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Provider Relations

Supporting Our Providers

The Provider Relations Department is responsible for supporting Partnership providers in helping keep the communities we serve, be healthy. The department is responsible for contracting, credentialing, provider education and the Provider Directory. If you have any questions, please reach out to a Provider Relations Representative or call the
Provider Relations Department at (707) 863-4100.

Provider Resources

Provider Manuals

Provider Bulletin

Partnership Provider Learning Portal

Provider Changes Requirements

Cultural Competency for Providers

Telehealth Toolkit
New Provider Education Packet

Interpretive Services | Adding Video App to Device

Video App Request Form | VRI Training Video

Local Code Crosswalk
25-1 to UB-04 Conversion Crosswalk

​Cal-MAP | A CalHOPE program​​​​​

Policy Updates

2024 Policy Updates

​2025 Policy Updates​​



​Provider Directory

Medi-Cal Provider Directory




Forms

Common Forms

NEMT Required Justification Form (PCS)

Provider Request to Discharge Member

Medicare/Medi-Cal Crossover Claim Form

Medical Equipment Distribution Services Guidelines | Request Form | Instructions

Growing Together Referral Form

Referral Authorization Form (RAF)
Treatment Authorization Request (TAR) Form

Missed Appointment Form
Provider Change Form
Provider ​Agreement Request Form​
Partnership Contracted Providers Adding
New Sites, click here

Additional Resources

Community Information Security Updates​

Provider Grievance Process

BHT Provider Best Practices

HIPAA/Fraud, Waste and Abuse
Quality Measure Highlights
Anti Bias Strategies for Providers