Who do we serve?
CalOptima Health offers health insurance plans for low-income children, adults, seniors and people with disabilities in Orange County.
Click here for more info on the plans we offer.
General requirements to be a CalOptima Health Provider
- Medi-Cal and Medicare enrolled
- Board Certified
- Maintain Professional Liability of 1M per incident, 3M in aggregate
- Maintain Commercial General Liability (CGL)/Automobile Liability of 1M per incident, 3M in aggregate
- Maintain Cyber Security insurance of 1M per incident, 1M in aggregate
- Be in good standing with regulatory agency requirements including but not limited to DHCS, CMS and DMHC
- Provide services in Orange County or bordering cities (as may be needed)
- Complete credentialing application and include required supplemental forms
- Complete Forms: Offshore Attestation and Ownership & Disclosure
How to Become a Contracted Provider
Start by submitting your Letter of Interest to ProviderOnboarding@caloptima.org.
Include the following:
- Legal Name and DBA if applicable
- National Provider Identifier (NPI)
- Types of service(s) provided
- Service Address(es)
- Hospital privilege(s)
- Proof of Medi-Cal/Medicare enrollment
- W-9 Form
- Office contact information
- And any other information you wish to share about your organization.
For questions relating to your submission, please email ProviderOnboarding@caloptima.org.