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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
Professional Liability of 1M per incident, 3M in aggregate
Commercial General Liability (CGL)/Automobile Liability of 1M per incident, 3M in aggregate
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 eCredentialing application and required forms
Complete: Offshore Attestation and Ownership & Disclosure

A doctor in a lab coat with a stethoscope speaks on the phone while seated at a desk in a well-lit medical office.

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
Practitioner's hospital/facility (ASC) privilege(s)
Service Address(es)
Proof of Medi-Cal/Medicare enrollment
W-9 Form
Administrator's contact information

Any other information about your organization.

For questions relating to your submission, please email ProviderOnboarding@caloptima.org.