Providers

Partnership HealthPlan of California strives to support our providers in helping our members, and the communities we serve, be healthy. The Provider Relations Department is responsible for contracting, credentialing, provider education, and the Provider Directory. If you have any questions, please contact your Provider Relations representative or call the Provider Relations Department
at (707) 863-4100.

Important Updates:

Cal-MAP | A CalHOPE Program

Learn more here.

New Claims System
Taxonomy codes for Billing Providers are required for ALL claim submissions beginning February 1, 2025. For updated billing guidelines, click here.

HealthRules Payer (HRP) Go-Live
Important update on HRP, click here.

Medi-Cal Rx | Rite Aid Closures: Guidance for Providers
Important Medi-Cal Rx guidance from DHCS, learn more here.

Change Healthcare
In response to the Change Healthcare security incident, Partnership is sharing the following materials with providers:

Pediatric Lead Prevention Program

Visit the Lead Poisoning and Prevention page to learn more about Partnership's lead testing initiative and for more information on lead testing.

Childhood Lead Exposure: The Evolving Landscape

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

Effective July 1, 2017, Partnership HealthPlan of California, 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

Provider Relations

Health Services

Claims

Billing Information
Coding Tips
Important Provider Notices

Medi-Cal

Quality & Performance
Improvement

Pharmacy

Mental Health
Services

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