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Pediatric Prevention Services

CalOptima Health is directly responsible for paying providers for Medi-Cal services covered under the Children’s Presumptive Eligibility (CPE) Program, which we operate as the Pediatric Prevention Services (PPS) Program. The PPS Program covers members from birth up to 21 years of age. For more information, refer to CalOptima Health’s Provider Manual, Section C7: Pediatric Preventive Services.

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How to Become a Children's Presumptive Eligibility (CPE) Program Certified Provider

Become a CPE Program Certified Provider

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Claims administration

General Billing Instructions

General Billing Tips

General Billing Information

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Third-party sites with more information

American Academy of Pediatrics
Centers for Disease Control and Prevention
Childhood Lead Poisoning Prevention Program

Department of Health and Human Services

Early Head Start National Resource Center

Immunization Action Commission

Medi-Cal Home Page

Orange County Immunization Coalition

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Provider tools and resources

For contact information for CalOptima Health, contracted health networks and shared risk groups, please refer to CalOptima Health's Provider Manual, Section B1: CalOptima Health Department and Program Contact Information.

Review recommendations for preventive pediatric health care from the American Academy of Pediatrics (AAP): AAP Recommendations