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.
Click here to view our current CenCal Health Provider Manual or click the links below to access individual sections.
Table of Contents
Section A: Introduction
Section B: Provider Resources
Section C: Provider Responsibilities
Section D: Contracting and Credentialing
Section E: Covered Services
Section F: Services Covered by Other Agencies
Section G: Eligibility Verification and Enrollment
Section H: Health Services
Section I: Disease Management Programs
Section J: Claims and Billing Guidelines
Section K: Quality Management
Section L: Member Services
Section M: Health Education
Section N: Fraud, Waste and Abuse
Section O: Pharmacy
Section P: Forms Library
Facility Site & Medical Record Review