家供应商和合作伙伴 Medi-Cal ORP​​ 

Medi-Cal ORP 执法宣传与参与​​ 

Providers who order, refer, or prescribe (ORP) care for Medi-Cal members must be enrolled in Medi-Cal with their Type 1 National Provider Identifier (NPI). This is a federal requirement.​​ 

DHCS 正在启动一项多年计划，以确保这些提供者已注册并正确列入索赔清单，并拥有有效的 1 类（个人）NPI。这样做有助于确保 Medi-Cal 的准确性，保障成员获得医疗服务的权利，并符合联邦规定。​​ 

这项要求适用于所有三个 Medi-Cal 计费系统：​​ 

  • 药房（Medi-Cal Rx）​​ 
  • 医疗（CA-MMIS）​​ 
  • 行为健康（肖特-多伊尔）​​ 

医疗服务提供者需要了解什么​​ 

  • 开具医嘱、转诊或处方的医疗服务提供者必须使用 1 类（个人）NPI 注册 Medi-Cal 。​​ 
  • DHCS 将公布时间表，展示在计费系统中强制执行该要求的计划阶段。​​ 
  • 如果开具医嘱、转诊或处方的提供者未注册，则索赔可能会被拒绝。​​ 
  • 立即注册，以防止会员服务中断和避免付款被拒。​​ 

资源​​ 

过去的会议和材料​​ 

Medi‑Cal ORP Provider Enrollment Office Hours​​ 

To support health care organizations and providers seeking information about Medi‑Cal ORP provider enrollment, the DHCS Pharmacy Benefits Division, Provider Enrollment Division, and CA‑MMIS will host four 45‑minute Office Hour sessions between October 15–23, 2026.​​ 

These sessions give you a chance to:​​ 

  • Ask questions about enrollment requirements​​ 
  • Get support with the PAVE application process​​ 
  • Share feedback related to federal compliance efforts​​ 

Office Hours supplement earlier Town Halls (July 30, September 24) and the August Forums on individual provider enrollment enforcement.​​ 

Office Hours Schedule​​ 

  • Thursday, October 15, 2026 – 4:00–4:45 p.m.​​ 
  • Tuesday, October 20, 2026 – 1:30–2:15 p.m.​​ 
  • Thursday, October 22, 2026 – 11:00–11:45 a.m.​​ 
  • Friday, October 23, 2026 – 12:30–1:15 p.m.​​ 

How to Join​​ 

All sessions use the same Microsoft Teams link. A separate invitation will not be sent.​​ 

Join via Microsoft Teams​​ 

Meeting ID: 239 199 416 046 481
Passcode: oE9kg6iV​​