Pediatric Prevention Services

Provider Resources

General PPS program information

Provider Requirements: Refer to CalOptima's Provider Manual, Section C6: Pediatric Preventive Services (PPS).

How to Become a Child Health and Disability Prevention (CHDP) Program Certified Provider Link to the Orange County Health Care Agency.

American Academy of Pediatrics (AAP) Recommendations Link to APP’s recommendations for preventive pediatric health care.

Claims administration

General Billing Instructions

General Billing Tips

General Billing Information

Staying Healthy Assessment Tools and Growing up Healthy

Provider tools and resources

Health Network and Shared Risk Groups: Please refer to CalOptima's Provider Manual, Section B1: CalOptima Department and Program Contact Information.

CalOptima Resource Contact Sheet: Please refer to CalOptima's Provider Manual, Section B1: CalOptima Department and Program Contact Information.

Third-party sites with more information

American Academy of Pediatrics

Centers for Disease Control and Prevention

Child Health and Disability Prevention (CHDP) Program Home Page

Childhood Lead Poisoning Prevention Program

Department of Health Services

Early Head Start National Resource Center

Immunization Action Coalition

Medi-Cal Home Page

Orange County Immunization Coalition

Providers and other health care professionals with questions regarding Medi-Cal, OneCare Connect, OneCare or PACE can call the Provider Relations department at 714-246-8600 or email providerservices@caloptima.org
Provider Reference Contact List

Provider Directory

Find a Provider
CalOptima Health works with over 3,700 Orange County physicians, making it easy for our members to get the care they need.

Check here for our extensive list of providers, health networks, medical groups, hospitals and pharmacies.

Claims

About Claims and Eligibility
Verify member eligibility or submit a request for treatment authorization.

Provider Trainings

Trainings by Topic
View the latest model of care and other educational materials designed to help you and your staff provide care for CalOptima Health members.

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