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Provider Services

For accessibility issues, please contact Provider Services at 925-608-6790.


Provider Manual

Informing Materials (English/Spanish)

To request a printed copy of these materials for free, or in other formats, such as Braille or audio, call the Access Line at 1-888-678-7277. Requests will be processed within five (5) business days.

Posters (English/Spanish)

Credentialing Forms

Recredentialing Forms

Legal Name Change/Facility Change/Termination

Credentialing and Recredentialing Resources

Scope of Practice


PAVE and Medi-Cal Rx Enrollment

Network Adequacy Certification Tool (NACT)

ShareCare and Report Folder Access Request

Beneficiary Protection Training