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
  • Nursing facilities reference guide
  • Physicians' site review policy and procedures
  • Provider dispute policies and procedures
  • Provider manuals


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.