CenCal Health

Select Your Plan Health Initiative Healthy Families Prenatal Plus2 In-Home Support Healthy Kids SB Healthy Kids SLO Health Education

Para Miembros

For Providers

Care Management

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

Claims and Billings Contracted Provider List Contracting with CenCal Health 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 Health Education

Introduction Mission Statement Statutes 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 & Values Apply Now!

For Providers > Manuals > Cencal Health Provider Manual

For Providers -CenCal Health Provider Manual

Table of Contents

Overview

Primary Care Provider/ Referral Provider Obligations

Allied Provider Obligations

Hospital Provider Obligations

Contract (We have provided this section as a place to store your contract)

Policies and Procedures

Member Services

Benefits Summary

RAFs

Authorization Requests

Claims

Facility Site & Medical Record Review

Contracted Provider List (We have provided this section as a place to store your CPL)