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

CenCal Health Policies and Procedures are available to view below:


Overview


Primary Care Provider/ Referral Provider Obligations


Allied Provider Obligations


Hospital Provider Obligations


Member Services


Benefits Summary

Click here for more information.


RAFs


Authorization Requests


Claims


Facility Site & Medical Record Review