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Application Information by Provider Type
Find your provider type to get specific instructions on how to apply for fee-for-service enrollment.
A-M
Acupuncturist
Audiologist
Certified Mastectomy Fitter
Chiropractor
Clinical Laboratory
Clinical Social Worker
Community-Based Organization (for CHW, AP, JI, or Behavioral Health Treatment Services)
County Children and Families Commission (for CHW & AP Services)
Dental
Diabetes Prevention Program
Dispensing Optician
Doctor of Medicine
Doctor of Osteopathic Medicine
Doula
Drug Medi-Cal Providers
Durable Medical Equipment Provider
Exempt from Licensure Clinics
Facilities
Group Providers
Hearing Aid Dispenser
Independent Diagnostic Testing Facility (IDTF)
Licensed Professional Clinical Counselor
Local Health Jurisdiction (for CHW & AP services)
Marriage and Family Therapist
Medical Transportation Provider
Midwife (licensed by Medical Board of California)
N-Z
Non-Medical Transportation Provider
Nurse Anesthetist
Nurse Midwife
Nurse Practitioner
Occupational Therapist
Optometrist Package
ORP (Ordering/Referring/Prescribing) Only Enrollment
Orthotist
Pharmacy Provider
Physical Therapist
Physician Assistant
Podiatrist Package
Portable Imaging Provider
Prosthetist
Psychologist
Qualified Autism Service (QAS) Provider Organization and Individual (for Behavioral Health Treatment Services)
Rendering Providers
Respiratory Care Practitioner
Speech-Language Pathologist
Surgery Center (Physician Owned)
Tribal Health Programs
Unlisted Provider Types
Last modified date: 5/5/2025 8:08 AM
