# CenCal Health | Medi-Cal Assistance, affordable health insurance for Santa Barbara, San Luis Obispo Counties | CenCal Health Insurance Santa Barbara and San Luis Obispo Counties > Generated by All in One SEO Pro v5.0.4, this is an llms.txt file, used by LLMs to index the site. ## Sitemaps - [XML Sitemap](https://www.cencalhealth.org/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Updated Medicare Outpatient Observation Notice (MOON)](https://www.cencalhealth.org/news/2026/10/updated-medicare-outpatient-observation-notice-moon/): CenCal Health is notifying our CenCal CareConnect hospital partners of an update to the Medicare Outpatient Observation Notice (MOON). The Office of Management and Budget has approved an updated MOON, with improvements to readability and design. The revised notice is effective immediately and will remain valid through February 28, 2029. Updated versions are available in both - [Immigration Resources for Providers and Patients](https://www.cencalhealth.org/news/2026/10/immigration-resources-for-providers-and-patients/): We want to highlight some important resources for the community. National Immigration Law Center Know Your Rights: Health Care and Health Insurance for Immigrants Privacy Protections in Selected Federal Benefits Programs Office of the Attorney General Attorney General Bonta Reminds California Immigrants of Their Rights and Protections Under the Law – December 17, 2024 Mental - [Information from DHCS on the Federal Use of Medi-Cal Data and Member Privacy](https://www.cencalhealth.org/news/2026/10/information-from-dhcs-on-the-federal-use-of-medi-cal-data-and-member-privacy/): On June 13th, DHCS released a statement in response to reports of member data sharing between the Centers for Medicare & Medicaid Services and the Department of Homeland Security. The statement was updated on August 13th to include information on the federal court injunction temporarily blocking future sharing. For individuals with unsatisfactory immigration status (UIS) or others - [Applications: D-SNP Readiness Grant](https://www.cencalhealth.org/news/2026/10/applications-d-snp-readiness-grant/): CenCal Health invites contracted CenCal CareConnect providers to apply for D-SNP Readiness grant funding, designed to help organizations prepare to serve members of CenCal Health’s new HMO Dual Special Needs Plan launching January 1, 2026. Apply by December 1 for funding to enhance staffing, support training, and upgrade technology systems. View D-SNP Readiness Grant Webpage - [CenCal Health Launches Member Navigation Hub to Help At-Risk Residents Keep Medi-Cal Coverage](https://www.cencalhealth.org/news/2026/10/cencal-health-launches-member-navigation-hub-to-help-at-risk-residents-keep-medi-cal-coverage/): $2M initiative offers guidance and education on Central Coast SANTA BARBARA, Calif., Oct. 5, 2026 — In response to Medi-Cal eligibility, enrollment and renewal changes affecting an estimated 44,000 local residents, CenCal Health and a coalition of community partners have launched Central Coast Coverage, a regional member navigation hub that helps eligible individuals keep their - [Medical Record Review Program](https://www.cencalhealth.org/news/2026/09/medical-record-review-program/): CenCal Health’s Medical Record Review (MRR) program evaluates documentation for Initial Health Assessments (IHAs) and Wellness Visits to help ensure members receive timely, comprehensive preventive care. Reviews are guided by evidence-based recommendations from organizations including the U.S. Preventive Services Task Force (USPSTF), the American Academy of Pediatrics (AAP)/Bright Futures, and the American College of Obstetricians - [Quality Performance Improvement Projects](https://www.cencalhealth.org/news/2026/09/quality-performance-improvement-projects-2/): The Department of Health Care Services (DHCS) works with Managed Care Plans (MCPs) to implement regular Performance Improvement Projects (PIPs) targeted at making improvements to specific service areas to enhance overall service quality and health outcomes of members. In 2023, CenCal Health began two multi-year PIPs to be completed in 2026, with one non-clinical PIP - [Behavioral Health New & Updates for PCPs](https://www.cencalhealth.org/news/2026/09/behavioral-health-new-updates-for-pcps/): Applied Behavioral Analysis (ABA) Provider Availability and Other Resources ABA Provider Availability Directory Primary care providers have access to the CenCal Health ABA provider availability directory through a SmartSheet PDF. The directory reflects current provider availability and service details and is updated at least monthly to support timely and appropriate referrals. If you have questions - [Pediatric Oral Health](https://www.cencalhealth.org/news/2026/09/pediatric-oral-health/): Tooth decay (also known as caries or cavities) is the most common childhood chronic disease in the United States and disproportionately affects children from low-income families, Black and Hispanic populations, and children with special health care needs1, 2. Cavities are preventable with the use of fluoride varnish, which can prevent about one-third (33%) of cavities - [Future Formulary Changes September 2026](https://www.cencalhealth.org/news/2026/08/future-formulary-changes-september-2026/): Download the the Future Formulary Change PDF. - [CenCal Health Recognizes Local Health Centers for Expanding Access to Care Across the Central Coast](https://www.cencalhealth.org/news/2026/08/cencal-health-recognizes-local-health-centers-for-expanding-access-to-care-across-the-central-coast/): National Health Center Week shines spotlight on organizations strengthening community health SANTA BARBARA, Calif., August 6, 2026 — From farmworker families and tribal communities to children receiving care at school and people facing housing challenges, federally qualified health centers across the Central Coast provide residents with essential health services. During National Health Center Week, Aug. - [Future Formulary Changes August 2026](https://www.cencalhealth.org/news/2026/07/future-formulary-changes-august-2026/): This document summarizes upcoming changes to the CenCal CareConnect (HMO D-SNP) Medicare Part D formulary. These changes will take effect on the date listed below. If your medication is affected, your pharmacy may dispense a formulary alternative. If you or your prescriber believe a specific medication is medically necessary, your prescriber may request a formulary - [Final State Budget Brings $5M for New Behavioral Health Pilot to Central Coast](https://www.cencalhealth.org/news/2026/07/final-state-budget-brings-5m-for-new-behavioral-health-pilot-to-central-coast/): Local plan awarded funding to support individuals with schizophrenia and anosognosia SANTA BARBARA, Calif., July 1, 2026 — The Central Coast healthcare community is poised to advance behavioral health innovation following the approval of California’s 2026–27 state budget. The budget includes a one-time $5 million investment for CenCal Health and the behavioral health departments of - [Future Formulary Changes July 2026](https://www.cencalhealth.org/news/2026/06/future-formulary-changes-july-2026/): Effective Date: 07/01/2026 This document summarizes upcoming changes to the CenCal CareConnect (HMO D-SNP) Medicare Part D formulary. These changes will take effect on the date listed below. If your medication is affected, your pharmacy may dispense a formulary alternative. If you or your prescriber believe a specific medication is medically necessary, your prescriber may - [Summer 2026 Member Newsletter](https://www.cencalhealth.org/news/2026/06/summer-2026-member-newsletter/): View online or click on the images below to view the PDF files: - [Congressman Salud Carbajal Honored by Central Coast Healthcare Leaders](https://www.cencalhealth.org/news/2026/06/congressman-salud-carbajal-honored-by-central-coast-healthcare-leaders/): CenCal Health presents official board resolution recognizing leadership and advocacy for community health care SANTA BARBARA, Calif., June 3, 2026 — Congressman Salud Carbajal (CA-24) was honored on June 1 by the CenCal Health Board of Directors with an official resolution recognizing his leadership and advocacy on behalf of Medi-Cal beneficiaries, providers, and communities across - [Expanded Resources Aim to Boost Preventive Care for Children and Teens in Medi-Cal](https://www.cencalhealth.org/news/2026/05/expanded-resources-aim-to-boost-preventive-care-for-children-and-teens-in-medi-cal/): The California Department of Health Care Services (DHCS), in partnership with CenCal Health, is rolling out enhanced resources to strengthen access to preventive and comprehensive health services for children and adolescents across California. The effort reinforces the state’s commitment to early intervention and whole-child care through Medi-Cal for Kids & Teens, the program known federally as Early - [Medical Record Review Program Update: CenCal CareConnect (HMO D‑SNP) Inclusion and Requirements for Preventive Physical Examinations and Annual Wellness Visits](https://www.cencalhealth.org/news/2026/05/medical-record-review-program-update-cencal-careconnect-hmo-d-snp-inclusion-and-requirements-for-preventive-physical-examinations-and-annual-wellness-visits/): CenCal Health has expanded its year-round Medical Record Review Program to include Dual Eligible Special Needs Plan (D-SNP) members enrolled in CenCal CareConnect. This program supports compliance with Population Health Management requirements established by the California Department of Health Care Services (DHCS) and aligns with Medicare Advantage requirements established by the Centers for Medicare & Medicaid - [Helping Members Live and Breathe Better During National Asthma & Allergy Awareness Month](https://www.cencalhealth.org/news/2026/05/helping-members-live-and-breathe-better-during-national-asthma-allergy-awareness-month/): The Asthma and Allergy Foundation of America recognizes that chronic conditions like asthma and allergies are best managed with the support of a community1. At CenCal Health, we strive to support members through adequate education to effectively manage asthma. Educating patients on appropriate medication management and adherence to long-term asthma controller medication may prevent and control asthma symptoms, reduce the - [Future Formulary Changes June 2026](https://www.cencalhealth.org/news/2026/05/future-formulary-changes-june-2026/): Download the Future Formulary Changes June 2026 PDF - [Future Formulary Changes May 2026](https://www.cencalhealth.org/news/2026/04/future-formulary-changes-may-2026/): Download the Future Formulary Changes May 2026 PDF - [STI Awareness Month: Screening Recommendations and Best Practices](https://www.cencalhealth.org/news/2026/04/sti-awareness-month-screening-recommendations-and-best-practices/): CenCal Health’s 2025 Population Needs Assessment identified a notable increase in Spanish-speaking members diagnosed with sexually transmitted infections (STIs) or Human Immunodeficiency Virus (HIV)1. This STI Awareness Month, CenCal Health encourages providers to remain vigilant in identifying members due for these important preventive health screenings. Screening for Chlamydia and Gonorrhea is strongly encouraged for women who are age 24 or younger and - [Colorectal Cancer Awareness](https://www.cencalhealth.org/news/2026/04/colorectal-cancer-awareness/): Colorectal cancer is one of the leading causes of cancer-related deaths among both men and women in the United States, but it’s also one of the most preventable with timely screening. When found early, treatment is often more effective, and survival rates are significantly higher.¹ Now is a great opportunity for providers to identify patients who are due for - [Click, Learn, Thrive: Your Guide to Better Health with CenCal Health](https://www.cencalhealth.org/news/2026/04/click-learn-thrive-your-guide-to-better-health-with-cencal-health/): CenCal Health offers self-management tools within its online health education library to help members determine risk factors, provide guidance on health issues, recommend ways to improve health, and support members to reduce risk or maintain low risk. These self-management tools are interactive resources that allow members to enter specific personal information and receive immediate recommendations - [Spring 2026 Member Newsletter](https://www.cencalhealth.org/news/2026/04/spring-2026-member-newsletter/): View online or click on the images below to view the PDF files: - [Future Formulary Change](https://www.cencalhealth.org/news/2026/04/future-formulary-change/): Download the the Future Formulary Change PDF. - [Summer 2025 Member Newsletter](https://www.cencalhealth.org/news/2025/07/summer-2025-member-newsletter/): View online or click on the images below to view the PDF files: - [CenCal CareConnect Physician Administered Drug (PAD) Benefit Q1 2026 Updates](https://www.cencalhealth.org/news/2026/03/cencal-careconnect-physician-administered-drug-pad-benefit-q1-2026-updates/): CenCal CareConnect covers certain medications under the Medicare Part B benefit when they are administered in a physician’s office, clinic, outpatient facility, or home setting. On a quarterly basis, CenCal CareConnect reviews newly released medication codes to determine appropriate placement under the Part B benefit. The CenCal CareConnect Pharmacy and Therapeutics Committee has approved the - [Continuous Glucose Monitors (CGMs): Prescribe Through Retail Pharmacy](https://www.cencalhealth.org/news/2026/03/continuous-glucose-monitors-cgms-prescribe-through-retail-pharmacy/): Important Information for Prescribers For CenCal CareConnect D-SNP members, therapeutic Continuous Glucose Monitors (CGMs): Are covered under Medicare Part B Should be dispensed through in-network retail pharmacies Are processed under Medicare Part at the pharmacy point of sale Do NOT require prior authorization through CenCal DME Submitting a DME authorization request for CGMs may delay - [Medications-Related Fall Risk in Older Adults](https://www.cencalhealth.org/news/2026/03/medications-related-fall-risk-in-older-adults/): CenCal CareConnect is sharing this clinical safety update to support care for older adults at increased risk for falls. Medications are a common contributing factor, especially with polypharmacy. This notice does not change coverage, prior authorization, or step therapy criteria. It highlights existing formulary safeguards and the coverage determination and exception process that may be - [The Health of the Community is Our Shared Responsibility](https://www.cencalhealth.org/news/2025/10/the-health-of-the-community-is-our-shared-responsibility/): A Stronger and Healthier Community Through Access to Care By Marina Owen Special to The Santa Barbara Independent Last month, I met a young mother trying to navigate the complexities of healthcare for her family. She worried about managing a chronic condition, making sure her family stayed safe and healthy, and whether she could afford - [2025 Medical Record Review Findings: Advancing Quality, Consistency, and Preventive Care](https://www.cencalhealth.org/news/2026/02/2025-medical-record-review-findings-advancing-quality-consistency-and-preventive-care/): As we reflect on the 2025 Medical Record Review (MRR) Program, CenCal Health extends its sincere appreciation to our provider partners for your continued collaboration and dedication to quality care. Your efforts support timely preventive services, appropriate risk identification, and follow-up care in alignment with evidence-based clinical guidelines. The 2025 review highlights meaningful areas of - [ACEs Screening in Practice: A Trauma-Informed Approach to Whole-Person Care](https://www.cencalhealth.org/news/2026/02/aces-screening-in-practice-a-trauma-informed-approach-to-whole-person-care/): Adverse Childhood Experiences (ACEs) are potentially traumatic events in childhood, such as abuse, neglect, and household challenges. These events are strongly linked to long-term physical, mental, and behavioral health outcomes, including chronic disease, depression, substance use, and health-risk behaviors. Screening for ACEs in both pediatric and adult populations during routine wellness visits supports early identification - [Winter 2026 Member Newsletter](https://www.cencalhealth.org/news/2026/01/winter-2026-member-newsletter/): View online or click on the images below to view the PDF files: - [Remain Vigilant: Cybersecurity and Fraud, Waste, and Abuse](https://www.cencalhealth.org/news/2025/12/remain-vigilant-cybersecurity-and-fraud-waste-and-abuse/): CenCal Health would like to remind our Provider Partners to remain vigilant about cybersecurity and fraud, waste, and abuse (FWA). Criminals and threat actors often take advantage of busy operational periods and reduced staffing to launch phishing attacks and fraud attempts. Please keep the following guidance in mind: Cybersecurity Watch for unexpected messages, urgent requests, - [Physician Incentive Program Delivers $16M in Quality Health Care to Central Coast in 2025](https://www.cencalhealth.org/news/2025/12/physician-incentive-program-delivers-16m-in-quality-health-care-to-central-coast-in-2025/): CenCal Health receives two achievement awards from State for quality performance Local health plan’s Chief Quality Officer retires after three decades of service SANTA BARBARA, Calif. – December 2025 – In 2025, CenCal Health, the Medi-Cal managed care plan, distributed over $16 million to 95 local primary care providers through its Quality Care Incentive Program - [Insights from CenCal Health’s Infection Prevention SNF Pilot](https://www.cencalhealth.org/news/2025/11/insights-from-cencal-healths-infection-prevention-snf-pilot/): CenCal Health launched a pilot project to reduce infection-related hospital transfers in Skilled Nursing Facilities (SNFs) based on best practices developed during Project SHIELD, a study conducted by a UC Irvine Epidemiology team from April 2017 through July 2019. The project engaged three high-priority SNFs to implement a new bathing protocol using Chlorhexidine(CHG) soap. The - [Helping Patients Navigate HPV and Cervical Cancer Screening](https://www.cencalhealth.org/news/2025/11/helping-patients-navigate-hpv-and-cervical-cancer-screening/): Cervical cancer screening is a critical screening in women that checks for abnormal cells in the cervix that could become cancerous. Screening may include Pap tests and testing for the human papillomavirus (HPV). The HPV vaccine is a proactive intervention to minimize the risks of contracting the virus, which can lead to cervical cancer. A - [Improving Care Through the Medical Record Review Program](https://www.cencalhealth.org/news/2025/11/improving-care-through-the-medical-record-review-program/): CenCal Health’s Medical Record Review (MRR) program continues to evaluate Initial Health Assessments (IHA) and Wellness Visit documentation to confirm that members receive timely and comprehensive preventive care. These reviews are based on evidence-based guidelines from organizations such as the U.S. Preventive Services Task Force (USPSTF), American Academy of Pediatrics (AAP)/Bright Futures, Advisory Committee on - [Fall 2025 Member Newsletter](https://www.cencalhealth.org/news/2025/11/fall-2025-member-newsletter/): View online or click on the images below to view the PDF files: - [Local Healthcare Collaboration Receives National Recognition for Supporting the Safety Net](https://www.cencalhealth.org/news/2025/11/local-healthcare-collaboration-receives-national-recognition-for-supporting-the-safety-net/): SANTA BARBARA, Calif. – Nov 3, 2025 – Central Coast Tri-County Community Health Workers/Promotores Capacity Building Collaborative has received national recognition from the Association for Community Affiliated Health Plans (ACAP) for its outstanding support of underserved populations. Nominated by community health plan CenCal Health, the Collaborative was honored with a 2025 ACAP Supporting the Safety - [October 19-25 is National Lead Poisoning Prevention Week: Nutrition as Prevention](https://www.cencalhealth.org/news/2025/10/october-19-25-is-national-lead-poisoning-prevention-week-nutrition-as-prevention/): During National Lead Poisoning Prevention Week, it’s a good time to raise awareness about the dangers of childhood lead exposure. Lead is one of the most common yet preventable environmental health threats. Even at low levels, lead can harm brain development, the nervous system, and overall health. California’s 2025 theme, “Nutrition as Prevention,” highlights how - [2025 Population Needs Report: Driving Equitable Health Solutions](https://www.cencalhealth.org/news/2025/10/2025-population-needs-report-driving-equitable-health-solutions/): CenCal Health’s Population Needs Assessment (PNA) uses available data to identify the needs of the member population as well as health disparities or gaps in services. The annual PNA assesses the needs of child and adolescent members, members with disabilities, members of racial or ethnic groups, members with limited English proficiency, members of relevant subpopulations, - [DHCS Releases Key Guidance on Community Health Worker Services](https://www.cencalhealth.org/news/2025/10/dhcs-releases-key-guidance-on-community-health-worker-services/): The Department of Health Care Services (DHCS) has announced that, effective April 1, 2025, all eligible Medi-Cal members can access Community Health Worker (CHW) services without a provider referral. To facilitate access and minimize barriers, Medi-Cal members who meet specified eligibility criteria may receive up to six hours per year of CHW services, covered by - [CenCal Health Announces CenCal CareConnect](https://www.cencalhealth.org/news/2025/10/cencal-health-announces-cencal-careconnect/): Launch of new healthcare plan for dual-eligible members of Medi-Cal and Medicare Enrollment begins October 15 SANTA BARBARA, Calif. – October 9, 2025 – This week CenCal Health announced the launch of CenCal CareConnect, a new Medicare Advantage health plan designed to make healthcare simpler for people who qualify for both Medicare and Medi-Cal. Enrollment - [Welcoming the 2025-2026 School Year: The Importance of Back-to-School Checkups](https://www.cencalhealth.org/news/2025/08/welcoming-the-2025-2026-school-year-the-importance-of-back-to-school-checkups/): As the new school year begins, it’s a great time to remind families about the importance of back-to-school health visits. Well-Child Visits and Sports Physicals play a vital role in ensuring children and adolescents are healthy, up to date on immunizations, and ready to participate in extracurricular activities. Providers’ proactive engagement with CenCal Health families - [Quality Performance Improvement Projects](https://www.cencalhealth.org/news/2025/08/quality-performance-improvement-projects/): In 2023, CenCal Health began two multi-year Performance Improvement Projects (PIP) to be completed in 2026. The Non-Clinical PIP aims to improve the percentage of provider notifications for members with substance use disorders (SUD) and/or serious mental health (SMH) diagnoses following or within 7 days of an emergency department (ED) visit. The Clinical PIP focuses - [New Tobacco Cessation Materials Available!](https://www.cencalhealth.org/news/2025/08/new-tobacco-cessation-materials-available/): The Centers for Disease Control and Prevention (CDC) states that nearly 20% of adults currently use tobacco products [1]. Although the Food and Drug Administration-approved quit medications, which can boost quit rates by 50-70%, their use is often underutilized [2]. To enhance awareness and support successful quitting, CenCal Health has partnered with the Santa Barbara - [Tuberculosis Screening](https://www.cencalhealth.org/news/2025/08/tuberculosis-screening/): Tuberculosis disease (TB) is caused by a bacterial infection affecting several of the body’s organs, primarily the lungs and the respiratory system. Although not all individuals who contract this bacterium show signs and symptoms of the infection, it is still possible for these individuals to develop active TB and become sick; this is referred to - [Over $5.5M Awarded to Expand Healthcare Access, Capacity on Central Coast](https://www.cencalhealth.org/news/2025/08/over-5-5m-awarded-to-expand-healthcare-access-capacity-on-central-coast/): CenCal Health distributes grant funding to 16 local healthcare organizations, practitioners in pediatrics, primary care and behavioral health. SANTA BARBARA, Calif. – August 2025 – CenCal Health recently announced that it has awarded 16 grants totaling $5,542,406 to support the critical healthcare needs identified in the latest community assessment reports for San Luis Obispo County - [Proposed Federal Medicaid Cuts Harmful to Community Health and Local Economy](https://www.cencalhealth.org/news/2025/06/proposed-federal-medicaid-cuts-harmful-to-community-health-and-local-economy/): CenCal Health advocates to protect healthcare access for all on Central Coast. SANTA BARBARA, Calif. – June 2025 – CenCal Health, the Medicaid managed care plan for Santa Barbara and San Luis Obispo counties, provides health insurance to over 242,000 low-income people on the Central Coast. Recent federal proposals to reduce Medicaid funding and constrict - [Local Medi-Cal Health Plan Earns Accreditation from National Committee for Quality Assurance](https://www.cencalhealth.org/news/2025/05/local-medi-cal-health-plan-earns-accreditation-from-national-committee-for-quality-assurance/): CenCal Health achieves national recognition from healthcare’s top performance measurement organization for commitment to high-quality care. SANTA BARBARA, Calif. – May 2025 – CenCal Health, the Medi-Cal managed care plan for Santa Barbara and San Luis Obispo counties, announced that it has received accreditation from the National Committee for Quality Assurance (NCQA) for its Medi-Cal - [Spring 2025 Member Newsletter](https://www.cencalhealth.org/news/2025/04/spring-2025-member-newsletter/): View online or click on the images below to view the PDF files: - [Winter 2022 Member Newsletter](https://www.cencalhealth.org/news/2022/02/winter-2022-member-newsletter/): View online or click on the images below to view PDF files: - [Summer 2022 Member Newsletter](https://www.cencalhealth.org/news/2022/07/summer-2022-newsletter/): View online or click on the images below to view PDF files: - [Fall 2022 Member Newsletter](https://www.cencalhealth.org/news/2022/10/fall-2022-newsletter/): View online or click on the images below to view the PDF files: - [Winter 2023 Member Newsletter](https://www.cencalhealth.org/news/2023/01/winter-2023-newsletter/): View online or click on the images below to view the PDF files: - [Summer 2023 Member Newsletter](https://www.cencalhealth.org/news/2023/06/summer-2023-newsletter/): View online or click on the images below to view PDFs files: - [Fall 2023 Member Newsletter](https://www.cencalhealth.org/news/2023/10/fall-2023-newsletter/): View online or click on the images below to view the PDF files: - [Winter 2024 Member Newsletter](https://www.cencalhealth.org/news/2024/01/winter-2024-member-newsletter/): View online or click on the images below to open the PDFs. - [Spring 2024 Member Newsletter](https://www.cencalhealth.org/news/2024/03/spring-2024-newsletter/): View online or click on the images below to open the PDF file: - [Summer 2024 Member Newsletter](https://www.cencalhealth.org/news/2024/06/summer-2024-newsletter/): View online or click on the images below to open the PDF file: - [Fall 2024 Member Newsletter](https://www.cencalhealth.org/news/2024/10/fall-2024-member-newsletter/): View online or click on the images below to open the PDF file: - [Winter 2025 Member Newsletter](https://www.cencalhealth.org/news/2025/01/winter-2025-member-newsletter/): View online or click on the images below to open PDF file: - [Building Healthier Communities, Together: CenCal Health’s 2025 Annual Report](https://www.cencalhealth.org/news/2025/03/building-healthier-communities-together-cencal-healths-2025-annual-report/): Local health plan presents yearly review of work, collaborations in two counties on Central Coast. New initiatives support street medicine, housing, student mental health among other community needs. SANTA BARBARA, Calif. – March 21, 2025 – CenCal Health, the Medi-Cal health plan for Santa Barbara and San Luis Obispo counties, presented its 2025 Community Report - [Central Coast Primary Care Providers Recognized, Rewarded for Quality of Care](https://www.cencalhealth.org/news/2023/12/central-coast-primary-care-providers-recognized-rewarded-for-quality-of-care/): Local Medi-Cal health plan receives award for quality, health equity from State CenCal Health provider network performed in top 5% of Medicaid plans nationally for four healthcare quality measures, in top 10% for additional five SANTA BARBARA, Calif. – Dec. 20, 2023 – On October 18, CenCal Health – the Medi-Cal managed care plan for - [Multimillion-Dollar Programs at Work to Develop, Expand Healthcare Capacity on Central Coast](https://www.cencalhealth.org/news/2025/01/multimillion-dollar-programs-at-work-to-develop-expand-healthcare-capacity-on-central-coast/): CenCal Health implements Medi-Cal initiatives that fund physician recruitment, personnel training, education, and reward doctors, medical clinics for equitable quality care. In one program, significant improvements seen in many aspects of care including well-baby visits SANTA BARBARA, Calif. – January 2025 – Two innovative programs to support the region’s health care needs – especially access - [Our Collective Impact: 2024 Community Report Presented by CenCal Health](https://www.cencalhealth.org/news/2024/03/our-collective-impact-2024-community-report-presented-by-cencal-health/): Our Collective Impact: 2024 Community Report Presented by CenCal HealthOnline public presentation shares 2023 highlights, current collaborations in health care on Central Coast SANTA BARBARA, Calif. – March 21, 2024 – CenCal Health, the Medi-Cal health plan for over 241,000 residents in Santa Barbara and San Luis Obispo counties, announced the publication of its annual - [CenCal Health to Invest $6M in Workforce Development on Central Coast](https://www.cencalhealth.org/news/2024/10/cencal-health-to-invest-6m-in-workforce-development-on-central-coast/): Grants will be available to expand healthcare capacity via physician recruitment, personnel training, education and more SANTA BARBARA, Calif. – October 2024 – CenCal Health, the local Medi-Cal health plan serving nearly 240,000 members in Santa Barbara and San Luis Obispo counties, announced its commitment to a $6 million investment to support access to healthcare - [New Asthma Action Plan Training Video](https://www.cencalhealth.org/news/2019/01/provider-video/): A new Asthma Action Plan (AAP) training video is now available on the CenCal Health website. The AAP form is located on the CenCal Health Website under the Providers tab in Patient Education Materials section. For more information, please contact the Quality Improvement team at qualityimprovement@cencalhealth.org or (805) 617-1997. About CenCal Health Serving the community since 1983, CenCal Health provides - [CenCal Health Names Marina Owen to Succeed Longtime CEO](https://www.cencalhealth.org/news/2021/10/ceo/): Bob Freeman retires after 28 years of service at local health plan CenCal Health, the publicly-funded health care program for Santa Barbara and San Luis Obispo counties, announced today that Marina Owen will serve as its CEO, effective November 1. Owen succeeds Bob Freeman who is retiring after 28 years with CenCal Health. As CEO of - [CenCal Health Is No. 1 on List of Best Places to Work](https://www.cencalhealth.org/news/2021/06/bptw-2021/): For Third Consecutive Year, Local Health Plan at Top of California Central Coast Survey CenCal Health, the local Medi-Cal health plan was named the No. 1 best place to work by Pacific Coast Business Times in its 2021 survey of companies in Ventura, Santa Barbara and San Luis Obispo counties. Determined by the results of an employee - [CenCal Health Salutes Care Workers during National Nurses Week](https://www.cencalhealth.org/news/2021/05/care-workers/): Nurses, Social Workers, Case Managers Recognized by Local Health Plan In honor of National Nurses Week (May 6-12), CenCal Health is taking the opportunity to publicly recognize all workers who improve the lives of others through “giving care.” At the largest health plan on the Central Coast, there are over 60 employees whose job description contains the word “care”. - [May is Mental Health Awareness Month: CenCal Health Urges Acknowledgement and Treatment](https://www.cencalhealth.org/news/2021/04/mental-health-4/): Largest Health Plan on Central Coast Offers Services, Resources Year-Round. In recognition of Mental Health Awareness Month, CenCal Health urges the community to acknowledge the signs of mental distress and seek help if needed for themselves or a loved one. Conditions such as depression or anxiety are real, common and treatable. As the largest health plan in - [CenCal Health Recognizes Primary Care Providers Incentive Program Top Performers](https://www.cencalhealth.org/news/2018/12/cch/): CenCal Health, the regional health plan for Medi-Cal, recognized the work of local network physicians and healthcare centers through their Primary Care Providers (PCP) Incentive Top Performer awards. The awards acknowledge PCPs across San Luis Obispo and Santa Barbara Counties who administer high quality healthcare while managing costs. There are four award categories: pediatrics, family - [Community Health Centers of the Central Coast Receives Quality of Care Awards](https://www.cencalhealth.org/news/2020/11/chc/): CenCal Health Recognizes Performance of Local Health Clinics and Physicians CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, annually recognizes the work of local network physicians and healthcare centers through its Primary Care Providers (PCP) Incentive Top Performer Awards. The awards acknowledge PCPs across both counties who - [Doctors Without Walls – Santa Barbara Street Medicine Nationally Recognized for Supporting the Safety Net](https://www.cencalhealth.org/news/2020/07/dww/): CenCal Health nominates medical humanitarian organization offering street care Doctors Without Walls – Santa Barbara Street Medicine (DWW–SBSM) has been nationally recognized for its healthcare efforts to benefit the homeless in the Santa Barbara community. Nominated by local Medi-Cal managed care plan CenCal Health, DWW–SBSM received an honorable mention from The Association for Community Affiliated Plans (ACAP) at its fifteenth - [Three Distinguished Experts Join CenCal Health Leadership Team](https://www.cencalhealth.org/news/2018/02/three-distinguished-experts-join-cencal-health-leadership-team/): CenCal Health has announced the January appointments of two new clinical directors to its leadership team and a new Compliance Officer to its Administration department. Dr. Alan Bernstein joins CenCal Health as Senior Medical Director, Dr. Karen Hord as Medical Director, and Richard Golfin III as Compliance Officer. CenCal Health provides health coverage for nearly - [CenCal Health Awards Top Performing Primary Care Providers](https://www.cencalhealth.org/news/2020/01/cencal-ps-awards/): Dr. Eric Levy of Santa Maria and Jackson Medical Group of Santa Barbara Recognized in Internal Medicine Category CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, annually recognizes the work of local network physicians and healthcare centers through its Primary Care Providers (PCP) Incentive Top Performer Awards. - [Marian Regional Medical Center, French Hospital Receive $11.8 Million in Enhanced Health Care Payments](https://www.cencalhealth.org/news/2019/11/dignity/): CenCal Health and Dignity Health Partner to Strengthen Public Safety Net On October 24, the CEO of CenCal Health hand-delivered a check for $10.5 million dollars to Marian Regional Medical Center in Santa Maria for payment of medical services rendered to Medi-Cal patients on the Central Coast. French Hospital Medical Center in San Luis Obispo received a $1.3 million dollar - [CenCal Health Donates $400,000 to Feed Seniors on Central Coast](https://www.cencalhealth.org/news/2019/05/meals-connect/): Two Senior Meal Programs in Santa Barbara and San Luis Obispo Counties Each Receive $100,000 from Local Health Plan, plus $100,000 in Matching Funds Two events this month highlighted the need for funding Senior Meal programs on the Central Coast. This past Friday in Solvang, Community Action Commission of Santa Barbara County (CAC) presented the - [CenCal Health Earns Top Spot as Best Place to Work](https://www.cencalhealth.org/news/2019/04/best-place-cch/): FOR IMMEDIATE RELEASE Pacific Coast Business Times Publishes 2019 List of Top 25 Companies for Employee Satisfaction Santa Barbara, CA – April 19, 2019 – CenCal Health, the health plan founded in Santa Barbara over thirty-five years ago, is being recognized as the Best Place to Work by Pacific Coast Business Times. The publication annually - [CenCal Health Awarded by Public Relations Society of America, LA Region](https://www.cencalhealth.org/news/2021/11/awards/): Awards recognize health plan’s COVID-19 campaign and other initiatives CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, was recently recognized by the Los Angeles regional chapter of the Public Relations Society of America (PRSA), during the 57th annual PRism Awards ceremony. The awards recognize excellence in - [Six New Medical Practitioners Recruited to Serve Central Coast Communities](https://www.cencalhealth.org/news/2021/10/sbnc-2/): CenCal Health funds physician recruitment, medical equipment at three area health centers Four new physicians – three primary care doctors and one pediatrician – were recently hired by Community Health Centers of the Central Coast (CHC). The health care provider employed these medical professionals for its clinics in Lompoc, Arroyo Grande and Santa Maria, through - [CenCal Health Rolls Out New Vaccination Response Plan on Central Coast](https://www.cencalhealth.org/news/2021/11/vax/): Vax rates in local disadvantaged communities notably lower than general population As part of a statewide Vaccination Response Program developed by the California Department of Health Care Services (DHCS), CenCal Health is implementing a multi-strategy initiative to increase protection against COVID-19. CenCal Health is the Medi-Cal health plan for both Santa Barbara and San Luis - [CenCal Health Welcomes Governor’s Plan to Expand Medi-Cal to All Eligible](https://www.cencalhealth.org/news/2022/01/expand-medi-cal/): Newsom proposal to bring health equity to Central Coast In response to this week’s announcement and 2022-23 budget proposal from California State Governor Gavin Newsom, community-based health plan CenCal Health made the following statement: MO2“CenCal Health welcomes Governor Newsom’s health care expansion plan for California and is ready to support Medi-Cal coverage for eligible residents - [CenCal Health Adds Two Members to Executive Team](https://www.cencalhealth.org/news/2022/01/new-execs/): New hires begin this month in newly-created positions to support growth, innovation at public health plan CenCal Health, the Medi-Cal health plan with over 210,000 members on California’s central coast, announced the addition of two new executives to newly-created positions on its leadership team. The announcement was made by CenCal Health CEO Marina Owen, who - [Community Health Centers of the Central Coast Receives National Award for Supporting the Safety Net](https://www.cencalhealth.org/news/2022/06/acap/): The network of community health clinics was nominated by local health plan CenCal Health CenCal Health, the Medi-Cal managed care plan for both Santa Barbara and San Luis Obispo counties, announced that its provider partner Community Health Centers of the Central Coast (CHC) has received the 17th Annual Supporting the Safety Net Award from the - [$7.3M Payout Rewards Physician Excellence in Healthcare on Central Coast](https://www.cencalhealth.org/news/2023/01/quality-care/): On March 1 of 2022, CenCal Health launched the Quality Care Incentive Program (QCIP) to maximize the quality of care for its health plan members on the Central Coast. QCIP is a value-based incentive program that directly rewards plan providers who deliver exceptional medical care in their community. After nine months, the innovative initiative has resulted in - [Local Health Plan Donates $200,000 to Meals That Connect in SLO County](https://www.cencalhealth.org/news/2021/08/senior/): CenCal Health contributed over $2M to area senior nutrition programs since 2016 This month, the non-profit Meals That Connect in San Luis Obispo received a second check for $100,000 from CenCal Health. Earlier in 2021, the local Medi-Cal health plan donated $100,000 to provide SLO County seniors a daily nutritious meal, most of which were - [CenCal Health, State Officials Discuss Medi-Cal Transformation on the Central Coast](https://www.cencalhealth.org/news/2023/05/cencal-health-state-officials-discuss-medi-cal-transformation-on-the-central-coast/): CenCal Health, State Officials Discuss Medi-Cal Transformation on the Central Coast Health Plan hosts CalAIM-focused listening session for DHCS, community partners SANTA BARBARA, Calif. – May 1, 2023 –As part of a listening tour organized by the California Department of Health Care Services (DHCS), CenCal Health convened with State officials, members of the CenCal Health - [School Districts Partner with Local Health Plan to Address Student Behavioral Health](https://www.cencalhealth.org/news/2023/05/school-districts-partner-with-local-health-plan-to-address-student-behavioral-health/): CenCal Health collaborates with area public schools to improve youth mental health access SANTA BARBARA, Calif. – May 8, 2023 – CenCal Health will partner with county offices of education and local educational agencies in Santa Barbara and San Luis Obispo counties to strengthen behavioral health infrastructure in public schools. Created and funded by - [Health News Update: Vaccinate for Back-to-School](https://www.cencalhealth.org/news/2024/07/vaccinate-for-back-to-school/): As a new school year approaches, CenCal Health, the local Medi-Cal health plan, encourages families to keep their children up to date on immunizations. Vaccinations help protect children from life-threatening illnesses. Additionally, California state law requires children to get certain vaccinations for both public and private schools. “Vaccinations are essential to protecting young lives,” said - [Health News Update: Tune in to Your Child’s Mental Health](https://www.cencalhealth.org/news/2024/08/tune-in-to-your-childs-mental-health/): Often overlooked, mental health is a crucial aspect of a healthy childhood. Understanding emotions and developing effective coping strategies are essential milestones in a child’s social and emotional development. Mental wellness doesn’t simply mean the absence of a mental health disorder. It involves children being able to manage emotions, develop, and sustain a quality of - [Central Coast Primary Care Physicians Rewarded for Quality Care, Health Equity](https://www.cencalhealth.org/news/2024/07/central-coast-primary-care-physicians-rewarded-for-quality-care-health-equity/): Over $4 million in incentive funds distributed to high-performing Medi-Cal providers for first-quarter 2024 SANTA BARBARA, Calif. – July 2024 – In April, CenCal Health, the Medi-Cal health plan for both Santa Barbara and San Luis Obispo counties, distributed $4.2 million in quarterly payments to participating primary care providers through the Quality Care Incentive Program - [Community is Way of Life for Central Coast Resident](https://www.cencalhealth.org/news/2024/05/community-is-way-of-life-for-central-coast-resident/): For three decades, local advocate for the underserved has served others; urges low-income residents like herself to act now, get connected SANTA BARBARA, Calif. – May 2024 – For Sara Macdonald, “community” is more than a word – it’s a way of life. Born and raised in Santa Maria, the graduate from both Santa Maria - [Medi-Cal Transformation Continues on Central Coast with New Community Supports](https://www.cencalhealth.org/news/2024/04/medi-cal-transformation-continues-on-central-coast-with-new-community-supports/): Medi-Cal Transformation Continues on Central Coast with New Community Supports Innovative health services focus on aiding members without housing, with substance abuse disorders and other social conditions that prevent improved health SANTA BARBARA, Calif. – April 2024 – Seeking to improve the Medi-Cal program for people with complex health needs and facing challenging life circumstances, - [Community Service Organizations Receive Over $530,000 in Funding from Local Health Plan on Central Coast](https://www.cencalhealth.org/news/2023/12/community-service-organizations-receive-over-530000-in-funding-from-local-health-plan-on-central-coast/): CenCal Health’s contributions to more than 40 social service agencies and nonprofits support at-risk youth, children with disabilities, food-insecure seniors among others in need SANTA BARBARA, Calif. – December, 2023 – More than 40 service agencies and associations, as well as community nonprofits and organizations, in Santa Barbara and San Luis Obispo counties have already - [CenCal Health Commemorates 40 Years of Quality Care in Santa Barbara County, 15 years in SLO County](https://www.cencalhealth.org/news/2023/12/cencal-health-commemorates-40-years-of-quality-care-in-santa-barbara-county-15-years-in-slo-county/): One of the country’s first managed care plans honors local healthcare providers, community partners instrumental in its four-decade history on the Central Coast Health plan’s anniversary formally recognized by each counties’ board of supervisors SANTA BARBARA, Calif. – Dec 7, 2023 – CenCal Health, welcomed a distinguished cohort of health professionals in Santa Barbara and - [Medi-Cal Recipients on Central Coast Urged to Reconfirm Eligibility](https://www.cencalhealth.org/news/2023/06/medi-cal-recipients-on-central-coast-urged-to-reconfirm-eligibility/): Community health plan alerts members “to not lose your health coverage” SANTA BARBARA, Calif. – June 30, 2023 – CenCal Health, the Medi-Cal health plan for two counties on the Central Coast, announces the resumption of the annual “eligibility check” or redetermination of an individual’s Medi-Cal health coverage. During the COVID crisis, the Federal government - [Local Resident Receives National Award for Making a Difference in Care of Most Vulnerable](https://www.cencalhealth.org/news/2023/06/local-resident-receives-national-award-for-making-a-difference-in-care-of-most-vulnerable/): CenCal Health’s Ana Stenersen Recognized as Advocate, Leader for Whole Child Program SANTA BARBARA, Calif. – June 30, 2023 – Solvang resident and CenCal Health employee Ana Stenersen will receive the 14th Annual Making a Difference award from the Washington, D.C.-based Association for Community Affiliated Plans (ACAP). Throughout her 25-year career in nursing and healthcare - [Statement on Settlement Agreement with the Department of Justice ](https://www.cencalhealth.org/news/2023/06/statement-on-settlement-agreement-with-the-department-of-justice/): “CenCal Health (CenCal) has reached a settlement agreement with the Department of Justice (DOJ) and other regulators regarding the disbursement of Medicaid funding through the Affordable Care Act (ACA) between 2014 and 2016. This settlement marks the conclusion of the government’s eight-year-old payment dispute with CenCal and the settling providers. ACA funds were made available - [40 Years in the Making, CenCal Health Presents its 2022-2023 Community Report](https://www.cencalhealth.org/news/2023/04/40-years-in-the-making-cencal-health-presents-its-2022-2023-community-report/): Health plan references innovation, four-decade history with forward leading, looking back theme SANTA BARBARA, Calif. – April 6, 2023 – CenCal Health, the Medi-Cal Managed Care health plan for Santa Barbara and San Luis Obispo counties, has published its 2022-2023 Community Report. With this year’s theme of forward leading, looking back, the annual overview – - [Medi-Cal Recipients on Central Coast Urged to Reconfirm Eligibility](https://www.cencalhealth.org/news/2023/03/medi-cal-recipients-on-central-coasturged-to-reconfirm-eligibility/): Community health plan alerts members “to not lose your health coverage” SANTA BARBARA, Calif. – March 29, 2023 – CenCal Health, the Medi-Cal health plan for two counties on the Central Coast, announces the resumption of the annual “eligibility check” or redetermination of an individual’s Medi-Cal health coverage. During the COVID crisis, the Federal government - [CenCal Health Ranks in Top 4 of California Health Plans on Timely Access To Care for Its Members](https://www.cencalhealth.org/news/2016/03/cencal-health-ranks-in-top-4-of-california/): Amigos 805 CenCal Health has ranked fourth among the 36 health plans in the State of California in providing timely access to health care services for its membership, as reported by the state Department of Managed Health Care (DMHC) for calendar year 2016. DMHC, which regulates health plans in California, measures and releases a report - [CenCal Health Provides High Quality of Care For Low-Income Residents in Santa Barbara and San Luis Obispo Counties](https://www.cencalhealth.org/news/2016/11/hedis/): Santa Barbara and San Luis Obispo counties, Calif., December 18, 2018 This year, CenCal Health rated in the top 10% of Medicaid plans nationally for 9 areas of care in the most recent State ratings. This marks CenCal Health’s best overall performance over the past 15 years we have been measuring quality. “CenCal Health is - [CenCal Health Welcomes New Members to their Board of Directors](https://www.cencalhealth.org/news/2017/03/cencal-health-welcomes-new-members-to-their-board-of-directors/): CenCal Health is pleased to welcome two new board members, Douglas Metz, M.D., and Mark Lisa, to their Board of Directors. Douglas Metz, M.D., currently serves as the Deputy Director of Primary Care/Family Health at the Santa Barbara County Public Health Department. Prior to moving to the Central Coast, Dr. Metz served as Chief Operating - [CenCal Health Recognizes Local Health Center Partners During National Health Center Week](https://www.cencalhealth.org/news/2017/09/cencal-health-recognizes-local-health-center-partners/): In an effort to raise awareness about the numerous services available to people in need through health centers, CenCal Health joined organizations across the nation in recognizing the many services America’s health centers have provided over the last 50 years during National Health Center Week August 13th through the 19th. “Our local community health centers - [Local Medi-Cal Recipients and Providers Get Important Updates During Thomas Fire](https://www.cencalhealth.org/news/2017/12/thomas-fire/): CenCal Health is reaching out to keep its nearly 180,000 members and over 1,500 providers and the community informed with important information and resources as the region faces unprecedented impacts from the Thomas Fire. Updates include critical information about medication prescriptions and refills for members, providers and pharmacies. CenCal Health is aware that patients may - [CenCal Health Celebrates Providers and the Community for 10 Years of Service in San Luis Obispo County](https://www.cencalhealth.org/news/2018/04/cencal-health-celebrates-10-years-in-slo-2/): Healthcare provider recognizes local physicians and community partners with 10-Year Service Awards. CenCal Health, the healthcare provider for nearly 180,000 Central Coast residents, marked its 10th anniversary operating in San Luis Obispo County with an evening of celebration and community recognitions on March 28. Dr. Rene Bravo, M.D., F.A.A.P. of Bravo Pediatrics, and CenCal Health - [CenCal Health Helps Meals That Connect Raise Significant Support for Seniors in Need](https://www.cencalhealth.org/news/2018/06/cencal-health-helps-meals-that-connect/): CenCal Health is a proud supporter of Meals That Connect, a San Luis Obispo County-based organization that serves nutritious noontime meals every weekday to more than 1,650 seniors throughout the community. On May 12, Meals That Connect presented its 11th annual “Night of a Million Meals” fundraiser. The Monopoly-themed event raised more than $250,000, thanks - [Time For That Colonoscopy? Probe Your Doc First On How The Scopes Are Cleaned](https://www.cencalhealth.org/news/2018/06/time-for-that-colonoscopy/): California Healthline Emily Bazar After a colonoscopy two years ago, Patti Damare felt so delirious and weak that she couldn’t stand on her own. That was on a Friday, and she chalked up her symptoms to lingering effects of anesthesia. On Saturday, the San Marcos, Calif., woman wondered if she had contracted a killer flu - [CenCal Health to Manage California Children’s Services (CCS)](https://www.cencalhealth.org/news/2018/07/ccs/): As of July 1, 2018, CenCal Health is now managing all the health care needs for its members under 21 years of age who are eligible for California Children’s Services (CCS). In order to better coordinate care for these children with complex medical needs, the California Department of Health Care Services authorized the change, called - [California’s ACA Rates To Rise 8.7% Next Year](https://www.cencalhealth.org/news/2018/07/aca-rates-to-rise/): California Healthline Chad Terhune and Pauline Bartolone Premiums in California’s health insurance exchange will rise by an average of 8.7 percent next year, marking a return to more modest increases despite ongoing threats to the Affordable Care Act. The state marketplace, Covered California, said the rate increase for 2019 would have been closer to 5 - [Women Are Almost Twice As Likely To Get Alzheimer’s, And New Research Might Shine A Light On Why](https://www.cencalhealth.org/news/2018/07/alzheimers/): California Healthline The study found that dementia was linked to hormone changes in women, including pregnancy. Los Angeles Times: How Pregnancy And Childbirth May Protect Some Women From Developing Dementia Women make up some 60% of Alzheimer’s disease patients in the United States, and over her lifetime, a woman is almost twice as likely than - [New Southern California Medical School To Tackle Doctor Shortages](https://www.cencalhealth.org/news/2018/07/school-to-tackle-doctor-shortages/): California Healthline Anna Gorman The Claremont Colleges plans to open a medical school, the fourth new campus designed to produce physicians for parts of Southern California struggling with shortages. The Keck Graduate Institute School of Medicine will focus on primary care and treating the growing Latino population in California, institute officials announced this week. The - [CenCal Health’s Physicians’ Quality of Care Rates Among Highest of Nation’s Medicaid Plans](https://www.cencalhealth.org/news/2018/08/cencal-health-quality-of-care/): This Milestone Year Marks CenCal Health’s Best Overall Performance Ever CenCal Health rates in the top ten percent of Medicaid plans nationwide for 17 of 21 clinical quality of care measures. Of those, CenCal Health was in the top five percent for eight of the indicators. This year’s overall results mark the best performance that - [Once Its Greatest Foes, Some Doctors Now Embrace Single-Payer](https://www.cencalhealth.org/news/2018/08/single-payer/): California Healthline Shefali Luthra When the American Medical Association met in Chicago this June, its medical student caucus seized an opportunity for change. Though the medical students had tried for years to advance a resolution calling on the physicians’ lobby group to drop its decades-long opposition to single-payer health care, this was the first time - [Babies Dependent On Opioids Need Touch, Not Tech](https://www.cencalhealth.org/news/2018/08/babys/): California Healthline Alex Smith, KCUR Dr. Jodi Jackson has worked for years to address infant mortality in Kansas. Often, that means she treats newborns in a high-tech neonatal intensive care unit with sophisticated equipment whirring and beeping. And that is exactly the wrong place for an infant like Lili. Lili’s mother, Victoria, used heroin for - [Rehabilitation Plus Rehab? Jails Dispense Drugs To Treat Inmates’ Addiction](https://www.cencalhealth.org/news/2018/08/plus-rehab/): California Healthline Anna Gorman At a time when the U.S. government is trying to deal with a nationwide opioid epidemic, many jails across the country are only now rolling out medicines to help inmates overcome addiction. And most of those jails dispense only one of the drugs currently available. Nearly 1 in 5 jail and - [Biorhythms And Birth Control: FDA Stirs Debate By Approving ‘Natural’ App](https://www.cencalhealth.org/news/2018/08/planned-parenthood/): California Healthline Michelle Andrews The Food and Drug Administration took a “big tent” approach earlier this month when it approved two new forms of birth control that prevent pregnancy in very different ways. Women’s health advocates applauded the availability of a new vaginal ring that could be used for up to a year. But some - [California: A Health Care Laboratory With Mixed Results](https://www.cencalhealth.org/news/2018/09/california-health-care-mixed-results/): California Healthline Anna Gorman California’s expansion of Medicaid under the Affordable Care Act enabled many low-income HIV patients to get health insurance previously denied to them. Still, those with mental health needs, who had been receiving coordinated care through a separate federal program, suddenly faced gaps in treatment, payment disputes and doctors who had little - [Confusion Leaves Low-Income Children In Health Care Limbo](https://www.cencalhealth.org/news/2018/09/low-income-children-in-health-care-limbo/): California Healthline Jocelyn Wiener Tania Alvarado’s 13-year-old daughter doesn’t smile much anymore. She doesn’t want anyone to see her front teeth, which are so crowded they’re nearly growing atop one another. The crowding makes it painful to eat; it also embarrasses her. “Am I going to get those braces this year?” the Los Angeles eighth-grader - [Despite Red Flags At Surgery Centers, Overseers Award Gold Seals](https://www.cencalhealth.org/news/2018/09/surgery-centers-award-gold-seals/): California Healthline Christina Jewett, Kaiser Despite Red Flags At Surgery Centers, Overseers Award Gold Seals Christina Jewett, Kaiser Health News At his surgery center near San Diego, Rodney Davis wore scrubs, was referred to as “Dr. Rod” and carried the title of director of surgery. But he was a physician assistant, not a doctor, who - [CenCal Health: A Model of Managed Care in Santa Barbara County Since 1983](https://www.cencalhealth.org/news/2018/10/a-model-of-managed-care/): Marking Its 35th Year, the Health Plan Now Serves 1 in 4 County Residents Recognized by Harvard for Innovating the U.S. Medicaid Program A 1983 experiment in health care in Santa Barbara County gave birth to a health plan recognized by The Ford Foundation and Harvard University for its innovation and efficiency. That plan – - [CenCal Health: Un Modelo de Servicios Médicos Administrados en el Condado de Santa Bárbara desde 1983](https://www.cencalhealth.org/news/2018/10/805/): Marcando su 35 º año, el plan de salud ahora sirve a 1 de cada 4 residentes del condado Reconocido por Harvard por innovar el programa de Medicaid de los Estados Unidos En 1983, nació la idea de experimentar con un seguro de salud en el condado de Santa Bárbara, el cual fue reconocido por - [As Billions In Tax Dollars Flow To Private Medicaid Plans, Who’s Minding The Store?](https://www.cencalhealth.org/news/2018/10/billions-in-tax-dollars-flow-to-private-medicaid-plans/): Chad Terhune California Healthline With no insurance through his job, Jose Nuñez relied on Medicaid, the nation’s public insurance program that assists 75 million low-income Americans. Like most people on Medicaid, the Los Angeles trucker was assigned to a private insurance company that coordinated his medical visits and treatment in exchange for receiving a set - [Fixing Obamacare’s ‘Family Glitch’ Hinges On Outcome Of November Elections](https://www.cencalhealth.org/news/2018/10/obama-care-2/): Shefali Luthra Kaiser Health News Last Christmas Eve, Justine Bradford-Trent slipped on ice, slamming to the ground. Her elbow swelled. Was it broken? She couldn’t tell. Because Bradford-Trent was uninsured, she weighed her options. She could go to the emergency room, the immediate but more costly option. The urgent care center cost less, but it - [California Makes Gains Insuring More Racial, Ethnic Groups Over Past Five Years](https://www.cencalhealth.org/news/2018/11/california-makes-gains/): California Healthline Analysts credit the improved coverage rates to the state's implementation of the Affordable Care Act. Latinos are the only group that still shows a significant disparity to other ethnic groups. And, now that the health law marketplaces are open for business, news outlets detail what's different this year and offer consumers advice. The - [Midterm Results Show Health Is Important To Voters But No Magic Bullet](https://www.cencalhealth.org/news/2018/11/mid-term-2/): Julie Rovner California Healthline Health care proved important but apparently not pivotal in the 2018 midterm elections on Tuesday as voters gave Democrats control of the U.S. House, left Republicans in charge in the Senate and appeared to order an expansion of Medicaid in at least three states long controlled by Republicans. In taking over - [Midterm Election Boosts Medicaid Expansion, But Challenges Remain](https://www.cencalhealth.org/news/2018/11/mid-term/): Phil Galewitz Kaiser Health News Medicaid — which has been a political football between Washington and state capitols during the past decade — scored big in Tuesday’s election.Following the vote, nearly 500,000 uninsured adults in five states are poised to gain Medicaid coverage under the Affordable Care Act, advocates estimate. Three deep-red states passed ballot - [An Underused Strategy For Surge In STDs: Treat Patients’ Partners Without A Doctor Visit](https://www.cencalhealth.org/news/2018/11/underused/): Anna Gorman California Healthline If patients return to Dr. Crystal Bowe soon after taking medication for a sexually transmitted infection, she usually knows the reason: Their partners have re-infected them. “While you tell people not to have sex until both folks are treated, they just don’t wait,” she said. “So they are passing the infection - [Deadly Shootings Are Rising In U.S. After Steady Declines](https://www.cencalhealth.org/news/2018/11/guns/): Carmen Heredia Rodriguez California Healthline After steadily declining for more than two decades, deadly shootings are rising across the country, according to a new government report. The researchers also said that the number of suicides involving a firearm grew 21 percent between 2006 and 2016. The report, published Thursday by the Centers for Disease Control - [For Wildfire Safety, Only Particular Masks Guard Against Toxic Particulate Matter](https://www.cencalhealth.org/news/2018/11/toxic-fire/): Samantha Young and Ana B. Ibarra California Healthline Toby Lewsadder stepped outside an Ace Hardware store wearing a simple one-strap dust mask. He knew it wasn’t the right defense against the wildfire smoke lingering in the air, but it was all he could find. The local hardware stores he checked Tuesday didn’t have the more - [In Throes Of Turkey Salmonella Outbreak, Don’t Invite Illness To Your Table](https://www.cencalhealth.org/news/2018/11/turkey/): JoNel Aleccia, Kaiser Health News As Americans prepare to cook and consume nearly 50 million turkeys on Thanksgiving Day, an ongoing outbreak of salmonella poisoning linked to the poultry means food safety at home is more critical than ever. Federal health officials have identified no single source of the outbreak of Salmonella Reading, which has - [Overshadowed By Opioids, Meth Is Back And Hospitalizations Surge](https://www.cencalhealth.org/news/2018/11/meth/): California Healthline Anna Gorman The number of people hospitalized because of amphetamine use is skyrocketing in the United States, but the resurgence of the drug largely has been overshadowed by the nation’s intense focus on opioids. Amphetamine-related hospitalizations jumped by about 245 percent from 2008 to 2015, according to a recent study in the Journal - [Under Trump, Number Of Uninsured Kids Rose For First Time This Decade](https://www.cencalhealth.org/news/2018/11/uninsured-kids/): Phil Galewitz Kaiser Health News After years of steady decline, the number of U.S. children without health insurance rose by 276,000 in 2017, according to a Georgetown University report released Thursday. While not a big jump statistically — the share of uninsured kids rose to 5 percent in 2017 from 4.7 percent a year earlier — it - [Without Obamacare Penalty, Think It’ll Be Nice To Drop Your Plan? Better Think Twice](https://www.cencalhealth.org/news/2018/12/obama-care/): Emily Bazar California Healthline Dana Farrell’s car insurance is due. So is her homeowner’s insurance — plus her property taxes. It’s also time to re-up her health coverage. But that’s where Farrell, a 54-year-old former social worker, is drawing the line. “I’ve been retired two years and my savings is gone. I’m at my wit’s - [CenCal Health Manager Sheila Thompson Receives National Healthcare Quality Award](https://www.cencalhealth.org/news/2018/12/sheila/): https://www.cencalhealth.org/wp-admin/post-new.php#edit_timestamp - [As U.S. Suicides Rates Rise, Hispanics Show Relative Immunity](https://www.cencalhealth.org/news/2018/12/suicide-in-us/): Charlotte Huff California Healthline Overtaken by feelings of anxiety and despair, and increasingly lonely after the last of her older sisters left for college, Sarai had been cutting her arms. She wore long sleeves, even on warm days, so her mother and friends wouldn’t see the marks. “I thought every time I did it, that - [Judge Strikes Down ACA Putting Law In Legal Peril — Again](https://www.cencalhealth.org/news/2018/12/aca-2/): Julie Rovner Kaiser Health News The future of the Affordable Care Act is threatened — again — this time by a ruling Friday from a federal district court judge in Texas. Judge Reed C. O’Connor struck down the law, siding with a group of 18 Republican state attorneys general and two GOP governors who brought - [The Year Of The Vape: Teen E-Cigarette Use Spikes](https://www.cencalhealth.org/news/2018/12/vapor/): Ana B. Ibarra California Healthline New data suggest that vaping isn’t a passing fad: Teenagers across the country are doing it in record numbers. More than one-third — or 37.3 percent — of 12th-graders reported vaping at least once in the past 12 months, according to a survey released Monday by the National Institute on Drug Abuse. - [CenCal Health Awarded American Cancer Society Grant to Improve HPV Vaccination Rates in Santa Barbara County](https://www.cencalhealth.org/news/2018/12/hpv-vaccination-rates-in-santa-barbara-county/): Grant Will Fund Expansion of Program to All Santa Barbara Neighborhood Clinics CenCal Health recently received a Collaborative Cancer Control Project Grant from the American Cancer Society to improve vaccination rates for human papillomavirus (HPV) in South Santa Barbara county. The $10,000 award will be used to implement multiple HPV vaccination improvement projects in partnership - [5 Ways Nixing The Affordable Care Act Could Upend The Entire Health System](https://www.cencalhealth.org/news/2018/12/affordable-care/): Julie Rovner Kaiser Health News If Friday night’s district court ruling that the Affordable Care Act is unconstitutional were to be upheld, far more than the law’s most high-profile provisions would be at stake. In fact, canceling the law in full — as Judge Reed O’Connor in Fort Worth, Texas, ordered in his 55-page decision — could - [End Of Tax Penalty Could Fall Hardest On Previously Uninsured Californians](https://www.cencalhealth.org/news/2019/01/tax-year-end/): By Barbara Feder Ostrov / California Healthline The elimination of the Affordable Care Act tax penalty on people who don’t have health insurance could roll back recent coverage gains for Hispanics, young people, the healthy and the poor, according to a new study. The study, published Monday in the journal Health Affairs, stems from a - [Newsom Diverges Sharply From Washington With Health Care Budget](https://www.cencalhealth.org/news/2019/01/gavin/): By Samantha Young and Ana B. Ibarra / California Healthline SACRAMENTO, Calif. — Gov. Gavin Newsom on Thursday unveiled his first state budget, one that leads California down a very different health care path than the one Washington has forged. The progressive blueprint embraces a state health insurance mandate, beefed-up insurance subsidies, coverage for undocumented - [CenCal Health Goes All-Digital with Multimedia Annual Report](https://www.cencalhealth.org/news/2019/01/cch-com-report/): CenCal Health, the publicly-sponsored health plan that administers Medi-Cal in Santa Barbara and San Luis Obispo Counties announced today the release of its 2018 Community Report. New this year is an entirely-digital format, complete with videos, audio testimonials and animation. In the past, the organization has issued the standard printed report but made the switch - [Patients Turn To GoFundMe When Money And Hope Run Out](https://www.cencalhealth.org/news/2019/01/gofundme/): By Mark Zdechlik / Minnesota Public Radio, Kaiser Health News Tammy Fox wanted to help after a friend took ill with a rare and difficult-to-diagnose autoimmune disorder that required many trips to the Mayo Clinic. Although Fox couldn’t do anything medically, she knew there was a way to ease some of the burden of medical - [Providers Walk ‘Fine Line’ Between Informing And Scaring Immigrant Patients](https://www.cencalhealth.org/news/2019/01/trump-tax/): Some doctors and clinics are proactively informing patients about a proposed policy that could jeopardize the legal status of immigrants who use public benefit programs such as Medicaid. Others argue that because this “public charge” proposal isn’t final — and may never be adopted — disseminating too much information could create unnecessary alarm and cause - [Alcohol-Linked Disease Overtakes Hep C As Top Reason For Liver Transplant](https://www.cencalhealth.org/news/2019/01/liver/): By Rachel Bluth / Kaiser Health News An estimated 17,000 Americans are on the waiting list for a liver transplant, and there’s a strong chance that many of them have alcohol-associated liver disease. ALD now edges out hepatitis C as the No. 1 reason for liver transplants in the United States, according to research published - [Community Hospitals Link Arms With Prestigious Facilities To Raise Their Profiles](https://www.cencalhealth.org/news/2019/01/com-hospital/): (Caitlin Hillyard/KHN illustration; Getty Images) By Sandra G. Boodman / Kaiser Health News After seven years of a vigorous fight, Jim Hart worried he was running out of options. Diagnosed with prostate cancer at age 60, Hart had undergone virtually every treatment — surgery, radiation and hormones — to eradicate it. But a blood test - [New Covered California Sign-Ups Plummet](https://www.cencalhealth.org/news/2019/01/plummet/): By Ana B. Ibarra / California Healthline [UPDATED at 12:40 p.m. PT] The number of new enrollees in Covered California health plans plunged by nearly a quarter this year, largely because of the elimination of the federal tax penalty for people without insurance, officials announced Wednesday. The decrease was steeper than expected — and larger - [Utah and Idaho Lawmakers Seek To Scale Back Voter-Approved Medicaid Expansion](https://www.cencalhealth.org/news/2019/02/medicade/): By Phil Galewitz / Kaiser Health News Three months after voters in Utah and Idaho defied their recalcitrant state legislatures to expand Medicaid through ballot initiatives, Republican lawmakers in those states are hitting back. A bill is quickly moving through the statehouse in Utah — where 53 percent of voters favored the ballot question last November — - [Recuperative Care Program Established on Central Coast to Help Plight of Local Homeless](https://www.cencalhealth.org/news/2019/02/cch-care/): Successful Pilot Program Opens Door For $1 Million in Recuperative Care Funding from CenCal Health CenCal Health announces a collaborative new program that provides safe recuperative care to local homeless who are not sick enough to be hospitalized, but are too frail to recover from their illness or injury on the streets. The goals of - [Measles Outbreak Sends Vaccine Demand Soaring, Even Among The Hesitant](https://www.cencalhealth.org/news/2019/02/measles-2/): By JoNel Aleccia / Kaiser Health News [UPDATED at 6 p.m. ET] Demand for measles vaccine has surged in the Washington county where the highly contagious virus is linked to more than 50 confirmed illnesses this year — including among people who had previously shunned the shots. Orders for two types of measles vaccines in - [Vaccine Storage Too Often Fails To Meet Standards](https://www.cencalhealth.org/news/2019/02/vaccines-3/): By Carmen Heredia Rodriguez / Kaiser Health News By correcting one potential error, the Ventura County (Calif.) Health Care Agency accidentally made another — and jeopardized vaccines given to thousands of people in the process. In October 2017, county health officials, concerned that vaccines were getting too warm while being transported to clinics, changed their - [Two Crises In One: As Drug Use Rises, So Does Syphilis](https://www.cencalhealth.org/news/2019/02/two-crises-in-one-as-drug-use-rises-so-does-syphilis/): by Anna Gorman / Kaiser Health News Public health officials grappling with record-high syphilis rates around the nation have pinpointed what appears to be a major risk factor: drug use. “Two major public health issues are colliding,” said Dr. Sarah Kidd, a medical officer at the Centers for Disease Control and Prevention and lead author - [Two Crises In One: As Drug Use Rises, So Does Syphilis](https://www.cencalhealth.org/news/2019/02/two-crises-in-one-as-drug-use-rises-so-does-syphilis-2/): Anna Gorman Public health officials grappling with record-high syphilis rates around the nation have pinpointed what appears to be a major risk factor: drug use. “Two major public health issues are colliding,” said Dr. Sarah Kidd, a medical officer at the Centers for Disease Control and Prevention and lead author of a new report issued - [Judge Vows To Rule On Medicaid Work Requirements By End Of March](https://www.cencalhealth.org/news/2019/02/judge-vows-to-rule-on-medicaid-work-requirements-by-end-of-march/): The federal judge who shot down a Medicaid work requirement plan last June remained deeply skeptical Thursday of the Trump administration’s renewed strategy to force enrollees to work. U.S. District Judge James Boasberg, who last year blocked Kentucky’s work requirement, heard testimony on a revised federal approval. He also had a hearing on Arkansas’ Medicaid work - [CenCal Health Announces Three Appointments to Board of Directors](https://www.cencalhealth.org/news/2019/02/appointments-to-board-of-directors/): County Supervisor, Health Agency Director, and CEO join CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo Counties, welcomes three members to its Board of Directors for the 2018/2019 fiscal year. The recently appointed Directors are San Luis Obispo County Supervisor Debbie Arnold, San Luis Obispo County’s Health Agency Director Michael Hill, and Ron Werft, - [The Measles Success Story In California Shows Signs Of Fading](https://www.cencalhealth.org/news/2019/02/measles-in-california/): By Harriet Blair Rowan / California Health Line A rash of recent measles outbreaks in New York, Texas and Washington state shines a light on California’s largely successful effort in recent years to suppress the disease — though some of the shine might be fading. A serious measles outbreak that started at Disneyland in December - [Progressives Tout 'Medicare-For-All' But States Eye 'Medicaid Buy-In'](https://www.cencalhealth.org/news/2019/02/medicare-vs-medicaid/): By Michelle Andrews / Kaiser Health News Laura Lucero Y Ruiz De Gutierrez has a heart condition and fibromyalgia and is in danger of developing diabetes. She has health insurance through her husband’s job. But, between the $800 monthly premium for the couple’s coverage and the $2,100 deductible she has to pay down before insurance starts - [A Mumps Quarantine In La. May Encroach On Rights Of Detained Immigrants](https://www.cencalhealth.org/news/2019/03/mumps-quarantine/): By Julie Appleby and Shefali Luthra A mumps outbreak and quarantine at the Pine Prairie Immigration and Customs Enforcement Processing Center in Louisiana blocked immigrants from legal resources, including their lawyers and the law library, for about two weeks in January and February, according to the attorneys. The outbreak has also raised questions about how - [Interactive Health Education Tool Now Available Online](https://www.cencalhealth.org/news/2019/03/interactive-health-education-tool-now-available-online/): Santa Barbara, CA – March 12, 2019 - CenCal Health, the Medi-Cal health plan for Santa Barbara and San Luis Obispo counties, recently established a partnership with Healthwise, a leader in evidence-based health education, to provide an interactive health education library for its local communities. Available directly on the CenCal Health website, this online library - ['Medieval' Diseases Flare As Unsanitary Living Conditions Proliferate](https://www.cencalhealth.org/news/2019/03/medieval-diseases-flare-as-unsanitary-living-conditions-proliferate/): Jennifer Millar lives in a tent with her two dogs under a Hollywood freeway ramp. Millar says she keeps trash bags and hand sanitizer near her tent, and she regularly pours water mixed with hydrogen peroxide on the sidewalk. “I worry about all those diseases,” says Millar. (Heidi de Marco/KHN) By: Anna Gorman, Kaiser Health - [New Health Plans Expose The Insured To More Risk](https://www.cencalhealth.org/news/2019/03/new-health-plans-expose-the-insured-to-more-risk/): One health plan from a well-known insurer promises lower premiums but warns that consumers may need to file their own claims and negotiate over charges from hospitals and doctors. Another does away with annual deductibles but requires policyholders to pay extra if they need certain surgeries and procedures. Both are among the latest efforts in - [Does It Make Sense To Delay Children’s Vaccines?](https://www.cencalhealth.org/news/2019/03/vaccines-2/): California Healthline Bernard J. Wolfson When Elyse Imamura’s son was an infant, she and her husband, Robert, chose to spread out his vaccinations at a more gradual pace than the official schedule recommended. “I was thinking, ‘OK, we’re going to do this,’” says Imamura, 39, of Torrance, Calif. “‘But we’re going to do it slower so your - [Crowd At Capitol Demands Immigrant Health Coverage](https://www.cencalhealth.org/news/2019/03/immigrant-coverage-2/): Ana B. Ibarra, California Healthline and Harriet Blair Rowan SACRAMENTO, Calif. — “Vivan los inmigrantes!” echoed through the halls of the state Capitol on Wednesday as immigrants and activists gathered to push for legislation that would extend full Medicaid coverage to adults in the country illegally. Sons and daughters clutched photos of their late parents. - [Costly Confusion: Medicare’s Wellness Visit Isn’t The Same As An Annual Physical](https://www.cencalhealth.org/news/2019/03/seniors/): California Healthline Michelle Andrews When Beverly Dunn called her new primary care doctor’s office last November to schedule an annual checkup, she assumed her Medicare coverage would pick up most of the tab. The appointment seemed like a routine physical, and she was pleased that the doctor spent a lot of time with her. Until - [States Push For Caregiver Tax Credits](https://www.cencalhealth.org/news/2019/03/states-push-for-caregiver-tax-credits/): California Healthline Samantha Young Gloria Brown didn’t get a good night’s sleep. Her husband, Arthur Brown, 79, has Alzheimer’s disease and had spent most of the night pacing their bedroom, opening and closing drawers, and putting on and taking off his jacket. So Gloria, 73, asked a friend to take Arthur out for a few - [She Was Dancing On The Roof And Talking Gibberish. A Special Kind Of ER Helped Her](https://www.cencalhealth.org/news/2019/03/mental-health-3/): California Healthhline Anna Gorman For decades, hospitals have strained to accommodate patients in psychiatric crisis in emergency rooms. The horror stories of failure abound:Patients heavily sedated or shackled to gurneys for days while awaiting placement in a specialized psychiatric hospital, their symptoms exacerbated by the noise and chaos of emergency medicine. Long wait times in - [Trump Administration And Democrats Return Health Law To Political Center Stage](https://www.cencalhealth.org/news/2019/03/trump-health-law/): California Healthline Julie Rovner “The Mueller Report” is so last week’s news. Health care has returned in force as the dominant political issue in Washington, reflecting what voters have been telling pollsters for the past year. The Trump administration moved Monday night to get more in line with President Donald Trump’s voter base by endorsing - [Health Officials’ Plug For Next FDA Chief: Go Big On E-Cig Regulation](https://www.cencalhealth.org/news/2019/03/e-cig/): California Healthline Shefali Luthra In an almost uniform response to the impending exit of Food and Drug Administration Commissioner Scott Gottlieb, city and county public health officials are urging the Trump administration to go bigger in its response to adolescents’ growing use of e-cigarettes. The issue, they say, is reaching crisis levels and many worry - [Heavy Rains, End Of Drought Could Help Keep West Nile Virus Subdued — For Now](https://www.cencalhealth.org/news/2019/03/west-nile/): California Healthline Harriet Blair Rowan The end of California’s drought, announced earlier this month amid one of the rainiest winters in memory, could offer a surprising benefit: reduced transmission of the mosquito-borne West Nile virus. Longer term, however, more severe droughts associated with climate change could contribute to an increase in the number of infections - [California Hospitals See Massive Surge In Homeless Patients](https://www.cencalhealth.org/news/2019/04/homeless-in-hospital/): California Healthline Phillip Reese Homeless patients made about 100,000 visits to California hospitals in 2017, marking a 28% rise from two years earlier, according to the most recent state discharge data. More than a third of those visits involved a diagnosis of mental illness, according to the Office of Statewide Health Planning and Development. By - [CenCal Health Announces New Medical Director](https://www.cencalhealth.org/news/2019/04/dr-patty/): Pediatrics Specialist “Dr. Patty” Joins Regional Health Plan CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, recently welcomed pediatrics specialist Dr. Patricia Auchard to its organization as CenCal Health Medical Director. Reporting to Dr. Takashi Michael Wada, MD, MPH, Chief Medical Officer at CenCal Health, Auchard will - [Asthma Lunch & Learn Seminar](https://www.cencalhealth.org/news/2019/04/asthma-lunch-learn-seminar/): Asthma Lunch & Learn Seminar - CenCal Health is offering two (2) free asthma education seminars to Primary Care Providers, Allergy Specialists, and Medical Office Staff on the causes and treatment of asthma. Our guest speaker, Dr. Liebhaber, M.D., Sansum Clinic Allergy & Immunology Specialist & Sansum Clinic Camp Wheeze Medical Director, will present on best - [Exemptions Surge As Parents And Doctors Do ‘Hail Mary’ Around Vaccine Laws](https://www.cencalhealth.org/news/2019/04/vaccine-2/): California Healthline Barbara Feder Ostrov SAN JOSE, Calif. — At two public charter schools in the Sonoma wine country town of Sebastopol, more than half the kindergartners received medical exemptions from state-required vaccines last school year. The cities of Berkeley, Santa Cruz, Nevada City, Arcata and Sausalito all had schools in which more than 30% - [Big Soda Pours Big Bucks Into California’s Capitol](https://www.cencalhealth.org/news/2019/04/soda/): California Healthline Samantha Young Dinners at an expensive restaurant in Maui — with ocean views. Tickets to professional sports games. A free screening of “Black Panther” at a Sacramento IMAX theater. And a $250,000 donation to a group that funds the governor’s travel. That’s just a sampling of the $11.8 million that soft drink companies - [How to Fight ‘Scary’ Superbugs? Cooperation — And A Special Soap](https://www.cencalhealth.org/news/2019/04/super-bugs/): California Healthline Anna Gorman Hospitals and nursing homes in California and Illinois are testing a surprisingly simple strategy against the dangerous, antibiotic-resistant superbugs that kill thousands of people each year: washing patients with a special soap. The efforts — funded with roughly $8 million from the federal government’s Centers for Disease Control and Prevention — - [California Hospitals See Massive Surge In Homeless Patients](https://www.cencalhealth.org/news/2019/04/suicide/): California Healthline Melissa Bailey and JoNel Aleccia When Larry Anders moved into the Bay at Burlington nursing home in late 2017, he wasn’t supposed to be there long. At 77, the stoic Wisconsin machinist had just endured the death of his wife of 51 years and a grim new diagnosis: throat cancer, stage 4. His - [Watchdogs Cite Lax Medical And Mental Health Treatment Of ICE Detainees](https://www.cencalhealth.org/news/2019/04/ice-detainees/): California Healthline Sarah Varney It’s Saturday morning and the women of the Contreras family are busy in Montclair, Calif., making pupusas, tamales and tacos. They’re working to replace the income of José Contreras, who has been held since last June at Southern California’s Adelanto ICE Processing Center, a privately run immigration detention center. José’s daughter, - [As Syphilis Invades Rural America, A Fraying Health Safety Net Is Failing To Stop It](https://www.cencalhealth.org/news/2019/04/syphilis/): California Healthline Lauren Weber When Karolyn Schrage first heard about the “dominoes gang” in the health clinic she runs in Joplin, Mo., she assumed it had to do with pizza. Turns out it was a group of men in their 60s and 70s who held a standing game night — which included sex with one - [Liver Illness Strikes Latino Children Like A 'Silent Tsunami'](https://www.cencalhealth.org/news/2019/04/latinos-sugar/): California Healthline Rob Waters Saira Diaz uses her fingers to count the establishments selling fast food and sweets near the South Los Angeles home she shares with her parents and 13-year-old son. “There’s one, two, three, four, five fast-food restaurants,” she says. “And a little mom and pop store that sells snacks and sodas and - [Amid Opioid Prescriber Crackdown, Health Officials Reach Out To Pain Patients](https://www.cencalhealth.org/news/2019/04/opioid-2/): Nashville Public Radio Blake Farmer A pharmacist in Celina, Tenn., was one of 60 people indicted on charges of opioid-related crimes last week, in a multistate sting. John Polston was charged with 21 counts of filling medically unnecessary narcotic prescriptions. He was also Gail Gray’s pharmacist and the person she relied on to regularly fill her opioid - [In 10 Years, Half Of Middle-Income Elders Won’t Be Able To Afford Housing, Medical Care](https://www.cencalhealth.org/news/2019/04/affordable-housing/): California Healthline Victoria Knight In 10 years, more than half of middle-income Americans age 75 or older will not be able to afford to pay for yearly assisted living rent or medical expenses, according to a study published Wednesday in Health Affairs. The researchers used demographic and income data to project estimates of a portion of the - [States Weigh Banning A Widely Used Pesticide Even Though EPA Won’t](https://www.cencalhealth.org/news/2019/04/pesticide-2/): California Healthline Ana B. Ibarra Lawmakers in several states are trying to ban a widely used pesticide that the Environmental Protection Agency is fighting to keep on the market. The pesticide, chlorpyrifos, kills insects on contact by attacking their nervous systems. Several studies have linked prenatal exposure of chlorpyrifos to lower birth weights, lower IQs, attention deficit hyperactivity - [Newsom: California Leads On Prescription Drugs](https://www.cencalhealth.org/news/2019/04/calif-prescription/): California Healthline Samantha Young California regularly portrays itself as a national trendsetter on political issues, and Gov. Gavin Newsom is claiming that title on prescription drugs. Newsom has a plan to take on the drug industry, and at an April 17 news conference in Southern California, he declared that two other governors already want to - [Will Ties To A Catholic Hospital System Tie Doctors’ Hands?](https://www.cencalhealth.org/news/2019/04/church-2/): California Healthline Jenny Gold SAN FRANCISCO — As Catholic health care systems across the country expand, the University of California’s flagship San Francisco hospital has become the latest arena for an emotional debate: Should the famously progressive medical center increase its treatment space by joining forces with a Catholic-run system that restricts care according to - [Diabetic Amputations A ‘Shameful Metric’ Of Inadequate Care](https://www.cencalhealth.org/news/2019/05/amputees/): California Healthline Anna Gorman LOS ANGELES — On his regular rounds at the University of Southern California’s Keck Hospital, Dr. David Armstrong lives a brutal injustice of American health care. Each week, dozens of patients with diabetes come to him with deep wounds, severe infections and poor circulation — debilitating complications of a disease that - [For Those With Developmental Disabilities, Dental Needs Are Great, Good Care Elusive](https://www.cencalhealth.org/news/2019/05/dentist/): California Healthline David Tuller When Ava Terranove began feeling oral pain last July, her parents took her to her regular dentist. The dentist determined that Ava, who has an autism-like condition, needed two root canal procedures to treat infected teeth. Because of her developmental disability, Ava, now 15, requires general anesthesia for non-routine dental work. - [The Long And Winding Road To Mental Health Care For Your Kid](https://www.cencalhealth.org/news/2019/05/mental-health-2/): California Healthline Bernard J. Wolfson For several months last spring and summer, my teen daughter, Caroline, experienced near-daily bouts of depression and debilitating panic attacks. During those episodes, she became extremely agitated, sobbing uncontrollably and aggressively rebuffing my attempts to comfort or reason with her. My daughter was in a dark place, and I was - [State Bans Pesticide Linked To Developmental Problems](https://www.cencalhealth.org/news/2019/05/pesticide/): Ana B. Ibarra California Healthline California will ban the use of a widely used pesticide in the face of “mounting evidence” that it causes developmental problems in children, state officials announced Wednesday. Several studies have linked prenatal exposure of chlorpyrifos to lower birth weights, lower IQs, attention deficit hyperactivity disorder and autism symptoms in children. - [Meth Vs. Opioids: America Has Two Drug Epidemics, But Focuses On One](https://www.cencalhealth.org/news/2019/05/opioid/): California Healthline April Dembosky, KQED Kim had been wine tasting with a friend in Sonoma, Calif. They got into an argument in the car that night and Kim thought someone was following them. She was utterly convinced. And she had to get away. “I jumped out of the car and started running, and I literally - [Newsom Changes Course On Plan To Pay For Immigrant Health Coverage](https://www.cencalhealth.org/news/2019/05/immigrant-coverage/): California Healthline Samantha Young Gov. Gavin Newsom’s administration Friday reversed course on his plan to divert public health dollars from several counties to help provide health coverage to young adults who are in the country illegally. The administration heeded the alarm sounded by Sacramento, Placer, Santa Barbara and Stanislaus counties, which had warned that the - [How Obamacare, Medicare And ‘Medicare For All’ Muddy The Campaign Trail](https://www.cencalhealth.org/news/2019/05/obamacare/): California Healthline Shefali Luthra The health care debate has Democrats on Capitol Hill and the presidential campaign trail facing renewed pressure to make clear where they stand: Are they for “Medicare for All”? Or will they take up the push to protect the Affordable Care Act? Obamacare advocates have found a powerful ally in House - [As ER Wait Times Grow, More Patients Leave Against Medical Advice](https://www.cencalhealth.org/news/2019/05/er/): California Healthline Phillip Reese Emergency room patients increasingly leave California hospitals against medical advice, and experts say crowded ERs are likely to blame. About 352,000 California ER visits in 2017 ended when patients left after seeing a doctor but before their medical care was complete. That’s up by 57%, or 128,000 incidents, from 2012, according - [A Medical Sanctuary For Migrant Farmworkers](https://www.cencalhealth.org/news/2019/05/migrant-coverage-2/): California Healthline John M. Glionna FRESNO, Calif. — On the 15-mile drive between his two Central Valley medical clinics, Dr. J. Luis Bautista often passes armies of farmworkers stooped over in the fields, picking onions, melons and tomatoes. Most of the 30,000 annual office visits to his small staff of doctors and nurses in downtown - [Use Of Buprenorphine To Treat Opioid Addiction Proliferates In California](https://www.cencalhealth.org/news/2019/05/opiod2/): California Healthline Harriet Blair Rowan Buprenorphine, a relative newcomer in the treatment of opioid addiction, is growing in popularity among California doctors as regulatory changes, physician training and other initiatives make the medication more widely accessible. The rate of Medi-Cal enrollees who received buprenorphine nearly quadrupled from the end of 2014 to the third quarter - [Hungry Californians Finally To Get A Little More Help](https://www.cencalhealth.org/news/2019/05/food/): California Healthline Lori Basheda Rosalinda Lopez is counting down the days until Saturday. That’s when she gets to go grocery shopping. For nearly two years, the Los Angeles grandmother has depended on a food pantry to get enough to eat. She can’t afford to shop at a grocery store. So, once a month she takes - [Lawmakers Push To Stop Surprise ER Billing](https://www.cencalhealth.org/news/2019/05/er-bills/): California Healthline Ana B. Ibarra California has some of the nation’s strongest protections against surprise medical bills. But many Californians still get slammed with huge out-of-network charges. State lawmakers are now trying to close gaps in the law with a bill that would limit how much hospitals outside of a patient’s insurance network can charge - [A Final Comfort: ‘Palliative Transport’ Brings Dying Children Home](https://www.cencalhealth.org/news/2019/05/care-at-home/): California Healthline Melissa Bailey Anne Brescia sat beside her only child, Anthony, as he lay unconscious in a hospital bed at age 16. Just a few months before, he was competing in a swim meet; now cancer was destroying his brain. Brescia couldn’t save her son. But she was determined to bring him home. Anthony - [Keeping Kids Healthy And Sane In A Digital World](https://www.cencalhealth.org/news/2019/06/screen-time/): California Healthline Bernard J. Wolfson Smartphones, tablets and video consoles can be addictive. They interfere with sleep. They draw kids into an alternate universe, often distracting them from more productive — and healthier — real-world activities. And they are linked to anxiety and depression, learning disabilities and obesity. That’s according to a growing body of research emphasizing the physical and psychological - [Legal Promise Of Equal Mental Health Treatment Often Falls Short](https://www.cencalhealth.org/news/2019/06/insurance/): California Healthline Graison Dangor Amanda Bacon’s eating disorder was growing worse. She had lost 60% of her body weight and was consuming about 100 calories a day. But that wasn’t sick enough for her Medicaid managed-care company to cover an inpatient treatment program. She was told in 2017 that she would have to weigh 10 - [Churches Wipe Out Millions In Medical Debt For Others](https://www.cencalhealth.org/news/2019/06/church/): California Healthline Roxie Hammill The leaders of Pathway Church on the outskirts of Wichita, Kan., had no clue that the $22,000 they already had on hand for Easter would have such impact. The nondenominational suburban congregation of about 3,800 had set out only to help people nearby pay off some medical debt, recalled Larry Wren, - [How Measles Detectives Work To Contain An Outbreak](https://www.cencalhealth.org/news/2019/06/measles/): California Healthline Jenny Gold On any given day, more than 4,000 people pass through the library at California State University-Los Angeles. On April 11, one of them had measles. The building has only one entrance, which means that anyone who entered or exited the library within two hours of that person’s visit potentially was exposed - [Drug Users Armed With Naloxone Double As Medics On Streets Of San Francisco](https://www.cencalhealth.org/news/2019/06/sf-overdose/): California Healthline Brian Rinker The man was out of his wheelchair and lay flat on his back just off San Francisco’s Market Street, waiting for the hypodermic needle to pierce his skin and that familiar euphoric feeling to wash over him. The old-timer, who appeared to be in his 60s, could not find a viable - [A Proposal To Make It Harder For Kids To Skip Vaccines Gives Powerful Voices Pause](https://www.cencalhealth.org/news/2019/06/vaccines/): California Healthline Anna Maria Barry-Jester As California lawmakers attempt to tighten the rules on childhood vaccinations, they’re getting pushback from unexpected quarters: high-profile officials who support vaccines. In the past few weeks, Democratic Gov. Gavin Newsom and the members of the Medical Board of California have questioned a bill that would give the California Department - [California Vaccine Bill Amended To Appease Governor](https://www.cencalhealth.org/news/2019/06/vaccine/): California Healthline Anna Maria Barry-Jester A California lawmaker on Tuesday made substantial changes to his contentious vaccine bill after Gov. Gavin Newsom and other state officials raised concerns that the measure was too strict and gave too much power to bureaucrats to decide which children could skip their routine shots. State Sen. Richard Pan (D-Sacramento) - [Meth In The Morning, Heroin At Night: Inside The Seesaw Struggle of Dual Addiction](https://www.cencalhealth.org/news/2019/06/meth-heroin/): California Healthline April Dembosky, KQED In the 25 years since she snorted her first line of meth at a club in San Francisco, Kim has redefined “normal” so many times. At first, she said, it seemed like meth brought her back to her true self — the person she was before her parents divorced, and - [Santa Barbara Neighborhood Clinics Receives 2019 Supporting the Safety Net Award in Washington D.C.](https://www.cencalhealth.org/news/2019/06/sbnc/): CenCal Health Initiates Award Nomination of Local Provider Last night, the Association for Community Affiliated Plans (ACAP) presented its fourteenth annual Supporting the Safety Net Award to Santa Barbara Neighborhood Clinics (SBNC). The organization was nominated for the award by ACAP member plan CenCal Health, the community-accountable health plan in Santa Barbara and San Luis - [New Budget Boosts Health Coverage For Low-Income Californians](https://www.cencalhealth.org/news/2019/06/budget/): California Healthline Ana B. Ibarra Ann Manganello survives entirely off her Social Security stipend: $1,391 a month. That doesn’t amount to much in the pricey desert enclave of Palm Springs, Calif. — especially for someone who contends with a host of expensive medical problems, including a blood vessel disorder, complications from a recent stroke and - [San Francisco Set To Ban Sales Of E-Cigarettes](https://www.cencalhealth.org/news/2019/06/sf-e-cigs/): California Healthline By Laura Klivans, KQED San Francisco’s Board of Supervisors is slated to vote Tuesday to ban the sale and distribution of e-cigarettes in the city. The city is the corporate home of Juul Labs, the biggest producer of e-cigarettes in the country. The ordinances would make the sale of e-cigarettes illegal in brick-and-mortar - [State Lawmakers Eye Federal Dollars To Boost Mental Health Counseling By Peers](https://www.cencalhealth.org/news/2019/06/mental-health-counseling/): California Healthline By Rob Waters It’s 1 p.m. on a balmy Oakland afternoon as residents of Great Expectations Residential Care, a home for people with mental illness, gather in an activity room for a game of bingo. Lee Frierson, an unpaid volunteer, introduces himself as he and his team leader, Charlie Jones, unpack chips, soda, - [State Broadens Investigation Of Doctors For Issuing Questionable Vaccination Exemptions](https://www.cencalhealth.org/news/2019/07/state-broadens-investigation-of-doctors-for-issuing-questionable-vaccination-exemptions/): California Healthline By Barbara Feder Ostrov The California agency that regulates doctors is investigating at least four physicians for issuing questionable medical exemptions to children whose parents did not want them immunized. The Medical Board of California’s investigations are unfolding amid the nation’s worst measles outbreak in more than a quarter-century, as California lawmakers consider - [Medi-Cal Enrollment Among Immigrant Kids Stalls, Then Falls. Is Fear To Blame?](https://www.cencalhealth.org/news/2019/07/medi-cal-enrollment/): California Healthline Ana B. Ibarra As California prepares to expand Medicaid coverage to young adults here illegally, the number of undocumented immigrant children in the program is slowly declining, new state data show. Unauthorized immigrant children have been eligible for Medi-Cal, the state’s Medicaid program for low-income residents, since May 2016, and their enrollment peaked - [Federal Appeals Court Takes Up Case That Could Upend U.S. Health System](https://www.cencalhealth.org/news/2019/07/aca/): Kaiser Health News Julie Rovner The fate of the Affordable Care Act is again on the line Tuesday, as a federal appeals court in New Orleans takes up a case in which a lower court judge has already ruled the massive health law unconstitutional. If the lower court ruling is ultimately upheld, the case, Texas v. - [CenCal Health Announces New Director of Provider Services](https://www.cencalhealth.org/news/2019/07/cch-announces-new-director/): Experienced Healthcare Executive Joins Management Team at Local Health Plan Santa Barbara, CA – July 9, 2019 – CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, recently welcomed Terri Howell to the organization as its new Director of Provider Services. Howell will lead the Provider Services department, overseeing - [Employers Urged To Find New Ways To Address Workers’ Mental Health](https://www.cencalhealth.org/news/2019/07/mental-health/): California Healthline Brian Rinker In the middle of a work project at a global corporate consulting firm, Katherine Switz was gripped with a debilitating bout of anxiety. Her body froze, her heart raced, her chest tightened, and her mind went blank, which made it nearly impossible for her to concentrate on a computer screen and - [Child Drowning Rates Drop As Communities Adopt Stricter Building Codes](https://www.cencalhealth.org/news/2019/07/child-drowning-rates-drop-as-communities-adopt-stricter-building-codes/): California Healthline By Phillip Reese Some welcome news at the height of summer swimming season: Children are far less likely to drown in California than they were in the 1980s — and child drowning rates have continued to fall even in the past decade, according to data from the Centers for Disease Control and Prevention. - [Doctor Alexa Will See You Now: Is Amazon Primed To Come To Your Rescue?](https://www.cencalhealth.org/news/2019/07/amazon/): California Healthline Janet Rae-Dupree Now that it’s upending the way you play music, cook, shop, hear the news and check the weather, the friendly voice emanating from your Amazon Alexa-enabled smart speaker is poised to wriggle its way into all things health care. Amazon has big ambitions for its devices. It thinks Alexa, the virtual - [The Talk Seniors Need To Have With Doctors Before Surgery](https://www.cencalhealth.org/news/2019/08/talk-to-surgeons/): California Healthline Judith Graham The decision seemed straightforward. Bob McHenry’s heart was failing, and doctors recommended two high-risk surgeries to restore blood flow. Without the procedures, McHenry, 82, would die. The surgeon at a Boston teaching hospital ticked off the possible complications. Karen McHenry, the patient’s daughter, remembers feeling there was no choice but to - [The Real-Life Conversion Of A Former Anti-Vaxxer](https://www.cencalhealth.org/news/2019/08/vaccine-3/): California Healthline John M. Glionna Amid the contentious dispute over immunization requirements for children, Kelley Watson Snyder stands out: She has been both a recalcitrant skeptic and an ardent proponent of childhood vaccines. Snyder, a Monterey, Calif., mother of two, was a so-called anti-vaxxer for many years, adding her voice to those that rejected mandatory - [Doctors Argue Plans To Remedy Surprise Medical Bills Will ‘Shred’ The Safety Net](https://www.cencalhealth.org/news/2019/08/doctors-argue/): California Healthline Rachel Bluth Chances are, you or someone you know has gotten a surprise medical bill. One in six Americans have received these unexpected and often high charges after getting medical care from a doctor or hospital that isn’t in their insurance network. It’s become a hot-button issue in Congress, and high-profile legislation has been introduced - [Giving Wings to Children with Disabilities at Camp Mariposas Speech and Occupational Therapy Program Funded by CenCal Health](https://www.cencalhealth.org/news/2019/08/camp-mariposas-2/): Every week day this Summer, in a small nondescript office building on Santa Barbara’s Westside, young lives are transformed. Camp Mariposas provides speech, language and occupational therapies to children, primarily between the ages of 3 and 8 years, who have been diagnosed with Autism Spectrum Disorder (ASD) or other conditions that would benefit from early and continuous intervention. - [Strong Effort By Lawmakers To Stabilize Covered California Draws More Insurers](https://www.cencalhealth.org/news/2019/08/coverage-california/): California Healthline Steven Findlay Felicia Morrison is eager to find a health plan for next year that costs less than the one she has and covers more of the medical services she needs for her chronic autoimmune disease. Morrison, a solo lawyer in Stockton, Calif., buys coverage for herself and her twin sons through Covered - [Joe Camel Was Forced Out Of Ads. So Why Is Juul Allowed On TV?](https://www.cencalhealth.org/news/2019/08/joe-camel/): California Healthline Michelle Andrews Why does e-cigarette maker Juul advertise its product on TV when cigarette ads are banned? The short answer: Because it can. For nearly 50 years, cigarette advertising has been banned from TV and radio. But electronic cigarettes — those battery-operated devices that often resemble oversized USB flash drives with flavored nicotine - [Addiction Clinics Market Pricey, Unproven Treatments To Desperate Patients](https://www.cencalhealth.org/news/2019/08/addiction/): California Healthline Jake Harper, Side Effects Public Media Jason was hallucinating. He was withdrawing from drugs at an addiction treatment center near Indianapolis, and he had hardly slept for several days. “He was reaching for things, and he was talking to Bill Gates and he was talking to somebody else I’m just certain he hasn’t - [How And When Immigrants’ Use Of Government Benefits Might Affect Their Legal Status](https://www.cencalhealth.org/news/2019/08/immigrants/): California Healthline Ana B. Ibarra A new rule to restrict legal immigration, published by the Trump administration this month, is sowing confusion and anxiety even among immigrants not directly affected by it, as fear spreads faster than facts, immigration and health policy experts say. The rule would allow the federal government to more easily deny permanent residency - [Governor’s ‘Mental Health Czar’ Seeks New Blueprint For Care In California](https://www.cencalhealth.org/news/2019/08/mental-illness/): California Healthline Rob Waters In a career full of twists, turns and high-powered assignments, Thomas Insel may now be embarking on one of his most daunting tasks yet — helping California find its way out of a worrisome mental health care crisis. This year, he assumed a new role to help Gov. Gavin Newsom revamp - [A Young Woman, A Wheelchair And The Fight To Take Her Place At Stanford](https://www.cencalhealth.org/news/2019/09/stanford/): California Healthline Jenny Gold OAKLAND, Calif. — Sylvia Colt-Lacayo is 18, fresh-faced and hopeful, as she beams confidence from her power wheelchair. Her long dark hair is soft and carefully tended, and her wide brown eyes are bright. A degenerative neuromuscular disease, similar to muscular dystrophy, has left her with weak, underdeveloped muscles throughout her - [CenCal Health Launches Multiple Campaigns to Help Increase Vaccination Rates in Santa Barbara and San Luis Obispo Counties](https://www.cencalhealth.org/news/2019/09/cch-vaccination-rates/): Unique Concepts Employed to Deliver Facts on Disease Prevention to the Public Vaccination is a hot topic in the national news, on social media platforms and at dinner tables across America. More recently it has become a divisive political issue. A vocal movement of “anti-vaxxers” continues to influence some individuals and groups resistant to evidence-based - [Learn About the Federal Policy Change Coming Oct. 15, 2019, Regarding Public Charge](https://www.cencalhealth.org/news/2019/09/fed-policy/): The California Health and Human Services Agency, along with its Departments and Offices, developed this guide to serve as a resource for individuals with questions about the Federal Government’s new public charge policy. Public Charge Guide (English) - [Vapers Seek Relief From Nicotine Addiction In — Wait For It — Cigarettes](https://www.cencalhealth.org/news/2019/09/vape/): California Healthline Ana B. Ibarra Lucas McClain started smoking cigarettes in high school but switched to vaping after he heard e-cigarettes were a safer alternative. His vape of choice became the Juul, the king of electronic cigarettes — which comes with a king-size nicotine hit. Now 21, McClain wants to quit so badly that he’s - [What The Health?’: Despite Booming Economy, Uninsured Rate Ticks Up](https://www.cencalhealth.org/news/2019/09/uninsured/): Kaiser Health News The annual report from the Census Bureau, released this week, found that 27.5 million Americans were without health insurance last year, an increase of nearly 2 million from 2017. The 0.5 percentage point increase in the uninsured rate — to 8.5% — was the first in a decade and came as unemployment - [State of California Presents 2019 Innovation Award to CenCal Health](https://www.cencalhealth.org/news/2019/10/award/): Interactive Technology in Health Clinics Educates Families about HPV Vaccination Yesterday, California’s Department of Health Care Services (DHCS) presented its fifth annual Innovation Award to CenCal Health. The award is given to a Managed Care Plan (MCP) whose innovative interventions strive to improve the quality of health care for Medi-Cal beneficiaries. CenCal Health’s award-winning pilot program, titled - [Medi-Cal To Expand Eligibility To Young Undocumented Adults. But Will They Enroll?](https://www.cencalhealth.org/news/2019/11/cal-medi-cal/): California Healthline Ana B. Ibarra Starting in January, young adults can sign up for California’s Medicaid program regardless of immigration status. But a fundamental question looms: Will they? Some young people already say they won’t enroll in public coverage because they fear federal immigration policies could later penalize them for participating — though that fear - [Local Health Plan a Top National Performer in Quality of Patient Care](https://www.cencalhealth.org/news/2019/11/hedis-4/): CenCal Health’s Santa Barbara County Plan Rates Among the Best Medicaid Plans Nationwide Recent national healthcare data shows that local health plan CenCal Health rates among the best Medicaid health plans for performance and quality. The Healthcare Effectiveness Data and Information Set or HEDIS® 2019 results affirmed top marks for CenCal Health, the public health insurance product - [CenCal Health Names Karen Kim as New General Counsel](https://www.cencalhealth.org/news/2019/12/karen-kim/): Health Care Law Executive Joins Local Health Plan CenCal Health, the publicly sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, announces the hiring of Karen S. Kim JD, MPH to the position of General Legal Counsel. Kim will be responsible for providing and managing the legal services for CenCal Health, including serving as legal - [CenCal Health Appoints Chief Medical Officer](https://www.cencalhealth.org/news/2020/02/farid-hassanpour/): Physician Executive Farid Hassanpour Joins Health Plan on Central Coast CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, announces the appointment of Farid Hassanpour, D.O., M.B.A., F.A.A.P. to its key leadership position of Chief Medical Officer. Dr. Hassanpour will provide medical leadership to the organization by ensuring medical - [CenCal Health Presents 2019 Annual Report in Digital Format](https://www.cencalhealth.org/news/2020/03/cr19/): Health Plan Information Accessible Via Phones, Tablets, Lap and Desktops,in both English and Spanish CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, announced today the release of its 2019 Community Report. The entirely-digital format communicates the local health plan’s mission and vision, programs and projects, achievements, leadership and - [CenCal Health Announces Workplace Changes in Response to Coronavirus](https://www.cencalhealth.org/news/2020/03/cch-cr19/): New measures in place to ensure continuation of health plan services and to protect staff CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, announced today that it will initiate a variety of measures to ensure smooth operations, continuation of service for members and providers, and protect staff. These actions - [Cuidado Médico Remoto: Nuevos Servicios para Miembros de CenCal Health Mandato de Refugiarse en Casa](https://www.cencalhealth.org/news/2020/04/work-remotely-spanish/): Mandato de Refugiarse en Casa Incita Opciones de Entregas a Domicilio Durante el COVID-19 CenCal Health, el plan de salud de Medi-Cal públicamente subsidiado para los condados de Santa Bárbara y San Luis Obispo, le ofrece a sus miembros alternativas en el cuidado de salud durante la pandemia del COVID-19. La organización basada en la comunidad forma - [Healthcare That Works Remotely: New Member Services at CenCal Health](https://www.cencalhealth.org/news/2020/04/work-remotely/): Para español haga clic aquí Shelter-in-Place Requirement Drives Home-Delivery Options During COVID-19 CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, is offering alternatives for healthcare access in order to support its members during the COVID-19 pandemic. The community-based health care organization is one of 55 Safety Net Health Plans across the country - [CenCal Health Adquiere Equipo de Protección Individual (EPI) para Hospitales, Clínicas de la Costa Central](https://www.cencalhealth.org/news/2020/04/cencal-health-adquiere-epi/): Plan de Salud Local Dona Miles de Mascarillas, Guantes, y Batas para Trabajadores Sanitarios CenCal Health, el plan de salud de Medi-Cal públicamente subsidiado para los condados de Santa Bárbara y San Luis Obispo, adquirió y está en el proceso de distribuir 100,000 mascarillas quirúrgicas desechables, 100,000 guantes desechables, y 20,000 batas protectoras para proteger - [CenCal Health Procures PPE for Central Coast Hospitals, Clinics](https://www.cencalhealth.org/news/2020/04/cencal-health-procures-ppe/): Local Health Plan Donates Tens of Thousands of Masks, Gloves and Gowns for Healthcare Workers CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, has procured and is now in the process of delivering 100,000 disposable face masks, 100,000 disposable gloves and 20,000 protective gowns in order to protect and - [National Nurses Day: CenCal Health Honors Nurses in its Agency and its Network](https://www.cencalhealth.org/news/2020/05/nurse-day/): Nurses Critical in Multiple Departments at Local Health Plan CenCal Health is recognizing National Nurses Day by saluting nurses within its own agency, as well as those associated with its network of healthcare providers. CenCal Health is a community-accountable health plan that partners with over 1,500 local physicians, hospitals and other providers in delivering patient care to - [CenCal Health Ranks High on List of Best Places to Work on Central Coast](https://www.cencalhealth.org/news/2020/05/bptw/): For Two Consecutive Years, Local Health Plan at Top of Employee Survey SANTA BARBARA, Calif. – May 26, 2020 – CenCal Health, the local Medi-Cal health plan for Santa Barbara and San Luis Obispo counties, ranked second in the Central Coast Best Places to Work list produced annually by Pacific Coast Business Times. Determined by an employee survey and other criteria - [CenCal Health Welcomes New Medical Director](https://www.cencalhealth.org/news/2020/06/dr-emmons/): Former Surgeon Joins Local Medi-Cal Managed Care Plan CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, announces the appointment of Dr. Keith Emmons as its new Medical Director. Emmons will initially lead the department of Health Services’ efforts in outpatient and inpatient medical support, and case management. The former - [CenCal Health Board of Directors Mourns Passing of SLO County Supervisor Adam Hill](https://www.cencalhealth.org/news/2020/08/adam-hill/): 3rd District Supervisor Served as Board Member of Local Medi-Cal Health Plan from 2014-2018 SANTA BARBARA, Calif – August 10, 2020 – It is with great sadness that the CenCal Health Board of Directors recognizes the death of former board member Adam Hill, San Luis Obispo County Supervisor from the 3rd District. CenCal Health Chairman - [Dr. Himat Tank of Santa Maria Recognized as Champion in Health Care](https://www.cencalhealth.org/news/2020/08/dr-tank/): CenCal Health nominated pediatric specialist for his decades of service on Central Coast Dr. Himat Tank, pediatric physician in Santa Maria, is being recognized as a Champion in Health Care. This week, Pacific Coast Business Times published its annual list of front line medical workers, first responders, and volunteers who have demonstrated an outstanding commitment to providing - [Welcome Back to Care: Local Providers Join CenCal Health in Advancing Public Health Message](https://www.cencalhealth.org/news/2020/09/welcome-back-to-care/): Decrease in Immunizations, Cancer Screenings, Annual Physicals Seen on Central Coast Due to COVID Concerns. Top health professionals on the Central Coast have joined CenCal Health, the local Medi-Cal health plan, in encouraging the public to return to their doctors, clinics and hospitals for vital health care services, especially immunizations, cancer screenings and other preventive - [CenCal Health Procures Pulse Oximeters for COVID Care Kits](https://www.cencalhealth.org/news/2020/10/oximeters/): Local Health Plan Distributes Oxygen Monitors to Central Coast Providers SANTA BARBARA, Calif. – October 23, 2020 – A pulse oximeter can provide an early warning of oxygen deprivation and breathing problems associated with COVID-19 pneumonia. Acting on information from public health representatives, CenCal Health procured and distributed 2,000 pulse oximeters to various health care providers in - [CenCal Health Awarded by Public Relations Society of America, LA Region](https://www.cencalhealth.org/news/2020/12/prism/): 2020 PRism Awards recognize excellence in communications strategies and programs CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, was recently recognized by the regional chapter of the Public Relations Society of America (PRSA). The health plan’s communications department received four awards for its work in the following - [CenCal Health Earns Highest Ratings for Timeliness of Prenatal and Postpartum Care](https://www.cencalhealth.org/news/2020/12/hedis-3/): Local Providers Achieve First and Second Place in State among Medi-Cal Plans CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, has received top marks among the state’s 56 Medi-Cal plans for timeliness of prenatal care, and timeliness of postpartum care, according to the Healthcare Effectiveness Data and Information Set - [CenCal Health Addresses Gaps in Care with over $2 Million in Funding for Physician Recruitment, Medical Equipment](https://www.cencalhealth.org/news/2021/01/gaps-in-care/): Para comunicado en español,haga clic aquí. New Program to Improve Access to Health Care for Children, Seniors and the Disabled In response to noted gaps in access to health care locally, CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, is implementing a Network Access Improvement program. The program - [2020: Year of Resilience and Growth for CenCal Health](https://www.cencalhealth.org/news/2021/01/cr2020/): Para comunicado en español,haga clic aquí. New report outlines local impact of pandemic on health plan members, providers and employees CenCal Health, the largest health plan on the Central Coast, produces a community report every year, but the 2020 digital report looks and reads like no other. COVID-19 brought unimagined challenges to the health plan’s members, - [Summer Camp for Children with Autism Marches on During Pandemic](https://www.cencalhealth.org/news/2021/06/camp-mariposas/): Local camp goes hybrid for Summer 2021 with both online and in-person sessions At the beginning of the COVID-19 pandemic, many Central Coast families abruptly found themselves in the stressful situation of having school-age children and working parents isolating at home – a total disruption of their routines, including education and employment. “Add a child - [Local Health Plan Earns High National Ratings for Adolescent Immunizations, Weight Assessment](https://www.cencalhealth.org/news/2021/07/hedis-2/): CenCal Health also highly rated for timeliness of women’s postpartum care CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, has received top marks among the nation’s Medicaid plans for adolescent immunizations and for adolescent weight assessment according to the 2021 results from Healthcare Effectiveness Data and Information Set (HEDIS®). Santa Barbara County - [New Banking Fraud Schemes a Danger to All Businesses](https://www.cencalhealth.org/news/2021/10/fraud/): Local health plan alerts public, medical providers to wire fraud When it comes to health care fraud, CenCal Health, the publicly-funded health care program for Santa Barbara and San Luis Obispo counties, is constantly on the lookout for fraudulent billing, kick-backs schemes, overbilling by durable medical equipment suppliers, opioid exploitation, and other schemes that rob - [FOR IMMEDIATE RELEASE Closing Gap in Care During COVID-19: Healthy Mothers Campaign in SLO Gets Results](https://www.cencalhealth.org/news/2021/12/healthy-mothers/): CenCal Health Improves Performance in Timely Postpartum Visits for Member Mom SANTA BARBARA, Calif. – Dec 15, 2021 (UPDATED Jan 5, 2022) – Early in the pandemic, CenCal Health, the Medi-Cal health plan with over 210,000 members on California’s central coast, launched an innovative program for San Luis Obispo County named Healthy Mothers Healthy Families. - [CenCal Health Awarded for Welcome Back to Care Campaign](https://www.cencalhealth.org/news/2022/01/welcome-back-to-care-campaign/): COVID-19 PSAs Featuring Local Healthcare Providers Lauded award1CenCal Health, the publicly-sponsored health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, was recently recognized by the Los Angeles regional chapter of the Public Relations Society of America (PRSA), during its 57th annual PRism Awards ceremony. The awards recognize excellence in communications strategies and - [Lynda Tanner Appointed Board Chair at CenCal Health](https://www.cencalhealth.org/news/2022/02/lynda/): Retiring VNA Health CEO to Lead Board of Directors at Local Health Plan Lynda TannerCenCal Health CEO Marina Owen announced today that, effective January 19, Lynda S. Tanner will serve as Chair of the 2022 CenCal Health Board of Directors. Tanner has served on the CenCal Health’s Board since 2015, most recently as Vice Chair - [CenCal Health Presents its 2021 Community Report](https://www.cencalhealth.org/news/2022/03/cr2021/): “Building on a Legacy” is theme of annual report from local health plan established in 1983 Referencing its decades-long history in healthcare on the Central Coast, CenCal Health published its annual community report this week. Titled “Building on a Legacy: Evolution·Progression·Transition,” the multi-media account of the health plan’s current position in the community is readily - [New Incentive Program to Improve Quality of Care for Central Coast Medi-Cal Members](https://www.cencalhealth.org/news/2022/04/quality/): CenCal Health Launches QCIP to Support Physician Excellence in Healthcare To maximize the quality of care for its health plan members, CenCal Health has launched an innovative program named Quality Care Incentive Program or QCIP. Effective March 1, 2022, this pay-for-performance program aligns financial incentives to healthcare providers with excellence in clinical care of health plan members. - [CenCal Health Earns National Recognition for HPV Vaccination Education](https://www.cencalhealth.org/news/2022/04/ncqa/): Local Health Plan Receives Innovation Award for Cancer Prevention Initiative The National Committee for Quality Assurance (NCQA) recently presented a 2021 NCQA Innovation Award to CenCal Health for its bilingual Know More: HPV – Improving Vaccination Uptake and Closing Health Disparities With a Digital Patient Intervention. The in-office patient intervention supports the public health goal to increase vaccination rates to prevent infection - [CenCal Health to Provide $200K in Funding for Adolescent Family Life Planning](https://www.cencalhealth.org/news/2022/05/communify/): Social service program for teen mothers receives support from local health plan CenCal Health, the community-accountable health plan on the Central Coast, is funding the expansion of critical resources for expectant and parenting teens in Santa Barbara County. The $200,000 contribution to CommUnify will allow its teen pregnancy support program to roughly double in size, increasing the - [Medi-Cal Expansion of Healthcare Coverage for Older Adults Now in Effect](https://www.cencalhealth.org/news/2022/06/medical-expansion/): Regardless of immigration status, area residents 50+ years may be eligible for CenCal Health plan CenCal Health, the community-accountable health plan on the Central Coast, announced that residents of Santa Barbara and San Luis Obispo counties who are 50 years of age or older may qualify for full scope Medi-Cal benefits, regardless of their immigration - [CenCal Health Appoints New Chief Medical Officer](https://www.cencalhealth.org/news/2022/07/medical-director/): Community health plan also promotes two employees to key positions Emily Fonda, MD, MMM, CHCQM has been named Chief Medical Officer (CMO) at CenCal Health, the Medi-Cal managed care plan for both Santa Barbara and San Luis Obispo counties. Dr. Fonda will provide medical leadership to the organization by ensuring quality and adherence to professional and - [Van Do-Reynoso Begins New Position at CenCal Health](https://www.cencalhealth.org/news/2022/08/van-do-reynoso/): Former county public health director now CXO at community health plan for Santa Barbara and SLO counties Van Do-Reynoso, MPH, PhD has started a new position as Chief Customer Experience Officer (CXO) at CenCal Health, the Medi-Cal managed care plan for Santa Barbara and San Luis Obispo counties. In this position, she will provide strategic - [CalAIM Arrives in Santa Barbara and San Luis Obispo Counties](https://www.cencalhealth.org/news/2022/09/calaim/): CenCal Health to manage State’s transformation of Medi-Cal on the Central Coast The California Advancing and Innovating Medi-Cal program – known as CalAIM – is the far-reaching, multi-year plan to transform Medi-Cal. The long-term mission of CalAIM is to offer 14+ million Californians a more equitable, coordinated, and person-centered approach to maximizing their health and - [Local Health Care Providers Propel CenCal Health to top 5% Nationwide in Postpartum Care](https://www.cencalhealth.org/news/2022/10/postpartum/): Two industry audits substantiate high quality of pediatric care provided by Medi-Cal physicians on Central Coast CenCal Health Ranks No. 1 in Customer Service for Child Members in California Survey CenCal Health, the community health plan for Medi-Cal in Santa Barbara and San Luis Obispo counties, received high marks in two respected professional health care - [CenCal Health Announces Incentive Program to Support CalAIM Initiatives](https://www.cencalhealth.org/news/2022/11/calaim-initiatives/): Providers offered funding to address social determinants of health on the Central Coast Under the Department of Health Care Services (DHCS) CalAIM Initiative (California Advancing and Innovating Medi-Cal), health plans are poised to work closely with health care partners to ensure that Medi-Cal members have the tools and support needed to achieve optimal health outcomes. ## Pages - [Home](https://www.cencalhealth.org/): Low Cost Health Insurance Plans in California for individuals, students, families - [Medical Pharmacy Management](https://www.cencalhealth.org/providers/pharmacy/medical-pharmacy-management/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]CenCal Health Physician Administered (PAD) Drug List. For a list of PADs that require a TAR or may have a preferred alternative product, please use the CenCalHealth Physician Administered Drug (PAD) List. View PAD List Medical Necessity Guidelines For access to all CenCal Health medical necessity guidelines please use - [Corrections, Disputes & Appeals](https://www.cencalhealth.org/providers/claims/corrections-disputes-appeals/): Providers Corrections, Disputes, & Appeals To ensure provider corrections, disputes, and appeals are resolved efficiently and accurately, please avoid submitting duplicate requests for the same issue before receiving a response to your initial submission. Duplicate submissions may delay processing. Attn: Claims Mailroom 4050 Calle Real Santa Barbara, CA 93110 Claim Correction Form Disputes The first-level - [Pharmacy Benefits](https://www.cencalhealth.org/health-plans/medi-cal/pharmacy-benefits/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Pharmacy Benefits Pharmacy Benefit: Medication you receive from a pharmacy Beginning January 1, 2022, CenCal Health’s Pharmacy benefit called Medi-Cal Rx is administered through the Department of Healthcare Services (DHCS) and its vendor, Prime Therapeutics State Government Solutions LLC. CenCal Health will no longer manage the pharmacy benefit - [CalAIM Santa Barbara County Community Steering Committee](https://www.cencalhealth.org/explore-cencal-health/santa-barbara-county-community-steering-committee/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] CalAIM Santa Barbara County Community Steering Committee The purpose of the CalAIM Santa Barbara County Community Steering Committee is to establish a consistent forum for ongoing collaboration with key community stakeholders. This collaboration includes sharing education, planning and coordinating action to advance Medi-Cal initiatives and transformations, and - [CalAIM San Luis Obispo County Community Steering Committee](https://www.cencalhealth.org/explore-cencal-health/san-luis-obispo-county-community-steering-committee/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] CalAIM San Luis Obispo County Community Steering Committee The purpose of the CalAIM San Luis Obispo County Community Steering Committee is to establish a consistent forum for ongoing collaboration with key community stakeholders. This collaboration includes sharing education, planning and coordinating action to advance Medi-Cal initiatives and - [Board of Directors](https://www.cencalhealth.org/explore-cencal-health/boardofdirectors/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Board Representation Notice of Regular Meeting CenCal Health Board of Directors Download Board of Directors Board Packet 2026 Download Board of Directors Board Packet October 2026 & Board Committee Reports Download Board of Directors Board Packet September 2026 & Board Committee Reports Download Board of Directors Board Packet - [Preparing for the 2027 Medi-Cal Fee-for-Service Transition](https://www.cencalhealth.org/providers/upcoming-medi-cal-changes/): Providers Preparing for the 2027 Medi-Cal Fee-for-Service Transition Important information and action steps for providers serving CenCal Health members with Unsatisfactory Immigration Status (UIS). Upcoming Coverage Transition for Members with Unsatisfactory Immigration Status (UIS) Members with Unsatisfactory Immigration Status (UIS) will transition from CenCal Health-administered Medi-Cal coverage to Medi-Cal Fee-for-Service (FFS) coverage administered directly by - [Procurement and Contracts](https://www.cencalhealth.org/explore-cencal-health/procurement-and-contracts/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Procurement and Contracts Requests and Information for Procurements and Contracts. Content coming soon. Request for Proposal (RFP) Request for Information (RFI) Request for Quote (RFQ) Standard Contract Templates CenCal Health BAA TemplateCenCal Health NDA TemplateCenCal Health MSA Template CenCal Health Executed Memorandums of Understanding (MOUs) California Children and - [Your Benefits/Member Handbook](https://www.cencalhealth.org/members/member-handbook/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Your Benefits/Member Handbook Your member handbook describes covered services and benefits offered to you though CenCal Health. For a full listing of these benefits, click the appropriate Member Handbook link below. Medi-Cal Member Handbook Two Images in Columns 2026 ERRATA Benefit updates – Spanish 2026 ERRATA Gender-Affirming - [Behavioral Health Services](https://www.cencalhealth.org/providers/behavioral-health-treatment-and-mental-health-services/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.21.0″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Mental Health Services & Behavioral Health Treatment (ABA) Services CenCal Health members have access to services addressing mental health and substance use. Coverage and provision of these services are shared between CenCal Health, County Behavioral Health Services and State FFS. CenCal Health Behavioral Health Department is responsible for - [Checking Claim Status](https://www.cencalhealth.org/providers/claims/checking-claim-status/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Checking Claim Status We offer four ways to check the status of a claim: The most recommended is through our website. If you have not yet established a User Name and Password to access this and other features, view the CenCal Health Provider Portal. Emails are accepted. - [FAQs and Common Denials](https://www.cencalhealth.org/providers/claims/faqs-and-common-denials/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Explore CenCal Health Frequently Asked Questions & Common Denials What is the status of my claim? Our Claims Service Representatives are always available to assist our Providers with the status of a claim, however please allow 45 days for the processing of all claims. If a claim - [Quality Care Incentive Program](https://www.cencalhealth.org/providers/quality-of-care/quality-care-incentive-program/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Quality Care Incentive Program CenCal Health’s Quality Care Incentive Program (QCIP) identifies members who are due for clinically recommended services to help Primary Care Providers (PCPs) continue providing high quality health care for members. Providers can contact CenCal Heath’s Quality Department for more information at: qcip@cencalhealth.org CenCal Health’s - [2026 Capacity Grant](https://www.cencalhealth.org/grant-funding-opportunities/2026-capacity-grant/): ← Return to search 2026 Medi-Cal Capacity Grant Program (Round 2) Status: Closed Round 2 Funding CenCal Health recognizes the evolving healthcare landscape across the Central Coast, and the opportunity to work with provider stakeholders to bolster and maintain access to care through strategic and community-oriented investments. CenCal Health will support these and other locally - [Grant Funding Opportunities](https://www.cencalhealth.org/grant-funding-opportunities/): Home › Community › Grant Funding Opportunities Grant Funding Opportunities Community Grants CenCal Health provides grant funding to local organizations to improve the health and well-being of the communities we serve. Community grant opportunities Close Date Status Program Description June 15, 2026 Closed 2026 Medi-Cal Outreach and Navigation Program The Medi-Cal Outreach and Navigation Program - [Provider Directory for Members](https://www.cencalhealth.org/members/provider-directory-for-members/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Additional Support Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: We can assist you with your selection for primary care provider. We can help you understand and assist you with obtaining referrals to see specialists, explain when referrals are not needed, - [Search Provider Network](https://www.cencalhealth.org/providers/search-provider-network/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] A Network of Quality Care CenCal Health trusts in our providers and the care they deliver to our members. We work with over 1,500 providers, and our list of participating providers consists of physicians, hospitals, laboratories and pharmacies. We have made every effort to ensure that this list - [Provider Training Library](https://www.cencalhealth.org/providers/provider-training-resources/provider-training-library/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.4″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Provider Training Library Our online content library includes a variety of microlearning videos on a wide variety of business topics and materials. These training resources are focused on supporting provider staff on a variety of subjects designed to enhance the quality of care and services our members receive. ACEs Aware Training & - [Pharmacy Benefits](https://www.cencalhealth.org/health-plans/careconnect/pharmacy-benefits/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Pharmacy Benefits CenCal CareConnect includes prescription drug coverage through a wide network of pharmacies. This includes national chains and local pharmacies. List of Covered Drugs (Formulary) CenCal CareConnect covers a wide range of prescription medications. The Formulary is a list of drugs that are covered by your plan. It includes both - [Advisory Committees](https://www.cencalhealth.org/explore-cencal-health/advisory-committees/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Learn More We believe in our community. Our Advisory Committees CenCal Health is an integral part of the community and as such has structured its committees to enable community based organizations, network providers and physicians, advocates and members to participate and provide guidance throughout its structure. Our Quality - [Members](https://www.cencalhealth.org/members/): CenCal Health Member Services, Medi-Cal, low cost health insurance - [Providers](https://www.cencalhealth.org/providers/): CenCal Health’s Member and Provider Portal will be offline for routine maintenance Friday, August 1st at 5pm through Sunday, August 3rd at 8pm. Providers requiring after hours support with Post Stabilization needs may contact 1-805-562-1082. Thank you for your understanding during this brief period of portal down time.[lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Providers - [Credentialing Applications and Forms](https://www.cencalhealth.org/providers/join-our-network/credentialing-applications-and-forms/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Credentialing Applications and Forms CenCal Health has a quality of care program designed to improve the health plan and the delivery of health care to our members. As part of this program, we credential providers practicing as individuals or belonging to groups contracted with CenCal Health. Concurrent with - [Join Our Network](https://www.cencalhealth.org/providers/join-our-network/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Join Our Network Join us in our effort to provide quality healthcare to those in need. CenCal Health has a provider-inclusive policy and we work with interested and eligible providers in the area. Our Provider Services Representatives are available to answer questions and guide prospective providers through the - [Provider Enrollment in Medi-Cal Through Pave](https://www.cencalhealth.org/providers/join-our-network/provider-enrollment-in-medi-cal/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] New Contracted Providers Require Enrollment Effective January 1, 2018, CenCal Health is required by federal law to ensure all new contracted providers are enrolled in the Department of Health Care Services (DHCS) Medi-Cal Program. Providers who enroll through DHCS are eligible to provide services to Medi-Cal Fee for Service - [All Plan Letters](https://www.cencalhealth.org/providers/forms-manuals-policies/all-plan-letters/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] All Plan Letters From time to time, the Department of Health Care Services (DHCS) posts All Plan Letters (APLs) informing CenCal Health of new guidelines and standards required by the state of California for Medi-Cal services. APLs provide instruction to CenCal Health’s contracted providers (if applicable) on how - [Claims](https://www.cencalhealth.org/providers/claims/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Your Gateway to Claims The Claims Team is dedicated to supporting our Provider Community through our excellent customer service. Our goal is to adjudicate your claims in an accurate, timely and efficient manner using highly-trained and dedicated employees. We are here and ready to help! Submit a Claim - [CenCal CareConnect Materials](https://www.cencalhealth.org/health-plans/careconnect/cencal-careconnect-materials/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]CenCal CareConnect Member Materials Your Plan Documents, All in One PlaceHere, you’ll find important information about your coverage, rights, and responsibilities as a CenCal CareConnect member. You can view, download, or request a printed copy of any of the documents listed below. If you have questions, we can - [Get Care During Emergencies](https://www.cencalhealth.org/health-plans/careconnect/get-care-during-emergencies/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Get Care During an Emergency You have a right to be heard. At CenCal Health, we want every member of CenCal CareConnect to receive high-quality care and respectful service. If you’re unhappy with any part of your care or service—or if a request was denied—you have the right - [Benefits Prepaid Card Locator](https://www.cencalhealth.org/health-plans/careconnect/benefits-prepaid-card-locator/): Locations Map Find a Merchant 61 Merchants within 10 miles of your location… Search by store, city, or address × Map Satellite - [Benefits](https://www.cencalhealth.org/health-plans/careconnect/benefits/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Benefits Explore the benefits of CenCal CareConnect, designed to help you stay healthy and make the most of your coverage. Prescription Drug Coverage Grid No Copays, Premiums, or Deductibles $0 monthly plan premium, $0 copays for doctor visits and hospitalizations, and no deductibles. Large Provider Network Choose from - [CareConnect](https://www.cencalhealth.org/health-plans/careconnect/): CenCal CareConnect (HMO D-SNP) is a healthcare plan for individuals who qualify for both Medicare and Medi-Cal, combining the benefits of both into one coordinated care plan. With CenCal CareConnect, you’ll have everything you need in one plan. You’ll have one membership card and one phone number for all your Medi-Cal and Medicare customer service needs. Enroll Now Eligibility To qualify for CenCal CareConnect you must: - [Provider Bulletin newsletter](https://www.cencalhealth.org/providers/provider-bulletin-newsletter/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Provider News and Announcements CenCal Health shares provider news to keep contracted providers informed about upcoming trainings, Medi-Cal updates, CenCal Health campaigns and resources, regulatory requirements and more. If you’re not already receiving our email publications, or Provider News Flash notifications, please visit our newsletter webpage to - [How to Apply](https://www.cencalhealth.org/health-plans/careconnect/how-to-apply/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]How to Apply Enrolling in CenCal CareConnect (HMO D-SNP) is easy. This Medicare plan is designed for those who are eligible for both Medicare and Medi-Cal. This plan combines Medicare and Medi-Cal benefits into a single plan. Enrollment for 2027 opens October 15, 2026. Enrollment Options – Cards Attn: Enrollment 4050 Calle Real Santa Barbara, CA 93110 Download - [Compliance](https://www.cencalhealth.org/compliance/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] CenCal Health’s Commitment to Compliance CenCal Health is committed to conducting its business operations in compliance with regulatory and contractual obligations while also delivering high quality and accessible health care services. To achieve this, CenCal Health incorporates the seven elements of an effective compliance program into its - [Rights and Responsibilities Upon Disenrollment](https://www.cencalhealth.org/health-plans/careconnect/rights-and-responsibilities-upon-disenrollment/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Rights and Responsibilities Upon Disenrollment When We Must End Your Membership By law, CenCal CareConnect cannot remove you from the plan for any reason related to your health status. If you believe your membership is being ended unfairly, you can contact Medicare for help: 1-800-MEDICARE (1-800-633-4227) TTY: 1-877-486-2048 Available 24/7 - [Grievances and Appeals](https://www.cencalhealth.org/health-plans/careconnect/grievances-and-appeals/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Grievances and Appeals You have a right to be heard. At CenCal Health, we want every member of CenCal CareConnect to receive high-quality care and respectful service. If you’re unhappy with any part of your care or service — or if a request was denied — you have - [Medicare Prescription Payment Program (MPPP)](https://www.cencalhealth.org/health-plans/careconnect/medicare-prescription-payment-program-mppp/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Medicare Prescription Payment Program (MPPP) The Medicare Prescription Payment Plan (MPPP), created by the Inflation Reduction Act of 2022 is a new way to pay for your Medicare Part D prescription drugs. You can choose to make monthly payments rather than paying all your out-of-pocket costs at once. Here’s what - [Benefits Prepaid Card](https://www.cencalhealth.org/health-plans/careconnect/benefits-prepaid-card/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Benefits Prepaid (OTC) Card CenCal CareConnect provides up to $360 per year for approved over-the-counter items. CenCal CareConnect members receive extra over-the-counter benefits beyond Medi-Cal and Medicare. You can use your Benefits Prepaid Card to pay for approved non-prescription health and wellness items you use every day, like cold medicine, first aid supplies, - [Medication Therapy Management (MTM)](https://www.cencalhealth.org/health-plans/careconnect/medication-therapy-management-mtm/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Medication Therapy Management (MTM) As a valued CenCal CareConnect D-SNP member, you now have access to our comprehensive Medication Therapy Management (MTM) program at no additional cost. MTM is part of your Medicare Part D benefits and is required by the Centers for Medicare & Medicaid Services (CMS) - [Quality Program](https://www.cencalhealth.org/providers/quality-of-care/quarterly-reports/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Quality Improvement & Health Equity (QIHEC) Quarterly Reports to CenCal Health’s Board of Directors The following links provide access to written summaries of Quality Improvement & Health Equity (QIHEC) activities, which are supplied to CenCal Health’s Board of Directors. Summaries of findings, recommendations, and actions are prepared and submitted - [Billing Claims](https://www.cencalhealth.org/providers/claims/billing-information/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Submitting & Billing Claims CenCal Health’s Claims department is committed to processing your claims as quickly and accurately as possible. In general, CenCal Health follows the benefit and payment guidelines as published by the State of California’s Medi-Cal program. This information can be found on the Medi-Cal - [Self Management Tools](https://www.cencalhealth.org/health-wellness/self-management-tools/): Self-Management Tools Do you need support to improve your health and wellbeing?CenCal Health offers self-management tools to help you navigate health challenges and thrive. The following will guide you on how to assess and improve your health from the comfort of your own home. Please click on each link to explore the self-management tool for - [Welcome to the Network](https://www.cencalhealth.org/providers/welcome-to-the-network/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Welcome to the Network You are joining a large network of providers and hospitals. Our goal is to help you give our patients the highest quality, safest and most cost-efficient care. All new CenCal Health providers are required to complete a new provider orientation. These trainings provide - [CenCal CareConnect Pharmacy](https://www.cencalhealth.org/providers/pharmacy/cencal-careconnect-pharmacy/): CenCal CareConnect Pharmacy Welcome to the Pharmacy Information page for CenCal CareConnect (HMO D-SNP). This page provides key information and resources on pharmacy coverage and benefits for CenCal CareConnect members, including Medicare Part D medications and Medicare Part B drugs. It also includes guidance on Part B drugs administered in the office versus Part D medications obtained through a pharmacy, and how to determine the - [SNF Workforce & Quality Incentive Program](https://www.cencalhealth.org/providers/snf-workforce-quality-incentive-program/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.25.2″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Skilled Nursing Facility Workforce & Quality Incentive Program The Workforce and Quality Incentive Program (WQIP) is a reformed directed payment system to encourage Skilled Nursing Facilities (SNFs) to serve Medi-Cal Members, which will support equitable access to care in underserved communities and incentivize quality. The goal of WQIP - [Community Supports](https://www.cencalhealth.org/providers/community-supports/): [lwp_divi_breadcrumbs _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Community Supports Community Supports are optional services for Medi-Cal members that may not include direct medical care. CenCal Health offers Community Supports free of charge, to help members with complex health issues. These health issues are often caused or made worse by lack of food, housing, or transportation. Forms FAQs Submit a - [Performance Measures](https://www.cencalhealth.org/providers/quality-of-care/performance-measures/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Performance Measures The Healthcare Effectiveness Data and Information Set (HEDIS®) is a tool used by more than 90% of U.S. health plans to annually evaluate health plan performance on important aspects of care like preventive health screenings. HEDIS® performance is a way to assess CenCal Health’s effectiveness - [CAB Minutes](https://www.cencalhealth.org/explore-cencal-health/cab-minutes/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Learn More We believe in our community. Past CAB Meeting Minutes 2026 July Minutes DraftApril MinutesJanuary Minutes 2025 October MinutesJuly MinutesApril MinutesJanuary Minutes 2024 January MinutesApril MinutesJuly MinutesOctober Minutes - [COVID 19 Resources](https://www.cencalhealth.org/providers/covid-19-resources/): COVID-19 Provider Information Cencal Health is dedicated to keeping our providers up to date with the most current information for the screening, testing and treatment of COVID-19. There is no cost to member for medically needed screening, testing and treatment of COVID-19. For additional helpful information for Members regarding COVID-19, visit the COVID-19 Information for - [Drug Utilization Review](https://www.cencalhealth.org/providers/pharmacy/drug-utilization-review/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Drug Utilization Review CenCal Health Drug Utilization Review (DUR) Program CenCal Health’s Drug Utilization Review program is an authorized, structured, ongoing review of healthcare provider prescribing, pharmacist dispensing, and patient use of medication. The program includes a comprehensive review of patients’ prescription and medication data to ensure appropriate medication - [Maternal Health Benefits](https://www.cencalhealth.org/health-wellness/maternal-health-benefits/): Maternal Health Benefits Supporting you before, during, and after pregnancy If you have Medi-Cal through CenCal Health, you can get free services during pregnancy and up to 12 months after your pregnancy ends—no matter if your income changes or how the pregnancy ends. Click below to learn about these important services and how to access - [Policies & Procedures](https://www.cencalhealth.org/providers/forms-manuals-policies/policies-procedures/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Policies & Procedures CenCal Health has established Polices and Procedures under which the agency operates. Such policies are established to insure that departments within CenCal Health work effectively together in day to day processes. CenCal Health Policies and Procedures include those most important for contracted providers to have - [Community Supports](https://www.cencalhealth.org/members/community-supports/): [lwp_divi_breadcrumbs _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Community Supports Community Supports are optional services for Medi-Cal members that may not include direct medical care. CenCal Health offers Community Supports at no cost to help members with complex health issues. Community Supports can include services like housing support, personal care, access to food, and more. They are designed to help - [Provider Directory JSON](https://www.cencalhealth.org/provider-directory-json/) - [Forms Library](https://www.cencalhealth.org/providers/forms-manuals-policies/forms-library/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Forms Library Welcome to the Forms Library. Contained below are links to most forms used by CenCal Health. Some forms may require providers to log in to the restricted section of the website to access. If you’re unable to find what you were looking for, please contact Provider - [Preventive Health Guidelines](https://www.cencalhealth.org/members/medi-cal/preventive-health-guidelines/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Preventive Health Guidelines for Adults and Children It is important for children and adults to get preventive health checkups and immunizations (vaccines). Below you will find a schedule of visits, tests, and shots for both adults and children. Talk with your primary care doctor about when to - [Provider Manual](https://www.cencalhealth.org/providers/forms-manuals-policies/provider-manual/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Provider Manual The Provider Manual includes information such as Provider enrollment, Responsibilities, Claims information, Member eligibility, Guidelines for medical authorizations. If you have any questions about this publication please contact the Provider Services Department at (805) 562-1676 or by sending an email to Provider Services. The 2026 Provider Manual is - [Social Drivers of Health](https://www.cencalhealth.org/providers/social-drivers-of-health-sdoh/): [lwp_divi_breadcrumbs _builder_version=”4.19.4″ _module_preset=”default” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section] VIEW ALL NEWS Social Drivers of Health (SDOH) Social Drivers of Health (SDOH), also referred to as Social Determinants of Health or Health Related Social Needs, are the environment(s) in which people are born, live, learn, work, play, worship, and age that affect a wide range of - [Contact Us](https://www.cencalhealth.org/contact-us/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.5″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Contact Us Here are some helpful phone numbers: OUR BUSINESS OFFICEToll Free: (800) 421-2560Tel: (805) 685-9525 SANTA BARBARA 4050 Calle RealSanta Barbara, CA 93110 Are you a Member? General question? Call us at:(877) 814-1861 Hearing impaired? Call us at:TDHI# 711 Would you like to talk to a - [Our Leadership](https://www.cencalhealth.org/explore-cencal-health/leadership/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Leadership At CenCal Health, we are guided by experienced healthcare leaders dedicated to our communities’ well-being. Our commitment extends beyond the services we provide; we prioritize understanding and meeting the unique needs of our members. Being a locally governed health plan means we hold ourselves accountable to the - [2026 Medi-Cal Outreach and Navigation Program](https://www.cencalhealth.org/grant-funding-opportunities/2026-medi-cal-outreach-and-navigation-program/): ← Return to search 2026 Medi-Cal Outreach and Navigation Program Status: Closed Program Overview The Medi-Cal Outreach and Navigation Program promotes continuous Medi-Cal coverage to ensure members maintain access to essential health services. The program funds trusted community partners to deliver culturally and linguistically responsive outreach and navigation support to Medi-Cal members in Santa Barbara - [D-SNP Readiness Grant](https://www.cencalhealth.org/grant-funding-opportunities/d-snp-readiness-grant/): ← Return to search D-SNP Readiness Grant Status: Closed Program Overview CenCal Health recognizes that the launch of its Dual Special Needs Plan (D-SNP) — CenCal CareConnect — requires significant investments in readiness activities across people (training), processes (revised policies and workflows), and technology (procurement and implementation of new software platforms). The creation of new - [Adverse Childhood Experiences Screening: A Guide for Providers](https://www.cencalhealth.org/providers/adverse-childhood-experiences-screening-a-guide-for-providers/): Providers Adverse Childhood Experiences Screening: A Guide for Providers Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur during childhood. ACEs such as exposure to abuse, neglect, or household dysfunction are linked to long-term physical, mental, and behavioral health outcomes, including chronic disease, depression, substance use, and risky behaviors. Completing screenings for ACEs is - [July 1: Enacted State Budget](https://www.cencalhealth.org/july-1-enacted-state-budget/): July 1: Enacted State Budget CenCal Health State Budget Summary LHPC Press Release Assembly Floor Report UIS Member Factsheet 1 UIS Member Factsheet 2 Central Coast Health Coalition Letter Op-Ed: Medi-Cal Shakeup Looms Letter from CEO: Keep Healthcare Access for All June 2026: Advocating for UIS Medi-Cal Members Central Coast Health Coalition Letter to Legislature - [Policy Pulse: A Guide to State and Federal Updates](https://www.cencalhealth.org/policypulse/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Policy Pulse: Advocating for Medicaid This page provides information about CenCal Health’s advocacy efforts to support Medicaid (i.e., Medi-Cal) and to ensure that our communities have reliable access to essential healthcare services. July 1: Enacted State Budget May 2026: The Value of Local Health Plans July 2025: - [Potential Quality Issue](https://www.cencalhealth.org/providers/potential-quality-issue/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Potential Quality Issue A potential quality issue (PQI) is a suspected deviation from provider or practitioner performance, clinical care, or outcome of care which requires further investigation to determine if an actual Quality of Care (QOC) concern exists. CenCal Health (CCH) maintains a mechanism to identify, analyze, - [Medi-Cal Materials](https://www.cencalhealth.org/health-plans/medi-cal/medi-cal-materials/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Medi-Cal Materials Welcome to the Medi-Cal Plan Materials page. Here you’ll find important information about your coverage, rights, and responsibilities as a Medi-Cal member. You can view, download, or request a printed copy of any of the documents listed below. If you need help understanding any of these - [Preventive Health Guidelines](https://www.cencalhealth.org/providers/care-guidelines/preventive-health-guidelines/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Preventive Health Guidelines In alignment with Department of Health Care Services (DHCS) contract provisions, CenCal Health must cover and ensure all preventive and medically necessary diagnostic and treatment services for adult and pediatric members as recommended by: U.S. Preventive Services Task Force (USPSTF) Centers for Disease Control - [Medicare D-SNP](https://www.cencalhealth.org/providers/medicare-d-snp/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.25.2″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Medicare Dual Special Needs Plan (D-SNP) In alignment with the requirements of CalAIM and reflecting CenCal Health’s Strategic Priorities, we are offering a Medicare Advantage Dual Special Needs Plan which began in January 2026. Members with Medicare and Medi-Cal already receive Medi-Cal covered services through CenCal Health and - [Enhanced Care Management](https://www.cencalhealth.org/providers/enhanced-care-management/): [lwp_divi_breadcrumbs _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Enhanced Care Management Enhanced Care Management (ECM) is a benefit for CenCal Health members with complex needs. ECM provides extra services to help members get the care they need to stay healthy and at no cost. ECM coordinates a member’s care from different doctors. Forms Service Areas Card Carousel Heather Te, LMFT, - [Medi-Cal Capacity, Access, and Workforce Grant (Round 1)](https://www.cencalhealth.org/grant-funding-opportunities/medi-cal-capacity-access-and-workforce-grant-round-1/): ← Return to search Medi-Cal Capacity, Access, and Workforce Grant (Round 1) Status: Closed Program Overview CenCal Health recognizes the evolving healthcare landscape across the Central Coast and the opportunity to work with provider stakeholders to bolster access to care through strategic and community-oriented investments. CenCal Health has the opportunity to support these and other - [Preventing COPD: How to Keep Your Lungs Healthy](https://www.cencalhealth.org/health-wellness/preventing-copd-how-to-keep-your-lungs-healthy/): Preventing COPD: How to Keep Your Lungs Healthy What is COPD? COPD stands for Chronic Obstructive Pulmonary Disease. It is a long-term lung disease that makes it hard to breathe. People with COPD may feel short of breath, cough a lot, or have trouble doing everyday activities. What causes COPD? The most common cause of COPD - [Patient Education Materials](https://www.cencalhealth.org/providers/patient-education-materials/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Patient Education Materials CenCal Health can support your patients with health education materials on many different topics. Browse the resources below and contact the Health Education team at healthed@cencalhealth.org for more information on available resources. Online Health Education Library CenCal Health providers can access our online health - [Provider Regulatory Training](https://www.cencalhealth.org/providers/provider-regulatory-training/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.27.0″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Provider Regulatory Training CenCal Health has a variety of trainings in different subjects to learn and grow as a provider. The training resources located below are available to assist Providers stay informed of the latest standard of care practices. DHCS ACEs Aware Training A consensus of scientific - [Clinical Guidelines](https://www.cencalhealth.org/providers/care-guidelines/clinical-guidelines/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Clinical Guidelines CenCal Health’s internal and external committees have accepted the following clinical guidelines from state and nationally recognized organizations that utilize best practices for high quality health care. Below are links to clinical guidelines for several disease states and screenings. Please note that this list is - [Pharmacy](https://www.cencalhealth.org/providers/pharmacy/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Pharmacy Services CenCal Health is committed to providing consistent, compassionate, and local support to all CenCal Health providers and members. CenCal Health’s Pharmacy Team is comprised of Pharmacist and Pharmacy Technician staff. Our Pharmacy Team is ready to assist our provider network and membership with pharmacy-related inquires and - [Dont lose Coverage](https://www.cencalhealth.org/dont-lose-coverage/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Don’t Lose Coverage Starting January 1, 2027, some Medi‑Cal members will need to renew their coverage every six monthsinstead of once a year. If you do not complete and return your renewal packet, you will lose your Medi-Cal and CenCal Health coverage. Key Medi-Cal Changes: 2027 and Beyond Step - [The Value of Local Managed Care](https://www.cencalhealth.org/the-value-of-local-managed-care/): The Value of Local Health Plans src=”https://www.cencalhealth.org/wp-content/uploads/2026/05/Screenshot-2026-05-18-at-3.16.49-PM.png” alt=”PDF Preview 2″ ↗ CenCal Health: Created to Address Local Needs src=”https://www.cencalhealth.org/wp-content/uploads/2026/05/Screenshot-2026-05-18-at-3.17.22-PM.png” alt=”PDF Preview 1″ ↗ For Legislators and Policymakers src=”https://www.cencalhealth.org/wp-content/uploads/2026/05/Screenshot-2026-05-18-at-3.16.33-PM.png” alt=”PDF Preview 3″ ↗ For Providers & Safety Net Partners src=”https://www.cencalhealth.org/wp-content/uploads/2026/05/Screenshot-2026-05-18-at-3.16.25-PM.png” alt=”PDF Preview 4″ ↗ For Community & Advocacy Organizations - [STAY INFORMED: Links to Partners Newsletters](https://www.cencalhealth.org/stay-informed-links-to-partners-newsletters/): Links to Partner Newsletters Stay connected with the latest updates, policy changes, provider news,and industry information from CenCal Health and partner organizations. ✉️ CenCal Health Policy Pulse View → ✉️ CenCal Health Provider Newsletters View → ✉️ CMA Newsfeed View → ✉️ CMA E-Newsletter Sign-Up View → ✉️ CCMA E-Newsletter Sign-Up View → - [Authorizations](https://www.cencalhealth.org/providers/authorizations/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Authorizations CenCal Health cares about the members we serve and believes in processing authorizations in a timely manner. It is important for providers to understand the difference between referrals, treatment authorization requests and other types of authorizations that may be required and how to obtain each one. - [Vaccines](https://www.cencalhealth.org/health-wellness/vaccines/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Vaccines Prevent Disease Vaccines, also known as immunizations, help protect us from serious illnesses and keep us healthy at every age. Use the links below to learn which vaccines you and your family may need. If you have questions, talk to your or your child’s healthcare provider. Misinformation about - [How to Apply](https://www.cencalhealth.org/health-plans/medi-cal/how-to-apply/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] How to Apply Medi-Cal enrollment is year-round. You can apply today easily online or by mail. By mail: Download the application from the California Department of Health Care Services. Send your completed and signed application to your local County Department of Social Services office. See locations and addresses to the - [How to Apply for Medi Cal](https://www.cencalhealth.org/explore-cencal-health/how-to-apply/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] How to Apply for Medi-Cal What is Medi-Cal? Medi-Cal is California’s Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. Medi-Cal Enrollment is year-round. Who is Eligible for Medi-Cal? Medi-Cal covers low-income residents of all - [Medi-Cal Capacity, Access, and Workforce Grant Program](https://www.cencalhealth.org/providers/medi-cal-capacity-access-workforce-grant-program/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.21.0″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Medi-Cal Capacity, Access, and Workforce Grant Program COMING SOON: Round 2 Grant Opportunity Program Overview CenCal Health recognizes the evolving healthcare landscape across the Central Coast, and the opportunity to work with provider stakeholders to bolster access to care through strategic and community-oriented investments. CenCal Health has the - [Medi-Cal for Kids & Teens Services](https://www.cencalhealth.org/providers/care-guidelines/medi-cal-for-kids-teens-services/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section]VIEW ALL NEWS Up Coming Events Medi-Cal for Kids & Teens Services CenCal Health ensures that all contracted providers are performing appropriate Medi-Cal for Kids & Teens screening services to all members under the age of 21. These services include the following: A comprehensive - [test](https://www.cencalhealth.org/test-2/): Español - [STI/HIV Prevention](https://www.cencalhealth.org/health-wellness/sexually-transmitted-infections-stis-what-you-need-to-know/): Sexually Transmitted Infections (STIs): What You Need to Know Sexually Transmitted Infections (STIs) are infections that can be passed from one person to another through sexual contact. They used to be called STDs. STIs are common, and many people do not have symptoms. Even without symptoms, STIs can still be passed to others and may - [Your Privacy Matters (HIPAA)](https://www.cencalhealth.org/members/privacy-hipaa/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Your Medical & Personal Information are Secure CenCal HEALTH has policies and procedures that protect the confidentiality of your medical and personal information. These policies prohibit (do not allow) the sharing of any of your personal or medical information with anyone who does not have a right to - [Teens](https://www.cencalhealth.org/health-wellness/teens/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Teens: Feeling all sorts of emotions lately? Having a tough time handling it all? You are not alone. This page has useful information on ways you can take care of yourself while getting through a rough time. Click the emotion bars below depending on your needs. Depression - [Enhanced Care Management](https://www.cencalhealth.org/members/enhanced-care-management/): [lwp_divi_breadcrumbs _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Enhanced Care Management Enhanced Care Management (ECM) is a benefit for CenCal Health members with complex needs. If you qualify for ECM, you’ll have a care manager who will work closely with you, your doctors, and your care team to make sure you get the right care. Your care manager can also - [Our Community Report](https://www.cencalhealth.org/explore-cencal-health/communityreport/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] We Are Community Accountable CenCal Health is proud to present our latest Community Report, which provides an opportunity to reflect back on our achievements over the last year and share opportunities for the future. Through this report, we bring our Strategic Plan to life. View Community Report - [Explore CenCal Health](https://www.cencalhealth.org/explore-cencal-health/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Explore CenCal Health We work with a vast network of dedicated and compassionate doctors, hospitals, pharmacies and other types of providers and facilities that take care of our members. We presently have over 275 Primary care providers and more than 1250 specialists that provide care to our - [Community](https://www.cencalhealth.org/community/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section]VIEW ALL NEWS Upcoming Events We Live and Work in the Communities We Serve We provide health coverage for one in four residents of Santa Barbara County, and one in five residents of San Luis Obispo County, making us the largest insurer in the - [Case Management](https://www.cencalhealth.org/providers/case-management/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Case Management CenCal Health’s case management (CM) services are provided by registered nurses, social workers, and transitional care coordinators via telephone. Case Management (CM) services are offered to both adult and pediatric members. Our Case Management Services help members who: have complex medical or behavioral health conditions have high - [Quality Program](https://www.cencalhealth.org/providers/quality-of-care/quality-program/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Quality Improvement and Health Equity Transformation Program CenCal Health is committed to the delivery of high-quality equitable care delivered in a timely, appropriate, and compassionate manner. One way we ensure this happens is through our Quality Improvement and Health Equity Transformation Program (QIHETP). This program was designed - [Strategic Plan](https://www.cencalhealth.org/explore-cencal-health/strategic-plan/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] 2026-2030 Strategic Plan The CenCal Health 2026-2030 Strategic Plan outlines the organization’s vision and strategies to advance health equity, quality, and community partnerships in Santa Barbara and San Luis Obispo counties. The plan aims to guide CenCal Health’s efforts in addressing the evolving needs of Medi-Cal members, - [Eligibility](https://www.cencalhealth.org/providers/eligibility/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Eligibility CenCal Health strives to make processes as easy as possible for providers. A member’s Medi-Cal and CenCal CareConnect eligibility with CenCal Health can change. It’s important to verify eligibility at every visit. Learn more on this page. It’s Important to Verify Eligibility Every Visit Eligibility can change - [Sponsorships](https://www.cencalhealth.org/community/sponsorship-request/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section] VIEW ALL NEWS Up Coming Events Sponsorships CenCal Health proudly partners with organizations to support events—such as health fairs and annual fundraisers—that promote the health and well-being of our members and communities. We advance these efforts by sponsoring nonprofits that align with our - [Engagement Liaison Program](https://www.cencalhealth.org/community/engagement-liaison-program/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section] VIEW ALL NEWS Up Coming Events Engagement Liaison Program The Engagement Liaison Program facilitates CenCal Health’s active participation in community events. Our staff can be found at resource fairs, sponsored events, forums, and volunteer days—always ready to lend a hand, answer questions, and - [Digital Health Literacy](https://www.cencalhealth.org/health-wellness/digital-health-literacy/): A Guide to Digital Wellness Understanding Digital Health In today’s digital world, access to health information is just a few clicks away, but knowing how to search, understand, and use that information is more important than ever. Digital health literacy is the ability to find, understand, and apply health information, and to manage one’s own - [Provider Training and Resources](https://www.cencalhealth.org/providers/provider-training-resources/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Provider Training & Resources We work together with our partners to help providers understand CenCal Health policies and procedures. These trainings are focused on supporting provider staff on a variety of subjects designed to enhance the quality of care and services our members receive. Topics include updated - [CAHPS Health Plan Survey](https://www.cencalhealth.org/explore-cencal-health/cahps-health-plan-survey/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.4″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey is a survey sent to members once a year. It asks members about their experiences with their doctors and their health plan. The survey asks - [Population Needs Assessment](https://www.cencalhealth.org/explore-cencal-health/population-needs-assessment/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section] VIEW ALL NEWS Population Needs Assessment Every year, CenCal Health conducts a Plan-wide Population Needs Assessment, to evaluate the health status of our members, adequacy of health education and quality improvement programs, and to identify health disparities and gaps in services. The purpose - [Referrals](https://www.cencalhealth.org/providers/authorizations/referrals/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Medi-Cal Referral Authorization Process Learn more about RAFs RAFs allow Primary Care Providers (PCPs) to refer their assigned Medi-Cal members to a specialist for services outside of the PCPs practice scope. For more information see the CenCal Health Provider Manual. Is a RAF required? Referral Authorization Form - [Tester 2](https://www.cencalhealth.org/tester-2/) - [Events Test](https://www.cencalhealth.org/test/): [tribe_events view="list"] - [Auto Draft](https://www.cencalhealth.org/auto-draft-3/): [tribe_events view=”list”] - [D-SNP Readiness Grant Funding Opportunity](https://www.cencalhealth.org/providers/d-snp-readiness-grant-funding-opportunity/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.21.0″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] D-SNP Readiness Grant Funding Opportunity Accepting Applications Until Funds are Depleted D-SNP Readiness Grant Funding Application D-SNP Readiness Grant Budget Template Program Overview CenCal Health recognizes that the launch of its Dual Special Needs Plan (D-SNP) – CenCal CareConnect – requires significant investments in readiness activities across people - [Weekly EOP Payment Schedule](https://www.cencalhealth.org/providers/claims/weekly-eop-payment-schedule/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Weekly EOP Payment Schedule The 2026 Weekly EOP Payment Schedule outlines CenCal Health’s payment and remittance dates for provider claims throughout the year.Note: CenCal Health Providers that are enrolled in EFT and CenCal CareConnect will receive payments on a weekly basis. If a holiday falls on a - [Mental Health Service Provider Resources](https://www.cencalhealth.org/providers/behavioral-health-treatment-and-mental-health-services/mental-health-service-provider-resources/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.4″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Mental Health Service Provider Resources CenCal Health covers substance use screening and treatment services provided at primary healthcare locations. Please use the Behavioral Health Care Coordination Request Form when requesting care coordination for mental health or substance use services. Covered Benefits: Mental health services are a covered benefit for - [Medi-Cal](https://www.cencalhealth.org/health-plans/medi-cal/): Medi-Cal Medi-Cal offers no-cost health coverage to individuals and families who meet certain eligibility requirements. It helps cover medical, mental health, and vision care, along with other essential health services. Check Eligibility Eligibility You may be eligible for Medi-Cal if you live in California and meet income and household size requirements. Eligibility is determined by - [Claims Training Tools](https://www.cencalhealth.org/providers/claims/claims-training-tools/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Claims Training Tools The Claims department has developed several tutorials to assist you in the Verification of Eligibility, Submitting Claims, Making Claim Corrections and Running Claim Status Reports. Each of the tutorials will walk you through the different topics step-by-step by using our portal. If you experience - [Member News](https://www.cencalhealth.org/members/member-news/): Member News - [New Behavioral Health Integration](https://www.cencalhealth.org/providers/claims/new-behavioral-health-integration/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] New Behavioral Health Integration New Behavioral Health Integration January 1, 2022 CenCal Health is committed to improve the health and wellbeing of our community. In an effort to focus more closely on whole person care, CenCal Health has elected to transition the Behavioral Health benefit in-house effective January - [Answers to Common Questions](https://www.cencalhealth.org/members/medi-cal/questions/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Answers to Common Questions The following are some of the more frequently asked questions by our members. We hope you will find what you are looking for. If you still have questions, please reach out to us by calling or emailing Member Services. Now that I have Medi-Cal, who - [About CalAIM](https://www.cencalhealth.org/about-calaim/): [lwp_divi_breadcrumbs _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][/lwp_divi_breadcrumbs]About CalAIM CalAIM is a long-term initiative created by the California Department of Health Care Services (DHCS) to transform and strengthen Medi-Cal. The mission of CalAIM is to offer Californians a more equitable, coordinated, and person-centered approach to maximize their health and life trajectory. Goals Identify & Manage Comprehensive Needs Identify and manage comprehensive needs - [Health Initiative (Medi-Cal) Program](https://www.cencalhealth.org/members/medi-cal/): Low cost health insurance plans in California for individuals, students, and families - [Department Contacts](https://www.cencalhealth.org/contact-us/department-contacts/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] OUR MISSION We are Dedicated to Serving our Members, Providers, & Community. We want to improve the health and well-being of the communities we serve by providing access to high quality health services, along with education and outreach, for our membership. EXPLORE CENCAL HEALTH Department Contacts We strive to - [Medi-Cal for Kids & Teens: Your Medi-Cal Rights](https://www.cencalhealth.org/members/medi-cal/medi-cal-for-kids-teens-your-medi-cal-rights/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Medi-Cal for Kids & Teens: Your Medi-Cal Rights Under California and federal law, all children and youth to age 21 enrolled in Medi-Cal have the right to regular check-ups and other preventive and treatment services needed to stay or get healthy. Medi-Cal for Kids & Teens: Your Medi-Cal Rights – English PDFMedi-Cal for - [COVID19](https://www.cencalhealth.org/members/covid19/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Mixteco Tàvì nìnù yó’o ná kunde’ún videó xa’á ña coronavirus o covi xa’ùn kòmí ña Tu’ùn Sàví MIXTECO Providers Latest on Claims, Auths, Telehealth during COVID-19 PROVIDERSERVICESFAQ COVID-19 Information for Members General COVID-19 Information What are the signs and symptoms of COVID-19? People with COVID-19 have had a - [Cultural Competency & Health Literacy](https://www.cencalhealth.org/providers/cultural-linguistic-resources/cultural-competency-health-literacy/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Cultural Competency & Health Literacy Cultural Competency and Health Literacy Tools provide appropriate health care and services for our members regardless of race, color, national origin, creed, ancestry, religion, language, age, marital status, sex, sexual orientation, gender identity, health status, physical or mental disability, or identification with any - [Cultural and Linguistic Resources](https://www.cencalhealth.org/providers/cultural-linguistic-resources/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Cultural & Linguistic Resources CenCal Health believes in the importance of providing services in the language of choice for our membership. We recognize the importance of clear communication with your patients and committed to assisting you through telephonic, face-to-face, and video remote interpreter services. Please reference the below - [After Hours Care](https://www.cencalhealth.org/members/afterhours/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] After Hours Care Members can see a doctor after 5 pm or on weekends for urgent care! Sometimes, you feel sick or get hurt after your doctor’s office has closed. If you feel like you need care and can’t wait until your doctor’s office is open, here’s how - [Developmental Screenings](https://www.cencalhealth.org/providers/care-guidelines/developmental-screenings/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.25.1″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section]VIEW ALL NEWS Up Coming Events Developmental Screenings General vs. Domain-Specific Developmental Screening for Pediatric Patients Early identification and intervention for developmental disorders are critical to the well-being of children. Pediatricians and Family Practice physicians have more opportunities to screen and observe infants and - [Evolve](https://www.cencalhealth.org/evolve/): Enroll NowTo start your application, click here. - [Answers to Your Questions about the New Law, H.R.1](https://www.cencalhealth.org/members/answers-to-your-questions-about-the-new-law-h-r-1/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Answers to Your Questions about the New Law, H.R.1 We know you may have questions or worries about your Medi-Cal coverage during this time. Learn more about your right to health care, common questions about Medi-Cal, and how CenCal Health can help you get the care you need. - [Quality of Care](https://www.cencalhealth.org/providers/quality-of-care/): HEDIS Scores,HEDIS Results,HEDIS Performance,Healthcare Effectiveness Data Information Set,QAIP,Quality Assessment and Improvement Program,Quality,Quality of Care,Quality Improvement,Quality Measurement,Guidelines,Clinical Guidelines,HEDIS,NCQA,Quality Program,Preventive Health,Preventive Health Guidelines,Facility Site,Facility Site Review,FSR,Quality Performance,Clinical Quality,Quality Program Description,HEDIS Report,Quality Assessment,ECDS,Electronic Clinical Data System,Quality Measures,HEDIS Measures - [Behavioral Health](https://www.cencalhealth.org/members/behavioral-health/): Behavioral Health Your behavioral health benefits cover a wide range of services. Many of these services are covered by CenCal Health, and others are covered by the County’s Behavioral Health Department. What CenCal Health covers: CenCal Health covers all mild to moderate outpatient mental health services. Outpatient services are things that do not require an - [Make a Health Decision](https://www.cencalhealth.org/health-wellness/make-a-health-decision/): Make a Health Decision What is shared decision making? Shared decision making allows patients and providers to make health care decisions together. It considers what is important to the patient and medical evidence, so the patient can choose what is right for them. Everyone has to make health decisions at some point in their life. - [Member Rights & Responsibilities](https://www.cencalhealth.org/members/medi-cal/member-rights/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Our Members Rights & Responsibilities Good health care starts with having a good relationship with your doctors, their staff and your health plan. As a CenCal Health member, you have many rights that we want you to know about. You also have responsibilities and both are very - [File a Complaint](https://www.cencalhealth.org/members/file-complaint/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] File a Grievance (Complaint) or Appeal If you are unhappy with the care or services you receive, or if you disagree with a decision about your coverage, you have the right to file a grievance (complaint) or an appeal. CenCal Health provides grievance and appeal processes for our - [your-pharmacy-benefits](https://www.cencalhealth.org/members/your-pharmacy-benefits/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Pharmacy Benefits Your prescription drug coverage depends on the health plan you’re enrolled in. CenCal Health offers different pharmacy benefits through our Medi-Cal and CenCal CareConnect plans. To get the most accurate information about your medications, pharmacy network, and coverage details, please select your plan below: Medi-Cal CenCal CareConnect - [Renew Your Medi-Cal Plan](https://www.cencalhealth.org/health-plans/medi-cal/renew-your-medi-cal-plan/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Renew Your Medi-Cal Plan Every year, your county will try to renew your Medi-Cal automatically using information already on file. If they can’t verify your information, they’ll send you a renewal form in the mail. Here’s what to do: ✅ Step 1: Check Your Mail Watch for a yellow envelope from your local county social services office. - [Grievances and Appeals](https://www.cencalhealth.org/health-plans/medi-cal/grievances-and-appeals/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Grievances and Appeals CenCal Health values your satisfaction. This means we want to know when you believe the quality of care or services you received did not meet your expectations. Member Satisfaction is measured in several ways. One way we do this is through grievances and appeals. We - [Health Plans](https://www.cencalhealth.org/health-plans/): Responsive Cards with Full-Width Images Health Plans Medi-Cal Medi-Cal offers no-cost or low-cost medical coverage for children & adults with limited income. Learn More CenCal CareConnect A new health plan for individuals who qualify for both Medi-Cal and Medicare. Learn More - [Radiology Benefit Manager](https://www.cencalhealth.org/providers/authorizations/radiology-benefit-manager/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Radiology Benefit Manager RBM Process The RBM process enhances the quality of services delivered to patients and reduces unnecessary radiation associated with advanced diagnostic imaging. Overview For the past several years, CenCal Health has been focusing on provider consultations and patient safety as a means to control - [Glossary of Terms](https://www.cencalhealth.org/explore-cencal-health/glossary-of-terms/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Glossary of Terms A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z A A&I (Audits and Investigations). This Branch of the California Department of Health Services performs regular financial and medical audits of CenCal Health and all other Medi-Cal contracted health plans in the State. ABD (Aged, Blind or Disabled). - [Community Resources](https://www.cencalhealth.org/members/community-resources/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Information from DHCS on the Federal Use of Medi-Cal Data and Member Privacy On June 13th, DHCS released a statement in response to reports of member data sharing between the Centers for Medicare & Medicaid Services and the Department of Homeland Security. The statement was updated on August - [Provider Portal](https://www.cencalhealth.org/providers/provider-portal/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] AM I ELIGIBLE/HOW DO I SIGN UP CLICK TO LEARN MORE Easy Access to Our Provider Portal Welcome to CenCal Health Data Forms. Once logged into our Provider Portal, you may electronically submit claims to CenCal Health and check member eligibility, submit authorizations electronically, and view informative CenCal - [Housing & Homelessness Incentive Program](https://www.cencalhealth.org/providers/housing-homelessness-incentive-program/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.21.0″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Housing & Homelessness Incentive Program If you are a CenCal Health member with questions about housing services, please call the CenCal Health Member Services line at (805) 562-1698, Option 1, or 1-877-814-1861, Monday-Friday between 8 am and 5 pm. By calling and speaking to a representative, you can - [Incentive Payment Program](https://www.cencalhealth.org/providers/incentive-payment-program/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Incentive Payment Program Incentive Payment Program Funds for Current and Interested ECM and CS Providers Under the Department of Health Care Services (DHCS) CalAIM Initiative (California Advancing and Innovating in Medi-Cal), health plans are poised to work closely with health care partners to ensure that Medi-Cal members have - [CalAIM Impact](https://www.cencalhealth.org/explore-cencal-health/calaim-impact/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] CalAIM Impact In 2022, the California Department of Health Care Services launched CalAIM, California Advancing and Innovating Medi-Cal, a far-reaching, multiyear plan to transform California’s Medi-Cal program and to make it integrate more seamlessly with other social services. CenCal Health administers CalAIM funding to local providers to - [Emergency Preparedness & Response Plan Summary](https://www.cencalhealth.org/explore-cencal-health/emergency-preparedness-response-plan-summary/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Emergency Preparedness & Response Plan Summary Effective Date: January 1, 2025Last Reviewed: May 2025Contact: For inquries, contact businesscontinuity@cencalhealth.org Our Commitment to Preparedness CenCal Health is committed to protecting the health and safety of our members, employees, network providers, and community during emergencies and disasters. In alignment with requirements - [Who Are Our Members?](https://www.cencalhealth.org/explore-cencal-health/who-are-members/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Who Are Our Members? Member Demographics CenCal Health’s membership ranges in age from newborn babies and children, to our senior citizens. Our population is made up of families, seniors, some who have Medicare and Medi-Cal, persons with disabilities, expectant moms, and now through the Affordable Care Act, - [Sitemap](https://www.cencalhealth.org/sitemap/): TagscalaimCategoriesAllCalAim Press ReleasesCenCal CareConnectCenCal HealthFederalLocalMembersNewsPart BPart DPharmacyProvidersStateUncategorizedPagesHomeExplore CenCal HealthOur HistoryStatutesOur Mission, Vision, and ValuesCenCal Health ProgramsWho Are Our Members?How to Apply for Medi CalOur LeadershipAdvisory CommitteesPopulation Needs AssessmentOur Career OpeningsEmployer of ChoiceOur Community ReportOur FinancesCatalog of Enterprise SystemsWhole Child Program (CCS)Glossary of TermsBoard of DirectorsStrategic PlanCalAIM Santa Barbara County Community Steering CommitteeCalAIM San Luis Obispo - [file-grievance](https://www.cencalhealth.org/providers/file-grievance/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Provider Grievance Process We understand the need for our provider partners to voice their concerns in a formal manner and receive a written response on the outcome. Providers may submit appeals on behalf of a member, however regulations require that written consent be obtained by the Provider - [Population Health Management Programs](https://www.cencalhealth.org/members/population-health-management-programs/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.4″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Population Health Management (PHM) Programs Population Health Management (PHM) is a collection of services that work together to ensure you get the services you need at a schedule that works best for you. CenCal Health has a PHM system to ensure all services are suited to your culture - [Shared Decision-Making Aids](https://www.cencalhealth.org/providers/shared-decision-making-aids/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Shared Decision-Making Aids CenCal Health promotes certified evidence-based shared decision-making aids to our members, practitioners, and providers through routine communications and mailings.These shared decision-making aids facilitate conversation on treatment decisions, and may also focus on preference-sensitive conditions, chronic case management or lifestyle changes, to encourage patient commitment - [Auto Draft](https://www.cencalhealth.org/auto-draft-2/) - [Accessibility Statement](https://www.cencalhealth.org/accessibility-statement/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.5″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Website Accessibility Statement CenCal Health is committed to ensuring that our website is accessible to all visitors, including individuals with disabilities. Our goal is to provide an inclusive digital experience that meets or exceeds accessibility standards. We strive to conform to the Web Content Accessibility Guidelines (WCAG) - [Disease Management Programs](https://www.cencalhealth.org/providers/disease-management-programs/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Disease Management Programs CenCal Health strives to enhance the scope of health care services provided by our network of primary care physicians and specialists by implementing Disease Management Programs. These are developed to provide targeted interventions to members with certain high-risk diseases. How does it work?CenCal Health - [Pediatric Overweight & Obesity](https://www.cencalhealth.org/health-wellness/pediatric-overweight-obesity/): Pediatric Overweight & Obesity Healthy Weight for Kids The 2024 Population Needs Assessment showed over 9,000 pediatric CenCal Health members were overweight or obese, 84% of whom identified as Hispanic. If you are concerned that your child is—or could become—overweight, talk about this with your child’s doctor. Your child’s doctor may recommend that you make - [Eating Disorder Treatment and Resources](https://www.cencalhealth.org/providers/eating-disorder-treatment-and-resources/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Eating Disorder Treatment and Resources Member Benefits Eligible CenCal Health Members who are determined to meet medical necessity have the following covered benefits: Partial Hospitalization for the Treatment of an Eating Disorder Residential Treatment for the Treatment of an Eating Disorder CenCal Health and the County Mental - [Lead Testing](https://www.cencalhealth.org/providers/care-guidelines/medi-cal-for-kids-teens-services/lead-testing/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Lead Testing Protecting children from lead exposure is crucial for lifelong good health. Even low levels of lead in the blood can negatively affect learning, attention, and academic performance. Page Contents Prevention Strategies California Blood Lead Testing Requirements Provider Responsibilities Quality Care Incentive Program (QCIP) Measure Clinical Guidelines and Monitoring Core - [Provider Profile/Practice Changes](https://www.cencalhealth.org/providers/provider-profile-and-practice-changes/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Keep Your Provider Information and Practice Changes Up-to-Date The information that CenCal Health has on file regarding a provider practice is important to make sure claims are paid efficiently, your mail reaches you, and your practice is listed accurately in our Provider Directory for members. By notifying CenCal Health - [Facility Site Review](https://www.cencalhealth.org/providers/facility-site-review-and-medical-record-review/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Facility Site Review (FSR) & Medical Record Review (MRR) Guidelines CenCal Health conducts Facility Site Reviews (FSR) and Medical Record Reviews (MRR) for primary care providers as a requirement to participle in CenCal Health programs. Site reviews ensure that all primary care provider (PCP) sites meet the - [How Your Health Plan Works](https://www.cencalhealth.org/members/how-health-plan-works/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] HEALTHY TIPS At each meal, fill half your plate with vegetables & fruits. Basics – How To Use Your Health Plan CenCal Health wants to make your ability to use your Plan as simple and easy as possible. There are some basic things you need to do as - [Call Our 24 Hour Nurse Line](https://www.cencalhealth.org/members/call-nurse-line/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Free 24 Hr Nurse Line: (800) 524-5222 Reliable health information is a phone call away, and is available 24 hours a day, 7 days a week. Please call this toll-free number if you experience any of the following medical concerns: Wonder whether you need to make an - [Next Steps for New Members](https://www.cencalhealth.org/members/medi-cal/next-steps-for-new-members/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Next Steps for New Members Now that you have CenCal Health, who are we? CenCal Health is the health insurance plan for those who have Medi-Cal in Santa Barbara and San Luis Obispo counties. The local Department of Social Services determines your eligibility for Medi-Cal. Once you - [CenCal Health Programs](https://www.cencalhealth.org/explore-cencal-health/programs/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] CenCal Health Programs CenCal Health offers a program called the Health Initiative (Medi-Cal) for low income residents of San Luis Obispo and Santa Barbara Counties. Please note that CenCal Health does not determine eligibility for Covered California or Medi-Cal. Health Initiative (Medi-Cal) CenCal Health is the Medi-Cal Managed Care - [Staff Commitment](https://www.cencalhealth.org/community/staff-commitment/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section] VIEW ALL NEWS Up Coming Events Staff Commitment Employee commitment is the bond employees experience with their organization including how satisfied they feel to be a part of it. The commitment our staff have with the communities they serve is similar in that - [Proposition 56](https://www.cencalhealth.org/providers/proposition-56/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Proposition 56 In November 2016, California voters passed Proposition 56, also known as the California Healthcare Research and Prevention Tobacco Tax Act. Prop. 56, which imposed a $2-a-pack tax on cigarettes and a proportional tax on other nicotine products, starting April 2017. The proposition allocated money for - [HIPAA: Code Conversions](https://www.cencalhealth.org/providers/claims/hipaa-code-conversions/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] HIPAA: Code Conversions The Health Insurance Portability and Accountability Act (HIPAA) mandates the standardization of internal (administrative) code sets and the use of standard service/procedure code sets for transactions. CenCal Health has been working diligently to convert its interim (local) codes to national values. The code conversion - [Treatment Authorization](https://www.cencalhealth.org/providers/authorizations/treatment-authorization/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]HEALTHY TIPS At each meal, fill half your plate with vegetables & fruits. Treatment Authorization Overview Certain medical procedures require prior authorization to ensure medical necessity and appropriateness of care. Utilization Management review is performed for medical necessity determination prior to a non-emergency/elective admission or other course of - [Do You Suspect Fraud?](https://www.cencalhealth.org/providers/suspect-fraud/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ module_class=”cen-accordian” _builder_version=”4.19.4″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Do You Suspect Fraud? CenCal Health believes in continually improving the healthcare delivery system and part of this is through detecting, correcting and preventing fraud, waste and abuse. You can help stop fraud, waste and abuse by reporting your concerns to CenCal Health anytime you feel any - [Gaps in Care](https://www.cencalhealth.org/providers/quality-of-care/gaps-in-care/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Gaps in Care CenCal Health’s Gaps in Care Program identifies members who are due for clinically recommended services to help Primary Care Providers continue providing high quality health care for members. Providers can contact CenCal Heath’s Quality Improvement Department for more information at: QI GCPhone: (800) 421-2560 - [Forms Manuals Policies](https://www.cencalhealth.org/providers/forms-manuals-policies/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Information at Your Fingertips We encourage providers to take advantage of available resources. Want to learn more? Explore our Provider Manual We encourage providers to become familiar with the contents of the provider manual and to refer to it frequently. This documents include detailed information about your - [(CCS) Whole Child Model](https://www.cencalhealth.org/providers/ccs-whole-child-model/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Whole Child Model (WCM) and California Children’s Services (CCS) As of July 1, 2018, CenCal Health began administering The Whole Child Model (WCM) for the California Children’s Services (CCS) Program for all eligible members. The WCM is a delivery system that will provide comprehensive, coordinated services for children - [Getting Started: Eligibility Verification](https://www.cencalhealth.org/providers/claims/getting-started-eligibility-verification/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Getting Started: Eligibility Verification Checking eligibility prior to providing any service is extremely important to assure that the member is eligible for coverage under one of CenCal HEALTH’s programs.This verification will help prevent a delay in payment. View the Eligibility Frequently Asked Questions (FAQ) PDF for useful information - [Transportation](https://www.cencalhealth.org/members/transportation/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Transportation As a CenCal Health member, you can get transportation services at no cost to you. Transportation services are offered mainly through CenCal Health’s vendor, Ventura Transit Systems (VTS). Through VTS, we offer Non-Medical Transportation (NMT) and Non-Emergency Medical Transportation (NEMT). All transports are round trip. NMT - [Third Party Health Applications](https://www.cencalhealth.org/third-party-health-applications/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.4″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Third Party Health Applications Giving You Access to Your Health Records The Interoperability and Patient Access Rule is a Federal Rule that became effective as of June 30, 2020. It gives you the ability to see your own health data on a Third-Party Health Application (Apps). Your doctors - [Safe Care](https://www.cencalhealth.org/health-wellness/safe-care/): Safe Care While you are in the hospital, or even when you are home recovering, you can be at risk for infections. It’s important to avoid infections so that you don’t have to go back to the hospital. An infection can quickly turn into sepsis. Sepsis is a serious condition in which the body responds - [Medi-Cal Targeted Provider Rate Increases](https://www.cencalhealth.org/providers/medi-cal-targeted-provider-rate-increases/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Medi-Cal Targeted Provider Rate Increases Enhancing Access to Quality Care Welcome to our dedicated page on the Medi-Cal targeted provider rate increases as outlined in All Plan Letter APL 24-007. This initiative aims to improve access to vital healthcare services for Medi-Cal beneficiaries by providing essential financial - [Claims Corner](https://www.cencalhealth.org/providers/claims/claims-corner/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Claims Corner CenCal HEALTH’s Claims Department posts updates to billing and benefit information for our Providers in our Claims Corner. These articles offer important and timely information that may affect how your claim is adjudicated. Some of these updates may be changes to CenCal Health processes only, - [Events Demo 2](https://www.cencalhealth.org/explore-cencal-health/events-demo-2/) - [Events Demo 1](https://www.cencalhealth.org/explore-cencal-health/events-demo-1/) - [Events Demo](https://www.cencalhealth.org/explore-cencal-health/events-demo/) - [Pain Management Resources](https://www.cencalhealth.org/providers/pharmacy/pain-management-resources/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.4″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Pain Management Resources The prevalence of opioid use disorder in the United States continues to rise and is a public health crisis. Collaboration is essential for success in preventing opioid overdose deaths. Together, we can better coordinate efforts to prevent opioid overdoses and deaths. CenCal Health believes - [Provider Incentives](https://www.cencalhealth.org/providers/quality-of-care/provider-incentives/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Provider Incentives Primary Care Provider (PCP) incentive payments have been an integral part of CenCal Health’s payment model since inception of the managed Medi-Cal program. CenCal Health has five PCP incentive programs to assist providers in managing their patients. Below you will find information about each program. - [Care Guidelines](https://www.cencalhealth.org/providers/care-guidelines/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Care Guidelines CenCal Health encourages our Providers to follow the most recent recommended care guidelines. Included in this section you will find information about clinical guidelines, preventive health recommendations for your patients, and Medi-Cal for Kids and Teens, formerly known as Early Periodic Screening and Diagnostic Testing - [Diabetic Retinal Exams](https://www.cencalhealth.org/health-wellness/diabetic-retinal-exams/): Diabetic Retinal Exams What is retinopathy? Sometimes, having diabetes can cause other health problems. Retinopathy is an eye condition caused by diabetes that affects the retina and can lead to poor vision or blindness. The retina is the layer of cells at the back of your eye. This layer senses the light that comes into - [Our History](https://www.cencalhealth.org/explore-cencal-health/our-history/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] CenCal HEALTH – A Historical Perspective Under the leadership of Dr. Lawrence Hart, the “Santa Barbara Health Initiative,” was brought to life in 1983 in Santa Barbara County. The Santa Barbara Health Initiative became our agency name, and has since evolved significantly (now CenCal Health), although our - [Redirect](https://www.cencalhealth.org/contact-us/redirect/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Our Redirect Page Hello. You have landed on this page because we have updated to a new website and our previous link to the Provider Portal is no longer active. Please click on the link below to access the new Provider Portal. We apologize for any inconvenience. - [Pharmacy Manual](https://www.cencalhealth.org/providers/pharmacy/pharmacy-manual/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Pharmacy Manual The CenCal Health Pharmacy Provider Manual includes information for our Providers regarding the Pharmacy benefit. This manual will assist our providers as a reference guide for the pharmacy benefit such as our prior authorization process, eligibility, other coverage and other important information. If you have any - [News](https://www.cencalhealth.org/news/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Keywords Category AllCalAim Press ReleasesCenCal CareConnectCenCal HealthFederalLocalMembersNewsPart BPart DPharmacyProvidersStateUncategorized From Date To Date Blog - [(CCS) Whole Child Model Implementation](https://www.cencalhealth.org/members/ccs/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] California Children’s Services (CCS) – Whole Child Model CCS is a state program that treats children under 21 years of age with certain health conditions, diseases or chronic health problems and who meet the CCS program rules. If CenCal Health or your PCP believes your child has a CCS condition, - [Our Finances](https://www.cencalhealth.org/explore-cencal-health/financial/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Our Finances CenCal Health is an independent public agency organized by the County of Santa Barbara and the County of San Luis Obispo to operate a Medi-Cal program on a capitated, or prepaid, health care system for residents of Santa Barbara County and San Luis Obispo County. - [vacunas](https://www.cencalhealth.org/vacunas/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Las Vacunas Previenen Enfermedades Video incluido: Infectious Rumors!/ ¡Rumores Infecciosos! ¡Rumores Infecciosos! sigue el drama que viven amigos y familias cuando aprenden sobre las vacunas y toman decisiones acerca de su salud. ¡Usted aprenderá sobre inmunizaciones para bebes y adultos, conocerá las respuestas a preguntas comunes, y seguirá - [Immunization Information](https://www.cencalhealth.org/health-wellness/vaccines/immunization-information/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Browse Immunization Information - [Search Results](https://www.cencalhealth.org/search-results/): Keywords Category AllCalAim Press ReleasesCenCal CareConnectCenCal HealthFederalLocalMembersNewsPart BPart DPharmacyProvidersStateUncategorized From Date To Date - [Basics on plans](https://www.cencalhealth.org/providers/welcome-to-the-network/basics-on-plans/): [lwp_divi_breadcrumbs home_text=”Providers” font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.4″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Learn the Basics on Plans Offered Find a Doctor Search our network of over 275 Primary Care Physicians and 1250 Specialists to find the medical care that best fits your needs. Provider Directory Next Steps for New Members Santa Barbara and San Luis Obispo Health Initiative - [SEND US FEEDBACK](https://www.cencalhealth.org/providers/send-feedback/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Your Opinions are Essential to Improving Our Processes. We want to hear what you like and what you think we could do better. CenCal Health’s success is a reflection of our partnerships with local health care providers. Together, we share the goal of delivering quality of service to - [Pediatric Oral Health](https://www.cencalhealth.org/providers/care-guidelines/medi-cal-for-kids-teens-services/pediatric-oral-health/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section]VIEW ALL NEWS Up Coming Events Pediatric Oral Health Tooth decay (also known as caries or cavities) is the most common chronic disease of childhood in the United States, according to the Centers for Disease Control (CDC). Poor oral health leads to pain, school - [Spravato](https://www.cencalhealth.org/providers/behavioral-health-treatment-and-mental-health-services/spravato/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.4″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section] VIEW ALL NEWS Upcoming Events CenCal HEALTH members have access to services addressing mental health and substance use. Coverage and provision of these services are shared between CenCal Health, County Behavioral Health Services and State FFS. CenCal Health is also responsible for providing services to - [Santa Barbara and SLO County](https://www.cencalhealth.org/providers/behavioral-health-treatment-and-mental-health-services/county/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.21.0″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] LEARN MORE WE BELIEVE IN OUR COMMUNITY Santa Barbara and SLO County CenCal Health provides members with mental health benefits for non-specialty mental health specialty mental health services. Specialty mental health services and substance use treatment is a carved-out benefit to the county mental health and alcohol - [Page Not Found](https://www.cencalhealth.org/page-not-found/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Page Not Found We’re sorry, but the page you’re looking for may have been moved, changed, or removed and is unavailable. Click on the “back” button on your browser to go to the last page you visited, visit our home page, or navigate our site by using - [Important-phone-numbers](https://www.cencalhealth.org/members/important-phone-numbers/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Important Phone Numbers for Our Members CenCal Health Member Services1-877-814-1861 (TTY/TDD 1-833-556-2560 or 711) Medi-Cal Rx1-800-977-2273 (TTY 800-977-2273 and press 5 or 711) CenCal Health Nurse Advice Line1-800-524-5222 CenCal Health Compliance Hotline1-866-775-3944 Behavioral Health & Wellness/Santa Barbara County1-888-868-1649 Behavioral Health & Wellness/San Luis Obispo County1-800-838-1381 County Drug and Alcohol Services Santa Barbara County 1-805-681-5440 North San - [Autism](https://www.cencalhealth.org/members/medi-cal/mental-health-substance-use/autism/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Autism Spectrum Disorder Behavioral Health Treatment CenCal HEALTH covers Behavioral Health Treatment (BHT) for Autism Spectrum Disorder (ASD). This treatment includes applied behavior analysis and other evidence-based services. These services are provided by CenCal Health’s Behavioral and Mental Health Provider, The Holman Group. Please contact them directly at (800) - [Mental Health](https://www.cencalhealth.org/members/medi-cal/mental-health-substance-use/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Mental Health Services – Medi-Cal As a CenCal Health member, outpatient and inpatient mental health services are available to you. You can discuss your mental health needs with your primary care doctor, or if you do not wish to talk with your primary care doctor about your - [How To Use Your Member Cards](https://www.cencalhealth.org/members/medi-cal/member-cards/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Your Health Care Identification Cards Medi-Cal Benefits Identification Card When you first become eligible for Medi-Cal, the State of California will send you a Medi-Cal Benefits Identification Card (BIC). The new BIC has State of California written on top and has pictures of poppy flowers. If you - [Do You Suspect Fraud?](https://www.cencalhealth.org/members/suspect-fraud/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Do You Suspect Fraud? You can help CenCal Health stop fraud, waste, and abuse. Report your concerns to CenCal Health anytime you feel fraud, waste or abuse might be occurring with the health care and/or health care services you are receiving or have witnessed others receiving. Healthcare Fraud, Waste - [Common Words and Phrases](https://www.cencalhealth.org/members/common-words-phrases/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Common Words and Phrases Like many other Managed Care Health Plans, CenCal Health uses similar words and phrases related to healthcare services. Healthcare operations within CenCal Health that use abbreviated terminology many times include authorizations and/or approvals, referrals, different types of physicians, providers, claims processing. Also government - [Eating Disorder Treatment and Resources](https://www.cencalhealth.org/members/behavioral-health/eating-disorder-treatment-and-resources/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Eating Disorder Treatment and Resources Eating Disorders are complex physical and mental illness that affect all different ages, races, genders, body shapes, and weights. They often occur alongside depression, anxiety or obsessive-compulsive disorder. Eating disorders are serious and can be life threatening. They can have serious effects - [Mantenga](https://www.cencalhealth.org/mantenga/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Mantenga Las renovaciones de Medi-Cal han comenzado de nuevo. En algún momento, entre junio de 2023 y mayo de 2024, usted deberá recibir por correo su paquete de renovación. Si no completa su paquete de renovación, perderá su cobertura de Medi-Cal y CenCal Health. Paso a paso: Esto es - [Back to School](https://www.cencalhealth.org/health-and-wellness/back-to-school/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Start the School Year Healthy It is never too early to start preparing for the upcoming school year. Kids need important things to have a safe, healthy, and successful school year. Start your planning now! Over the Summer Get vaccinations. Kids need vaccines before entering Kindergarten and 7th - [Health & Wellness](https://www.cencalhealth.org/health-wellness/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.19.5″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]HOW TO PRINT AN ARTICLE It is best to use Google Chrome to view this Health & Wellness library. 1. When you find an article that you want to print, scroll to the bottom of the page.2. Click whichever appears: “Advanced Printing Options,” or “Print.”3. Check the boxes for each part of - [Flu Shots](https://www.cencalhealth.org/flushots/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Flu Shots The best way to protect yourself and your loved ones against influenza (flu) is to get a flu shot every flu season. Here are some key facts: Flu season lasts from about October through March every year. The flu can spread between people very easily. It - [Whole Child Program (CCS)](https://www.cencalhealth.org/explore-cencal-health/whole-child-program/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Whole Child Program (CCS) About the Whole-Child Model California Children’s Services (CCS) is a statewide program for children with certain medical conditions. When a child is determined by a county to be eligible (based on medical condition, financial analysis and residency), CCS provides medical care, case management, physical/occupational - [Our Mission, Vision, and Values](https://www.cencalhealth.org/explore-cencal-health/mission-vision-values/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Our Mission, Vision, and Values As the first Medi-Cal Managed Care Plan in the nation to pilot this model, innovation is who we are. Our Mission To improve the health and well-being of the communities we serve by providing access to high-quality health services, along with education - [Statutes](https://www.cencalhealth.org/explore-cencal-health/our-history/statutes/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Statutes The following information is sourced from the California Legislative Information website. To learn more, visit the California Legislative Information Website. Welfare & Institutions Code Section 14499.5-14499.6 14499.5. (a) (1) In carrying out the intent of this article the director shall contract for the operation of one - [Employer of Choice](https://www.cencalhealth.org/explore-cencal-health/employer-of-choice/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] We are Committed to Our Staff CenCal HEALTH strives to be an Employer of Choice in Santa Barbara and San Luis Obispo Counties. We offer our staff an opportunity to make a positive impact in our community. At CenCal Health, our employees have the job security of - [Our Career Openings](https://www.cencalhealth.org/explore-cencal-health/careers/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Our Careers Openings At CenCal Health, we are dedicated to improving the health and well-being of our community. Our team is made up of passionate professionals who are committed to making a difference. We believe in fostering a collaborative, inclusive, and dynamic work environment where every team member - [Catalog of Enterprise Systems](https://www.cencalhealth.org/explore-cencal-health/enterprise-systems/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Catalog of Enterprise Systems California Government Code Section 6270.5 requires local agencies to create and post a catalog of Enterprise Systems on its website. An Enterprise system is a software application or computer system that collects, stores, exchanges, and analyzes information that the agency uses that is - [Categories](https://www.cencalhealth.org/events/categories/): CONTENTS - [Making Difference](https://www.cencalhealth.org/community/making-difference/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Latest News [et_pb_section global_module="6360"][/et_pb_section] VIEW ALL NEWS Up Coming Events How We Make a Difference Those of us that are fortunate enough to work at CenCal Health feel good when we can go the extra mile and make a difference in people’s lives. A lot of us - [Data Sharing with CenCal Health](https://www.cencalhealth.org/data-sharing-with-cencal-health/): [lwp_divi_breadcrumbs link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Data Sharing with CenCal Health CalAIM envisions enhanced coordination and information exchange among managed care plans (MCPs) and county agencies. CalAIM envisions enhanced coordination, integration, and information exchange among managed care plans (MCPs); physical, behavioral, community-based, and social service providers; and county agencies by establishing benefits and services. Our - [Health & Wellness](https://www.cencalhealth.org/health-and-wellness/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] HOT TOPIC VACCINE SAFETY CLICK TO LEARN MORE HOW TO PRINT AN ARTICLE It is best to use Google Chrome to view this Health & Wellness library. 1. When you find an article that you want to print, scroll to the bottom of the page.2. Click whichever appears: “Advanced Printing - [providerdirectory](https://www.cencalhealth.org/providerdirectory/) - [sbcommittee](https://www.cencalhealth.org/sbcommittee/) - [Calaim News](https://www.cencalhealth.org/calaim-news/): Keywords Category AllCalAim Press ReleasesCenCal CareConnectCenCal HealthFederalLocalMembersNewsPart BPart DPharmacyProvidersStateUncategorized From Date To Date - [Calaim](https://www.cencalhealth.org/calaim/) - [Vaccine Safety](https://www.cencalhealth.org/health-wellness/vaccine-safety/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] Explore CenCal Health Vaccine Safety > - [Iframe Contact us Form](https://www.cencalhealth.org/contact-us/iframe-contact-us-form/): [gravityform id=”2″ title=”false” description=”false”] - [Open Letter from Our CEO](https://www.cencalhealth.org/openletter/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs]Open Letter from Our CEO An Important Message for Anyone Who Has Lost Their Health Insurance Para español haga clic aquí In addition to the thousands of people losing their jobs due to COVID-19, many are also losing their health insurance.There is no-cost health coverage you may be eligible - [Health & Wellness](https://www.cencalhealth.org/health-and-wellness/iframe-nutrition/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] > - [Health & Wellness](https://www.cencalhealth.org/health-and-wellness/iframe-dental/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] > - [Health & Wellness](https://www.cencalhealth.org/health-and-wellness/iframe-mental-health/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] > - [Health & Wellness](https://www.cencalhealth.org/health-and-wellness/iframe-quit-smoking/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] > - [Health & Wellness](https://www.cencalhealth.org/health-and-wellness/iframe-physical-activity/): [lwp_divi_breadcrumbs font_icon=”5||divi||400″ link_color=”#2684c0″ separator_color=”#000000″ _builder_version=”4.16″ _module_preset=”default” module_font_size=”12px” global_colors_info=”{}”][/lwp_divi_breadcrumbs] > - [post search](https://www.cencalhealth.org/post-search/) - [Events](https://www.cencalhealth.org/events/): CONTENTS - [Locations](https://www.cencalhealth.org/events/locations/): CONTENTS - [Tags](https://www.cencalhealth.org/events/tags/): CONTENTS - [My Bookings](https://www.cencalhealth.org/events/my-bookings/): CONTENTS - [Howtoapply](https://www.cencalhealth.org/howtoapply/) ## Testimonials - [](https://www.cencalhealth.org/news/testimonial/887/): I had a wonderful experience with CenCal Health. They covered all of the procedures I needed done after my diagnosis, and worked with me to make sure the process went smoothly. Without them, I’m not certain I would be here today. Thank you CenCal Health! CenCal Health generously of their time - [](https://www.cencalhealth.org/news/testimonial/891/): I had a wonderful experience with CenCal Health. They covered all of the procedures I needed done after my diagnosis, and worked with me to make sure the process went smoothly. Without them, I’m not certain I would be here today. Thank you CenCal Health! CenCal Health generously of their time - [](https://www.cencalhealth.org/news/testimonial/895/): I had a wonderful experience with CenCal Health. They covered all of the procedures I needed done after my diagnosis, and worked with me to make sure the process went smoothly. Without them, I’m not certain I would be here today. Thank you CenCal Health! CenCal Health generously of their time ## 3D FlipBook - [Summer 2026 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/summer-2026-member-newsletter/) - [CenCal CareConnect Toolkit](https://www.cencalhealth.org/news/3d-flip-book/cencal-careconnect-toolkit/) - [Spring 2026 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/spring-2026-member-newsletter/) - [Provider Bulletin March 2026](https://www.cencalhealth.org/news/3d-flip-book/provider-bulletin-march-2026/) - [Winter 2026 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/winter-2026-member-newsletter/) - [Fall 2025 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/fall-2025-member-newsletter/) - [Summer 2025 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/summer-2025-member-newsletter/) - [Spring 2025 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/spring-2025-member-newsletter/) - [Winter 2022 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/winter-2022-member-newsletter/) - [Summer 2022 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/summer-2022-member-newsletter/) - [Fall 2022 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/fall-2022-member-newsletter/) - [Winter 2023 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/winter-2023-member-newsletter/) - [Summer 2023 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/summer-2023-member-newsletter/) - [Fall 2023 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/fall-2023-member-newsletter/) - [Winter 2024 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/winter-2024-member-newsletter/) - [Spring 2024 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/spring-2024-member-newsletter/) - [Summer 2024 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/summer-2024-member-newsletter/) - [Fall 2024 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/fall-2024-member-newsletter/) - [Winter 2025 Member Newsletter](https://www.cencalhealth.org/news/3d-flip-book/winter-2025-member-newsletter/) ## Categories - [Uncategorized](https://www.cencalhealth.org/news/category/uncategorized/) - [All](https://www.cencalhealth.org/news/category/all/) - [CenCal Health](https://www.cencalhealth.org/news/category/cencal-health/) - [Federal](https://www.cencalhealth.org/news/category/federal/) - [Local](https://www.cencalhealth.org/news/category/local/) - [State](https://www.cencalhealth.org/news/category/state/) - [News](https://www.cencalhealth.org/news/category/news/) - [CalAim Press Releases](https://www.cencalhealth.org/news/category/calaim-press-releases/) - [Members](https://www.cencalhealth.org/news/category/members/) - [Providers](https://www.cencalhealth.org/news/category/providers/) - [CenCal CareConnect](https://www.cencalhealth.org/news/category/cencal-careconnect/) - [Part B](https://www.cencalhealth.org/news/category/part-b/) - [Part D](https://www.cencalhealth.org/news/category/part-d/) - [Pharmacy](https://www.cencalhealth.org/news/category/pharmacy/) ## Tags - [calaim](https://www.cencalhealth.org/news/tag/calaim/)