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Provider Enrollment

Welcome to the Medi-Cal Provider Enrollment page and thank you for your interest in becoming a provider in the Medi-Cal program. The Department of Health Care Services (DHCS) Provider Enrollment Division (PED) is responsible for the timely enrollment and re-enrollment of eligible fee-for-service health care providers in the Medi-Cal program.

With the implementation of the Provider Application and Validation for Enrollment (PAVE) Provider Portal, PED now offers an improved web-based enrollment process. PAVE improves access to services, facilitates ease of use and adds efficiencies to enrollment processes. PAVE has been implemented in a series of releases to include additional provider types and enrollment actions. To learn more about PAVE and view the list of provider types eligible to use PAVE, visit the Provider Application and Validation for Enrollment page on the DHCS website.

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PAVE Provider Portal

PAVE is a secure, web-based Provider Portal that simplifies and accelerates enrollment processes, including completion and submission of new enrollment applications (Medi-Cal Provider e-Form Application [e-Form]), reporting changes to existing enrollments and responding to PED-initiated requests for re-enrollment or revalidation. PAVE offers intuitive guidance, social collaboration and many other user-friendly features.

Applicant Instructions & Requirements

Applicant Information by Provider Type (Alphabetical Order)

Statutes, Regulations, Moratoria and Bulletins

The criteria for enrollment as a provider in the Medi-Cal program are described in Title 22 of the California Code of Regulations (CCR). Senate Bill (SB) 857 (statutes of 2003), effective January 1, 2004, revised the responsibilities of providers and provider applicants in the Medi-Cal program. Links to documents describing statutes and regulations are as follows:

Moratoria

There are no provider enrollment moratoria in effect at this time.

Provider Bulletins

Resources

For current application fee information, please see the Current Application Fee document on the DHCS website. The Centers for Medicare & Medicaid Services has announced a change in the provider Application Fee for Calendar Year 2019.

Returned Warrants

The provider number(s) used by a provider are subject to deactivation when warrants or documents mailed to a provider's mailing address, pay-to address, if any, or its service or business address, are returned by the U.S. Postal Service as not deliverable (W&I Code § 14043.62). Changes in address are to be reported to the Department of Health Care Services (DHCS) within 35 days of the change (22 CCR § 51000.40). Upon notification from DHCS that the address has been updated, the provider may request payments be re-issued by submitting a written request to the California MMIS Fiscal Intermediary for Medi-Cal, at the following address:

California MMIS Fiscal Intermediary
c/o Cash Control Unit
P.O. Box 13029
Sacramento, CA 95813-4029

You must include your provider number, warrant number, date issued, and the amount of the warrant on the letter. The FI will re-issue warrants to the pay-to address listed on the Provider Master File (PMF).

Suspended and Ineligible Provider List



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