In this section you will find these resources:

  • Access to care standards
  • All Plan Letter summaries
  • Health assessment guidelines for Medi-Cal providers
  • Healthcare fraud prevention guidelines
  • Medical records documentation standards
  • Medi-Cal bulletin summaries
  • Physicians' site review policy and procedures
  • Provider dispute policies and procedures
  • Provider manuals (Medi-Cal Provider Manual and Nursing Facilities Reference Guide)


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.