Resources

Getting Started

Provider resources

At CalOptima, we strive in an ongoing effort to provide our contracted provider, physicians and other health care professionals with the information and resources they need to provide services to our members.

Provider manuals and guides Discover resources and information about CalOptima’s policy guidelines and procedures.

Search for a provider Find a doctor, specialist or other health care professional near you.

Clinical practice guidelines Use these guidelines to assist you in optimizing member care.

Common forms Review the list of the most commonly used CalOptima forms.

Adverse Childhood Experiences Resources for training, clinical protocols and payment for screening children and adults for ACEs.

Contact Us
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
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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