Providers

Partnership HealthPlan of California strives to support our providers in helping our members, and the communities we serve, be healthy. The Provider Relations Department is responsible for contracting, credentialing, provider education, and the Provider Directory. If you have any questions, please contact your Provider Relations representative or call the Provider Relations Department at (707) 863-4100.

Important Updates:

HRP Go-Live

For the HRP Go-Live date, click here.

Lead Testing

For information on our new initiative, click here.

COVID-19

For updated COVID-19 related provider resources, click here.

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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

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

Quality & Performance Improvement

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

Pharmacy

Submit a TAR

Formulary

Pharmacy Updates

Mental Health Services

We have partnered with Carelon Behavioral Health (formerly Beacon Health Options) 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.