Medi-Cal Enrollment

Medi-Cal Enrollment - Payer Description

The California Medical Assistance Program (Medi-Cal or MediCal) is California's Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level. Benefits include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder treatment, dental (Denti-Cal), vision, and long-term care and supports. Approximately 12.5 million people were enrolled in Medi-Cal as of May 2015, or about 32.4% of California's population.


Enrollment Requirements

MD Form

DHCS 6216

PAs Forms

DHCS 6207, DHCS 6208, & DHCS 6248

  • NPI
  • Copy of Diploma
  • Copy of Driver’s license (in State)
  • Copy of National Certification
  • Copy of Supervising Physicians Driver’s License

NPs, CRNAs, CNMs Form

DHCS 6216

PhDs Form

DHCS 6216

 


Application Timeline

  • Complete applications can take up to 6 months for processing.
  • Any missing information will delay the enrollment process.

CHHS Open DAta Report

Profile of Enrolled Medi-Cal Fee-for-Service (FFS) Providers as of the beginning of each month.