Providers

Attention Providers:
For Provider COVID-19 related resources, such as, Provider Bulletins and links to state resources, click here.

 

"Special Member" to "Direct Member" Change

Effective February 1, 2021,  with direction from the Department of Health Care Services (DHCS), PHC is changing the "Special Member" name to "Direct Member." This is a name change only, PHC benefits or how members receive care are not affected. During this transition, please note that PHC member ID cards that show "PCP: Special Member," are still acceptable. Please continue to perform eligibility checks as you would for all members. In addition, please note that the Online Services Provider Portal and any outdated Providers Newsletters may still contain the term "Special Member". 

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ATTENTION: Child Health and Disability Prevention (CHDP) Program Providers

Effective July 1, 2017, Partnership HealthPlan of California (PHC), in accordance with state and HIPAA standards, will be transitioning from the two-character CHDP billing code on the PM160 form to the CPT-4 national codes on the CMS-1500 form, the standard 837 electronic claims format, or the UB04 form. Read More | Recorded Webinar Trainings​

 

News

January28
January 28, 2021

PHC Earns NCQA Accreditation

​The National Committee for Quality Assurance (NCQA) this week awarded Accreditation to Partnership HealthPlan of California.

Events

May31
May 31, 2021

Memorial Day Holiday

​​​I​​n observance of ​the Memorial Day Holiday, all PHC offices will be closed on Monday, May 31, 2021.​...
June02
June 02, 2021

Virtual ABCs of Quality Improvement

​This virtual training consist of five sessions via webinar throughout the month of June.  All sessions are noon to 1 p.m. ...
July05
July 05, 2021

4th of July Holiday

​​​​​​I​​n observance of ​the 4th of July holiday, all PHC offices will be closed on Monday, July 5, 2021.​...