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Join Our Network

Join us in our effort to provide quality healthcare to those in need. CenCal Health has a provider-inclusive policy and we work with interested and eligible providers in the area.

Our Provider Services Representatives are available to answer questions and guide prospective providers through the credentialing and contracting onboarding process.

To be reimbursed for non-emergent services for an eligible member of a health program administered by CenCal Health, providers must have an executed Agreement with CenCal Health. To provide emergent care to any Medi-Cal member, providers need only be enrolled in the State Medi-Cal program.

Primary Care Physicians (PCPs) and Specialists may contract with CenCal Health either individually, in groups, or as outpatient clinic providers within the Santa Barbara and San Luis Obispo County. To begin the onboarding process, please email Provider Services at provideronboarding@cencalhealth.org as they will then determine the necessity of the following documents required.

New Rendering Providers joining CenCal Health contracted group. To begin the onboarding process, please submit the following documents via email to provideronboarding@cencalhealth.org or via the Secure File Link https://gateway.cencalhealth.org/form/ps

For providers joining Hospitals and Delegated provider groups, please submit the following documents  via email to providerdata@cencalhealth.org or via the Secure File Link https://gateway.cencalhealth.org/form/ps

Thank you for your interest in joining CenCal Health; your local health plan.  Claims are payable for services rendered on or after the date the contract is fully executed. Claims for services rendered prior to execution of your provider agreement may not be reimbursed.

As your relationship and experience with us grows, your Provider Services Representative are available to answer questions during this process. You may contact us at (805) 562-1676 or email psrgroup@cencalhealth.org for additional directions when onboarding with CenCal Health.

 

Steps to become an Approved CenCal Health Provider

Step One: Onboarding Application Request Form

Notify CenCal Health’s Provider Services Representatives at psrgroup@cencalhealth.org and they will navigate you through the process of completing the Onboarding Packet and the documentations required.  Our Provider Relations Team will explain which credentialing application, forms and supplemental documents you must submit.

Step Two: Site Review

If you are a Medi-Cal primary care physician, we will perform a site review that must result in an acceptable score before any members are linked to your practice.

Step Three: Credentialing Approval

A CenCal Health medical director or the Peer Review and Credentialing Committee (meets quarterly) must approve your credentialing.

Once you are approved, CenCal Health will send you an approval letter and countersigned Services Agreement. To get started working with CenCal Health, view our Provider Orientation resources.

Be sure to have the following information available and notify CenCal Health of changes to your practice, if any of the following changes occur.

  • NPI Changes
  • Practice re-location or new locations added
  • Change in ownership or name
  • New providers join (or providers leave) your practice
Do you need to enroll in other county and state programs? Contact these programs below for more information.

Child Health and Disability Prevention Program (CHDP)
Vaccines for Children (VFC)
California Children’s Services (CCS)

CenCal Health does not manage the Medi-Cal Dental Program. For enrollment information, please contact Denti-Cal.