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How to Contract With CalOptima Health

Interested in becoming a contracted provider partner with CalOptima Health?

If you would like to play a role in strengthening Orange County’s health care delivery system, then becoming a CalOptima Health provider partner is for you.

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
  • Adhere to CalOptima Health Policy and Procedures
  • Good standing with Regulatory Agency Requirements including but not limited to DHCS, CMS and DMHC
  • Provide services in Orange County and bordering cities
  • Meet network adequacy and access standards
  • CAQH enrolled/Credentialing review (as applicable)
    • Credentialing must be renewed every three years, and the process to renew starts six months before your due date. Between credentialing cycles, we require up-to-date documents when renewing and notice of any change of status, address and/or carrier:
      • State license
      • DEA
      • Malpractice insurance
      • Board certifications
  • Updating your CAQH information/submitting your credentialing application and requested support documents quickly is key to timely credentialing.
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How to Become a Contracted Provider

Start by completing the Letter of Interest form

For more information about the requirements for becoming a contracted CalOptima Health provider, call Provider Relations at 714-246-8600 + Option 6 for Provider Services + Option 2 for Provider Relations

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