​​​Provider Enrollment Options

Reference a list of providers that are eligible to enroll through:

Provider Types Eligible to Enroll Through PAVE

  • Air Ambulance Transportation
  • Ambulatory Surgical Clinic (Physician-Owned)
  • Audiologist
  • Blood Bank
  • Certified Acupuncturist
  • Certified Registered Nurse Anesthetist
  • Certified Nurse Midwife
  • Certified Nurse Practitioner
  • Certified Nurse Practitioner Group
  • Chiropractor
  • Clinical Laboratory
  • County Clinic Not Associated with Hospital Exempt From Licensure
  • Diabetes Prevention Program
  • Dispensing Optician
  • Drug Medi-Cal Clinic
  • Drug Medi-Cal Heroin Detox
  • Drug Medi-Cal Licensed Substance Use Disorder Treatment Professional
  • Drug Medi-Cal Substance Use Disorder Medical Director
  • Durable Medical Equipment
  • Exempt from Licensure Clinic
  • Hearing Aid Dispenser
  • Licensed Clinical Social Worker
  • Licensed Clinical Social Worker Group​
  • Licensed Marriage and Family therapist
  • Licensed Marriage and Family Therapist Group
  • ​Licensed Midwife
  • Licensed Professional Clinical Counselor
  • Medical and Non-Medical Ground Transportation
  • Nurse Practitioner (Supervised)
  • Occupational Therapist
  • Ocularist
  • Optometrist
  • Optometrist Group
  • Orthotist
  • Out of State Hospital (Inpatient)
  • Out of State Hospital (Outpatient)
  • Pharmacy
  • Physician Assistant (Supervised)
  • Physician/Surgeon
  • Physician/Surgeon (Group)
  • Physical Therapist
  • Podiatrist
  • Portable Imaging
  • Prosthetist
  • Prosthetist/Orthotist Group
  • Respiratory Care Practitioner
  • Respiratory Care Practitioner Group
  • Speech Language Pathologist
  • Tribal Health Services

PAVE-Eligible Specialized Enrollment Options (For Applicable Provider Types)

  • Clinic-Based Provider
  • Facility-Based Provider
  • Hospital-Based Provider
  • Medicare Crossover-Only Provider
  • Ordering, Referring, Prescribing (ORP) Provider​

Provider Enrollment Requests Completed via Paper Forms

Provider Types Eligible to Enroll Through California Department of Public Health

Visit the California Department of Public Health to enroll:

  • Alternative Birth Centers - Specialty Clinic
  • Birthing Center Services
  • Certified Hospice
  • Chronic Dialysis Clinic
  • Community Clinic
  • Community Hospital (Inpatient)
  • Community Hospital (Outpatient)
  • County Clinics Not Associated with Hospital
  • County Hospital (Inpatient)
  • County Hospital (Outpatient)
  • Free Clinic
  • Health Access Program
  • Home Health Agency
  • Home and Community Based Services Nursing Facility
  • Long Term Care Facility
  • Multi-Specialty Clinic
  • Otherwise Undesignated Clinic
  • Pediatric Subacute Care LTC
  • Rehabilitation Clinic
  • Residential Care Facilities for the Elderly
  • Rural Health Clinics/Federally Qualified Health Clinic
  • Surgical Clinic

Provider Types Eligible to Enroll Through other Divisions/Departments

Last modified date: 5/25/2021 11:48 AM