Providers

Attention Providers:

System Disruption

April 15, 2022 - Online Services Provider Portal is Restored - Read More
April 15, 2022 - Website Restoration Following Network Outage - Read More
April 8, 2022 - Inpatient and Outpatient Treatment Authorization Requests - Read More
April 7, 2022 - Claims System Restoration - Read More

COVID-19

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

Importance of Blood Pressure Monitoring

PHC has expanded its distribution of BP monitoring devices for PHC members when requested by their provider. To learn more 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 In addition, please note that the Online Services Provider Portal and any outdated Providers Newsletters may still contain the term "Special Member".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

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Quality Measure Highlights

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Managing Pain Safely Initiative

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• Medi-Cal

Quality & Performance Improvement

Quality Improvement Program (PCP QIP)
HEDIS
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Pharmacy

Submit a TAR

Formulary

Pharmacy Updates

Mental Health Services

We have partnered with Beacon Health Strategies (Beacon) to help manage mental health benefits for most PHC Medi-Cal Members with mild to moderate mental health conditions in need of outpatient mental health services.

Additional Resources

News

December08

December 08, 2021

PHC to Disburse $2.3 Million for COVID-19 Vaccine Programs

Partnership HealthPlan of California (PHC) is distributing $2.3 million in state funds to 32 entities (including provider offices, comm...

September17

September 17, 2021

Partnership HealthPlan of California Encourages Members to get Mammograms

Dr. Marshall Kubota, regional medical director at Partnership HealthPlan of California (PHC), is reminding women of the importance of taking...

September02

September 02, 2021

Partnership HealthPlan of California to Cover Gatekeeper Innovation Prescription Locking Devices for Medi-Cal Members

Partnership HealthPlan of California (PHC) announced a new partnership with Gatekeeper Innovation Inc., the maker of Safer Lo...

Events

December07

December 07, 2022

Board of Commissioners Meeting

The Board of Commissioners of the Partnership HealthPlan of California, meets on the 4th Wednesday of every even month from 10 a.m. to 2 p.m., with the exception of the Decem...

December23

December 23, 2022

Christmas Holiday

In observance of the Christmas holidays, all PHC offices will be closed on Friday, December 23, 2022, and Monday, December 26, 2022....

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