Provider Directory for Members

MS PD calloutCenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. In this listing, you will find a complete list of contracted CenCal Health providers in your area. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways:

  1. We can assist you with your selection for primary care provider. 
  2. We can help you understand and assist you with obtaining referrals to see specialists, explain when referrals are not needed, and help you find a specialist in your area. 
  3. We can help  you find a local pharmacy and answer any questions you may have. 
  4. We can explain what hospitals are near you.

Approved Alternative Access Standards

The Department of Health Care Services (DHCS) has established network adequacy standards in accordance with state and federal law and regulations to ensure members have adequate accessibility to available services. These standards require Managed Care Plans (MCPs) to meet both time and distance standards based on county population density. MCPs must submit an Alternative Access Standard (AAS) request to DHCS for review and approval if the MCP is unable to meet time and distance standards and has exhausted all reasonable contracting options with nearer providers. MCPs that receive AAS approvals from DHCS must inform their affected members of all approved AAS through the MCP’s Member Handbook and post all approved AAS, specified by county, on the MCP’s internet website.

If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer specialist. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed.

You can see the list by clicking here.

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