Enrollment Requirements for Medi-Cal Internet Transactions
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Single Subsciber and Multiple Subscriber Eligibility,
Share of Cost,
Medi-Services Reservations,
Remittance Advice Detail,
and other Provider Services such as Medicare Drug Pricing |
Must have a National Provider Identifier (NPI) and PIN, and have either an electronic or paper Medi-Cal Point of Service (POS) Network/Internet Agreement form on file:
Electronic POS/Internet form
Paper POS/Internet form
For information about Provider Enrollment, visit the Provider Enrollment page.
Please call the Telephone Service Center (TSC) at 1-800-541-5555 for more information.
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Hospital Presumptive Eligibility (HPE) Program
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Must have a NPI and PIN, and have either an electronic or paper Medi-Cal Point of Service (POS) Network/Internet Agreement form on file:
Electronic POS/Internet form
Paper POS/Internet form
The provider must be enrolled in the HPE Program.
The provider must have a Hospital Presumptive Eligibility (HPE) Program Provider Election Form and Agreement on file. For questions regarding the form and enrollment, please see the Hospital Presumptive Eligibility (HPE): Provider Enrollment Instructions and the Presumptive Eligibility (HPE) Provider Enrollment Checklist.
Please call the TSC at 1-800-541-5555 for enrollment forms.
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Family PACT
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Must have a NPI and PIN, and have either an electronic or paper Medi-Cal Point of Service (POS) Network/Internet Agreement form on file:
Electronic POS/Internet form
Paper POS/Internet form
The provider must be enrolled in the Family PACT program.
Please call the TSC at 1-800-541-5555 for enrollment forms.
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BCCTP Enrollment
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Must have a NPI and PIN, and have either an electronic or paper Medi-Cal Point of Service (POS) Network/Internet Agreement form on file:
Electronic POS/Internet form
Paper POS/Internet form
The provider must be enrolled in the BCCTP program. |
| CMC Submitter Batch Upload and Inquiry |
Must have Medi-Cal Telecommunications Provider and Biller Application/Agreement on file with a check mark in the “Internet” box under “CMC Batch Submission Type” and a check mark in the appropriate box(es) in the “Claim Type” area.
Call the TSC at 1-800-541-5555 for information about enrollment.
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| Drug Rebate (for manufacturers/labelers only) |
To access Labeler Information (i.e. for Drug Rebate), you must download
this
Subscription Form and send it to the address listed on the form.
Please call the Drug Rebate group at 916-636-1217 for any additional
information.
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| Supplemental Claims Payment Information (SCPI) Downloads |
Must have either a Medi-Cal Electronic Remittance Advice Detail (RAD)
Enrollment form or a Medi-Cal Electronic Remittance Advice Detail (RAD)
Service Agreement form on file.
For information and to enroll in SCPI, contact the California MMIS Fiscal Intermediary by either calling
916-612-5378 or 916-601-7402, or by emailing SCPI@us.ibm.com.
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Disproportionate Share Hospital (DSH) Eligibility Re-Verification
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Must have a Medi-Cal website Agreement Form for Disproportionate Share
Hospital Eligibility Re-Verification on file.
Call the Medi-Cal Eligibility Division (MCED) at 916-552-9200
for
information.
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Organization Access Requirements for Provider Portal
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| Provider Portal Early Access |
Provider Portal Early Access is by Invitation Only |
| Provider Portal |
Must have a Medi-Cal provider number, PIN, an organization registration token and have either an electronic or paper Medi-Cal Point of Service (POS) Network/Internet Agreement form on file:
Electronic POS/Internet form
Paper POS/Internet form
For information about Provider Enrollment, visit the Provider Enrollment page.
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User Access Requirements for Provider Portal
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| Provider Portal |
Users must be created by an administrator within the Provider Portal. Once a provider organization completes the registration process they may create, modify, and remove users as necessary. |
