Getting Started

Provider resources

At CalOptima, we strive in an ongoing effort to provide our contracted provider, physicians and other health care professionals with the information and resources they need to provide services to our members.

Provider manuals and guides Discover resources and information about CalOptima’s policy guidelines and procedures.

Search for a provider Find a doctor, specialist or other health care professional near you.

Clinical practice guidelines Use these guidelines to assist you in optimizing member care.

Common forms Review the list of the most commonly used CalOptima forms.

Adverse Childhood Experiences Resources for training, clinical protocols and payment for screening children and adults for ACEs.

Providers and other health care professionals with questions regarding Medi-Cal, OneCare Connect, OneCare or PACE can call the Provider Relations department at 714-246-8600 or email providerservices@caloptima.org
Provider Reference Contact List

Provider Directory

Find a Provider
CalOptima Health works with over 3,700 Orange County physicians, making it easy for our members to get the care they need.

Check here for our extensive list of providers, health networks, medical groups, hospitals and pharmacies.

Claims

About Claims and Eligibility
Verify member eligibility or submit a request for treatment authorization.

Provider Trainings

Trainings by Topic
View the latest model of care and other educational materials designed to help you and your staff provide care for CalOptima Health members.

Materials available on this website in PDF format may require the free Adobe Reader to view. To download Adobe Reader for free from the Adobe website, click here.