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, credentiali​ng, 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.

Health Rules Payor (HRP) Go-Live

For a​n update on HRP, click here​.

F​or HRP Educational Webinar Series, click 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.

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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​