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 Health reports.

CenCal Health hopes that its provider network finds this Website user-friendly. We do our best to update and change our site to meet the needs of our users, to improve functionality, and to meet nationally recognized standards and regulations in healthcare. 

For information regarding using the Provider Portal, click here

This Icon is a Direct Link to our User/Password Area.



Create an account

If you do not have access to our Provider Portal and are interested in accessing CenCal Health's electronic data forms pages, please email Provider Services or call (805) 562-1676 to request an account. 

Please make sure to provide the following information:

  • Provider National Provider Identifier (NPI)
  • Tax Identification Number
  • Point of Contact & Email Address 
  • Name of Provider Group/Individual

Please note that these requests take 48 hrs. to process once we verify all of the provided information. 


MADDY Claims cannot be processed through this portal. Please contact the SBPHD concerning MADDY claims submission or processing.

tel: (805) 681-5432
email: EMS@SBCPHD.org

Healthy Kids Enrollment

By logging in and clicking on the main form entry page, you may access the following:  

  • Enrollment Form
  • Enrollment List

The Enrollment Form is designed to assist you in enrolling new members. The Enrollment List shows you who is enrolled in our plan. From the Enrollment List, you have the ability to reconcile current enrollee information. More detailed information regarding the Enrollment Form and Enrollment List can be found by clicking the link leading to New Enrollee Forms. 

If you are not able to access the pages, please contact the Webmaster.

Eligibility Calculator

Click here to access the CenCal Health Eligibility Calculator (For certified application assistors only)

Click here to access the CenCal Health Demo Calculator (For certified application assistor testing only)