Provider Directory Requirements for Medi-Cal Fee-for-Service Providers
Effective July 1, 2025, Medi-Cal Fee-for-Service (FFS) providers must provide additional information listed below (in addition to the information already being collected through the Medi-Cal enrollment application). In accordance with the Centers for Medicare and Medicaid Services (CMS), the Department of Health Care Services (DHCS) is implementing guidance on Provider Directory requirements for FFS providers pursuant to Division H, Title V, Section 5123 of the Consolidated Appropriations Act, 2023 (CAA, 2023), and State Health Official 24-003 Letter, Section Provider Directory Data Requirements, Page 5.
Please refer to our
Frequently Asked Questions for more information.
Update Your Provider Directory Information Now
Non-Billing Providers
Actively enrolled individual Fee-For-Service (FFS) providers who directly render healthcare services to Medi-Cal members and
do not submit claims directly to Medi-Cal for services provided must submit the information by completing the
Provider Directory Survey. Non-billing providers include rendering, Ordering, Referring, and Providing (ORP) and Non-Physician Medical Practitioner (NMP) providers.
Provider Directory Survey(feature)
Background
CAA, 2023 mandates Medicaid, and Children's Health Insurance Program (CHIP) FFS programs and contracted Managed Care Plans publish searchable and regularly updated provider directories on a public website by July 1, 2025. The CAA, 2023 introduced new requirements for the FFS provider directory under Division H, Title V, Section 5123, titled "Requiring Accurate, Updated, and Searchable Provider Directories." These requirements add to the minimum required information in the FFS provider directory, which must be updated at least quarterly. The “Enrolled Medi-Cal FFS Providers" dataset housed on the California Health & Human Services Open Data Portal is considered the FFS provider directory.
New Policy
Effective July 1, 2025, FFS providers must provide the following information that will be included in the FFS provider directory (in addition to the data elements already being collected through the Medi-Cal enrollment application):
- Provider office phone number
- Provider website (if available)
- Whether the Provider is accepting new Medicaid patients
- Whether the Provider is accepting new CHIP patients
- Cultural and linguistic capabilities including languages (including American Sign Language) offered by the Provider or by a skilled medical interpreter who provides interpretation services at the Provider's office
- Which accommodations the Provider's office or facility has provided for individuals with physical disabilities, including offices, exam rooms, and equipment
- Whether the Provider offers Covered Services via telehealth
Quarterly Update
To ensure the accuracy of the provider directory, enrolled providers must review and update this information at least quarterly and by the end of each calendar month of January, April, July, and October.
Updates to existing provider directory information can be made at any time. If there are no changes to the provider directory information in future quarters, no action is required.
Frequently Asked Questions
General
Which providers are required to update their directory information?
Under Section 5123 of the Consolidated Appropriations Act, 2023 (CAA, 2023), Medicaid, and Children's Health Insurance Program (CHIP) Fee-For-Service (FFS) programs and their contracted Managed Care Plans must publish searchable, regularly updated provider directories on a public website by July 1, 2025.
Directory providers include, but are not limited to physicians, hospitals, pharmacies, providers of mental health services, providers of substance use disorder services, providers of long-term services, and all other providers listed on the
Provider Enrollment webpage.
What information am I required to update?
Enrolled providers must submit the following directory information, which will be used to update the existing
Medi-Cal Fee-For-Service Provider Directory: provider office phone number, provider website (if available), whether the provider is accepting new Medicaid patients, whether the provider is accepting new CHIP patients, whether the provider offers covered services via telehealth, cultural and linguistic capabilities, and accommodations the provider's office or facility has provided for individuals with physical disabilities.
What is the Fee-For-Service Provider Directory?
The Medi-Cal Fee-For-Service Provider Directory is a publicly accessible dataset found on the
CalHHS Open Data Portal.
Can I update this information in PAVE?
No, PAVE does not collect the additional provider directory information required by Section 5123 of the CAA, 2023.
How frequently must I update my information?
To ensure the accuracy of the provider directory, enrolled providers must review and update this information at least quarterly and by the end of each calendar day of January, April, July, and October. Updates to existing provider directory information can be made at any time.
What if I don't have any changes to make after the first update?
If there are no updates to your provider directory information in subsequent quarters after the initial submission, no further action is required.
Where do I update my provider information?
Billing providers must submit the provider directory information within the Medi-Cal
Provider Portal. To access the portal, enrolled FFS providers must first create an account by registering on the
Medi-Cal Providers webpage.
Provider Portal for Billing Providers
Where do I update my information on the Provider Portal?After logging in, navigate to “NPI Agreements and Settings" and select “Public Fee-For-Service Provider Directory."
I cannot access my account on the Provider Portal. Who do I contact?The Telephone Service Center (1-800-541-5555) is available 8 a.m. to 5 p.m. PT, Monday through Friday, except national holidays.
Who is authorized to make updates in the Provider Portal?Only Organization Administrators and NPI Administrators can update provider directory information. To update user permissions, an Organization Administrator must add the user and assign permission levels. Refer to the
Provider Portal User Guide: Provider Organization for a description of each available role.
For other Provider Portal related questions, please visit the
Provider Portal FAQ.
Provider Directory Survey for Non-Billing Providers
Can I save my progress while completing the survey?No, the survey does not save incomplete responses. We recommend drafting responses in a separate document before entering them in the survey.
How can I edit my previous submission?To make changes, please submit a new response using the
Provider Directory Survey. The most recent response will overwrite previous submissions. Please allow one week upon submission for updates to reflect in directory.
How can I view my previous submission?To request a copy of your response, please complete the
Provider Inquiry Form.
For any other questions regarding the FFS provider directory, providers may contact the Provider Enrollment Division through the Provider Inquiry Form.