In this section you will find these resources:

  • Provider manuals
  • Health assessment guidelines for Medi-Cal providers
  • Nursing facilities reference guide
  • Physicians' site review policy and procedures
  • Access to care standards
  • Medical records documentation standards
  • Provider dispute policies and procedures
  • Healthcare fraud prevention guidelines

Commonly requested forms for prior authorizations, coverage determination requests, referrals, screenings, enrollment for electronic claims submission and remittance advices, and more are also available here.