Screening and Enrollment

Introduction

Per All Plan Letter (APL) 17-019, which has been superseded by APL 19-004, all Providers currently in IEHP's network and those looking to join the network are mandated to enroll in the Medi-Cal Program. This requirement to enroll in the Medi-Cal Program applies to all IEHP Providers, including those participating through an IPA. If a Provider currently active with IEHP fails or declines to complete their enrollment in the Medi-Cal Program, IEHP will be required to terminate their participation from the network. 

 

How to Enroll

The Provider Enrollment Division (PED), a unit within the Department of Health Care Services (DHCS), is responsible for the timely enrollment of Providers into the Medi-Cal Program. PED now offers an improved web-based application via their Provider Application and Validation Enrollment (PAVE) portal. Please note the current PAVE release may not support specific Provider types or submissions from new out-of-state Providers. PAVE is being implemented in a series of releases to include Provider types and enrollment actions. Here is a current list of Provider types supported in PAVE.

 

Provider Resources

All Plan Letter 19-004


This APL supersedes 17-019, the APL mandating Providers to enroll in the Medi-Cal Program.

 

All Plan Letter 17-019


Access the APL on DHCS's website regarding the screening and enrollment of all Providers rendering services to Medi-Cal beneficiaries. 

California Health & Human Services (CHHS) Agency Open Data Portal


Utilize the Open Data Portal to identify Providers who have successfully enrolled in the Medi-Cal Program through DHCS. The portal is maintained and updated by PED monthly.

Frequently Asked Questions (FAQ)

 


The document contains responses from DHCS to frequently asked questions regarding screening and enrollment requirements.

 

Provider Resources from DHCS


Access to PAVE Provider Types, PAVE 101 Training Slides, Provider Job Aides, FAQs, PAVE Support Resources

Contact Information

 

Department of Healthcare Services


Attn:  Provider Enrollment Division MS4704
PO BOX 997412
Sacramento, CA 95899-7412

PED Message Center


(916) 323-1945
After reaching the welcome message, please select Option 4, then Option 1 to speak with a live agent.

PAVE Technical Assistance


(866) 252-1949
PAVE@dhcs.ca.gov

PED Policy Assistance


PEDCORR@dhcs.ca.gov

 

IEHP Provider Assistance


ProviderNetwork@iehp.org