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.  

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 one or both of the links below (Enter your National Provider Identifier (NPI) in the search field). 

• To search enrolled Medi-Cal Fee-for-Service (FFS) providers, please click here 
• To search enrolled Ordering, Referring, and Prescribing (ORP) providers, please click here (try to use the oldest date possible)
• If you are submitting a screen capture of your enrollment status from one of these two sites, please include as much of the page as possible, so that we can identify the source of the data.

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.

• Provider Application and Validation for Enrollment (PAVE)