Provider FAQs

Medi-Cal Annual Wellness Visit (AWV) Program

Whole Child Model

Applied Behavioral Analysis (ABA)

Provider Complaints Related to Medi-Cal Services

Staying Healthy Assessment (SHA) and IHEBA

Department of Health Care Services (DHCS) Facility Site Review (FSR) and Medical Record Review (MRR) Fact Sheet

Peer-to-Peer Review

OneCare and OneCare Connect Behavioral Health Providers' Frequently Asked Questions

Tips to Streamline the Prescription Process

Contact Us

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.

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