A female doctor in a white coat, seated at a desk with a laptop and tablet, focused on her work in a bright, modern office.

Provider FAQs

To support our providers, CalOptima Health has compiled the following FAQs regarding our policies, programs and procedures.

Provider FAQs

Medi-Cal Annual Wellness Visit (AWV) Program
Whole-Child Model (WCM) FAQs
Applied Behavior Analysis (ABA) FAQs
Provider Complaints Related to Medi-Cal Services
HEDIS
Peer-to-Peer Review
Tips to Streamline the Prescription Process
Prime Contract Changes FAQs

Additional Resources

Contact Us

Providers and other health care professionals with questions regarding Medi-Cal, OneCare or PACE can call the Provider Relations department at 714-246-8600 or email Provider Services.

Provider Directory

CalOptima Health works with nearly 8,400 Orange County physicians, making it easy for our members to get the care they need.

Find a Provider

Claims and Eligibility

Verify member eligibility or submit a request for treatment authorization.

About Claims and Eligibility

Provider Trainings

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

Trainings by Topic