Announcements

Recent updates, incentives and notices

Latest information

At CalOptima, we believe in keeping our provider partners informed to promote a positive member experience. Check here often for valuable updates and notices to assist you in achieving better health outcomes for our members.

CalOptima’s Health Homes Program (HHP) Overview Learn more about this program which begins on January 1, 2020.

Quality Improvement (QI) program accomplishments and progress towards goals Review program achievements and outcomes

Provider Medi-Cal enrollment requirement View Medi-Cal enrollment requirements and procedures

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 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 members.

Materials available on this Website in PDF format may require the free Adobe Reader to view. To download Adobe Reader for free from the Adobe Website, click here.