Application Fee for Calendar Year 2021

The application fee amount for the calendar year 2021 is $599.00. This amount reflects a $4.00 increase from the calendar year 2020 application fee. This fee amount is established by the Centers for Medicare & Medicaid Services for each calendar year and the new $599.00 amount is required with any applicable enrollment application submitted on or after January 1, 2021 and on or before December 31, 2021. The date of su​​bmission is determined by the postmark date stamped on the Medi-Cal provider application package by the United States Postal Service or by a commercial delivery company, or by the submission date in the Provider Application and Validation for Enrollment (PAVE).

More information regarding the current fee amount is available from the Government Printing Office, Federal Register.

Method of Payment for Medi-Cal

For applicants and providers subject to paying the fee with their application for Medi-Cal enrollment, DHCS only accepts electronic funds transfer (EFT) in PAVE or cashier's checks are accepted for paper applications only, made payable to the State of California, Department of Health Care Services. The cashier's check must be in the amount established for the calendar year in which DHCS receives your application for enrollment.

Additional Information

Additional information regarding the Application Fee requirements is available in the regulatory provider bulletin, "Medi-Cal Application Fee Requirements for Compliance with 42 Code of Federal Regulations Section 455.460."

No Application Fee for Physician and Non-Physician Group Applicants

Upon clarification received from the Centers for Medicare & Medicaid Services (CMS) in March 2013, physician and non-physician practitioner groups, as well as individuals, are not to be subject to the application fee requirements of Title 42, Code of Federal Regulations Section 455.460, as Medicaid applicants.

Last modified date: 5/4/2021 5:22 PM