Kids San Luis Obispo
(restricted)

CenCal Health Enrollment Forms

Welcome!

Welcome to CenCal Health's Electronic Enrollment Process. From the link below, you can access the Enrollment Form, designed to assist you in enrolling new members. You can also view your Enrollment List, showing your enrollments in our plan. From the Enrollment List, you have the ability to reconcile current enrollee information. More detailed information regarding the Enrollment Form and the Enrollment List can be found by clicking the link below to New Enrollee Forms. If you are not able to access the pages by clicking on the link below, please contact: webmaster@cencalhealth.org

Click here to continue to the main forms entry page.