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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