Providers

Attention Providers:


System Disruption

    • April 15, 2022 - Online Services Provider Portal is Restored - Read More
    • April 15, 2022 - Website Restoration Following Network Outage - Read More
    • April 8, 2022 - Inpatient and Outpatient Treatment Authorization Requests - Read More
    • April 7, 2022 - Claims System Restoration - Read More


COVID-19

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


Importance of Blood Pressure Monitoring

PHC has expanded its distribution of BP monitoring devices for PHC members when requested by their provider. To learn more 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 In addition, please note that the Online Services Provider Portal and any outdated Providers Newsletters may still contain the term "Special Member". 

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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​

 

News

December08
December 08, 2021

PHC to Disburse $2.3 Million for COVID-19 Vaccine Programs

Partnership HealthPlan of California (PHC) is distributing $2.3 million in state funds to 32 entities (including provider offices, comm...
November16
November 16, 2021

Partnership HealthPlan of California Hosts Free, Drive-Thru COVID-19 Vaccination Clinic in Redding

​Partnership HealthPlan of California (PHC) has collaborated with Shasta County Health and Human Services Agency to host a free, drive-thru ...
September17
September 17, 2021

Partnership HealthPlan of California Encourages Members to get Mammograms

Dr. Marshall Kubota, regional medical director at Partnership HealthPlan of California (PHC), is reminding women of the importance of taking...

Events

June28
June 28, 2022

Electronic Clinical Data Systems Webinar: Measure for PCP and Perinatal QIP

​Electronic Clinical Data Systems (ECDS) is a HEDIS reporting standard for health plans collecting and submitting quality measures to NCQA. This reporting standard defines the...
July04
July 04, 2022

Independence Day

​​​​In observance of the holiday, all PHC offices will be closed.
July12
July 12, 2022

Accelerated Learning Education Program: Pediatric Health - Child and Adolescent Well-Care Visits (3 - 17 years), Screenings, and Immunizations for Adolescents

​​This learning session will cover Partnership HealthPlan of California’s Primary Care Provider Quality Incentive Program measures....