Providers

Attention Providers:
For Provider COVID-19 related resources, such as, Provider Bulletins and links to state resources, click here.

"Special Member" to "Direct Member" Change

Effective February 1, 2021, with direction from the Department of Health Care Services (DHCS), PHC is changing the "Special Member" name to "Direct Member." This is a name change only, PHC benefits or how members receive care are not affected. During this transition, please note that PHC member ID cards that show "PCP: Special Member," are still acceptable. Please continue to perform eligibility checks as you would for all members. In addition, please note that the Online Services Provider Portal and any outdated Providers Newsletters may still contain the term "Special Member".

____________________________

ATTENTION: Child Health and Disability Prevention (CHDP) Program Providers

Effective July 1, 2017, Partnership HealthPlan of California (PHC), in accordance with state and HIPAA standards, will be transitioning from the two-character CHDP billing code on the PM160 form to the CPT-4 national codes on the CMS-1500 form, the standard 837 electronic claims format, or the UB04 form. Read More | Recorded Webinar Trainings

Provider Relations

Provider Manual

Provider Directory

Primary Care Provider (PCP) Selection Forms

Provider Information Change Form

Member Reassignment FAQ

PHC Provider Learning Portal

Quality Measure Highlights

Health Services

Utilization Management

Care Coordination

Managing Pain Safely Initiative

Drug Medi-Cal Benefit Information

Health Education

Health Information Resources

Language Assistance

Claims

Billing Information
Coding Tips

Important Provider Notices

• Medi-Cal

• Healthy Kids

Quality & Performance Improvement

Quality Improvement Program (PCP QIP)
HEDIS
Partnership Improvement Academy
Patient Safety
Advance Directives

Pharmacy

Submit a TAR

Formulary

Formulary Search Tool

Pharmacy Updates

Mental Health Services

We have partnered with Beacon Health Strategies (Beacon) to help manage mental health benefits for most PHC Medi-Cal Members with mild to moderate mental health conditions in need of outpatient mental health services.