Provider Communications

We know it’s important to be kept up to date on all of the latest news that’s important to you – like relevant information that may affect your practice, or changes in the way your patients will receive care. The best way to care for someone’s health is to know as much as  you can about all the ways you can help. That’s why we’re here to supply you with all the information and details that providers, like you, need to know as they become available.

We encourage you to visit, or bookmark, this page for quick access as we will be updating this page whenever we need to communicate any pertinent information that may affect how you conduct business. We are here to support you in every way possible to ensure that you have every resource available to provide the highest quality of care and service to your patients.

Provider Resources

2017 Provider Notification and AEP Packet

2018 CalOptima's Timely Access Focused Study

Access Study Survey

Authorization for Routine Urgent and Medical Record Request

Authorization Request Reminder

Behavioral Health Information

CalOptima HEDIS Training

CHDP Claim Form Transition and HIPPA Code Conversion

Central Health Plan Diabetic Supply

Claims for Flu Vaccines

DMHC Access Standards (Easy Reference)

Encounter Data Submission Requirement and Reminder

Enrollment Information for Commercial Products

HEDIS 2018 Medical Record Pursuit

HEDIS 2018 Letter of Representation

HEDIS Frequently Asked Questions

IHA and SHA 2nd Communication (Updated)

Methods of Claim Submissions

New Medicare Card

P4P (HEDIS and STAR) Materials

PCP and Health Network Change Information

Prop 56 Supplemental Payment

Provider Directory Listing - Demo Update

Provider Manual Available Online

Radiology Services to Providers

UCMG's Website and UCMG Department Contract List