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Update: Certain Paper Enrollment Applications Removed from the Medi-Cal Website

March 21, 2019

A NewsFlash entitled “Certain Paper Enrollment Applications Removed from the Medi-Cal Website” that published on March 5, 2019, announced the removal of certain paper enrollment applications from the Medi-Cal website due to the implementation of the new Provider Application and Validation for Enrollment (PAVE) provider portal.

The following forms that were removed under the original publication are reinstated:

  • Medi-Cal Disclosure Statement (DHCS 6207)
  • Medi-Cal Provider Agreement (DHCS 6208)
  • Medi-Cal Provider Application (DHCS 6204)

The Forms page of the Medi-Cal website is updated to reflect these changes.