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 (FFS) beneficiaries as well as CenCal Health Medi-Cal beneficiaries. Providers who ONLY provide services to CenCal Health Medi-Cal beneficiaries may elect to enroll directly through CenCal Health.
For more instructions about Medi-Cal Enrollment requirements and process, click here.
To verify enrollment with State Medi-Cal, you may search the Department of Health Care Services' (DHCS) database via the link below (click "Preview" and enter your National Provider Identifier (NPI) in the search field on the Data Table).
- Physicians and most other provider types, please click here
The State's PAVE portal is a web-based application designed to simplify and accelerate the State Medi-Cal enrollment process. Providers must utilize the portal to complete and submit applications, report changes to existing enrollments, and respond to requests for continued enrollment or re-validation. Please be sure to maintain current and accurate information about yourself and/or your group, as data submitted through PAVE comprises the database DHCS uses to understand the network of Medi-Cal providers in California. This is important even if you only see CenCal Health members and never submit claims for Fee-For-Service members.
If you are not enrolled, please contact our Provider Services Representatives at (805) 562-1676 or via email at email@example.com and our team will assist you with the enrollment process.