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