本页面提供有关如何注册成为 Medi-Cal 提供商、提供商账单和索赔协助以及 Medi-Cal 承保福利（包括承保政策）的信息和资源。​​ 

Medi-Cal 提供商注册​​ 

To serve Medi-Cal members, providers must first submit a provider enrollment application with the Department of Health Care Services’ (DHCS’) Provider Enrollment Division (PED).​​ 

DHCS/PED is responsible for the enrollment and re‑enrollment of Medi-Cal fee-for-service (FFS) providers who can then directly serve Medi-Cal FFS members and bill DHCS as well as subsequently contract with individual Medi-Cal managed care plans (MCPs) to become network providers to serve Medi-Cal managed care members. For more information about Medi-Cal managed care and contracting with Medi-Cal MCPs to become network providers, please see DHCS’ website.​​ 

DHCS/PED 还负责制定登记政策，并更新和维护在索赔支付过程中使用的提供商主文件数据库中的提供商信息。​​  

Medi-Cal providers can learn more about DHCS/PED, or contact them directly.​​ 

Medi-Cal 提供商手册和提供商公告​​ 

Medi-Cal 提供商可以访问Medi-Cal 提供商手册和提供商公告，其中概述了 Medi-Cal 的覆盖范围和报销政策。​​ 

Medi-Cal providers are also strongly encouraged to sign up for DHCS’ Medi-Cal Subscription Service (MCSS), which is a free service that keeps Medi-Cal providers up-to-date on the latest Medi-Cal news. Medi-Cal providers who subscribe will receive subject-specific emails for urgent announcements and other updates shortly after they post to the Medi-Cal website.​​ 

Medi-Cal 提供商计费和索赔协助​​ 

Medi-Cal providers have access to billing and claims assistance through DHCS’ California Medicaid Management Information System (CA-MMIS) and its contracted Fiscal Intermediary (FI).  CA-MMIS and FI staff can assist providers with questions about paper claim submissions, electronic claim submission, and Treatment Authorization Requests (TARs and electronic-TARs, or eTARs).​​ 

Medi-Cal 提供商可以致电 (800) 541-5555（加州以外请拨打 (916) 636-1980）联系电话服务中心 (TSC)，周一至周五（节假日除外），上午 8:00 至下午 5:00 为了更快地访问 TSC 资源，Medi-Cal 提供商可以参考TSC 主菜单提示选项指南。​​ 

通过小型供应商计费部门，DHCS 还为每月提交最多 100 份 Medi-Cal 索赔且不使用计费服务或代理机构的 Medi-Cal 供应商提供全方位服务的计费协助和培训计划。 Medi-Cal 提供商可以致电 916) 636-1275 联系小型提供商计费部门，周一至周五（节假日除外），上午 8:00 至中午 12:00 和下午 1:00 至下午 5:00​​ 

Medi-Cal providers can also refer to DHCS’ billing Frequently Asked Questions document for more information and refer to applicable sections of the Medi-Cal Provider Manual.​​ 

Medi-Cal 提供商培训​​ 

DHCS’ Outreach and Education (O&E) team offers billing-specific education and support services to Medi-Cal providers and billers, to help providers navigate Medi-Cal and receive timely reimbursement for services.​​ 

此外， Medi-Cal 学习门户还为 Medi-Cal 提供商和收费员提供自定进度的在线培训，内容涉及收费基础知识、政策、程序、新举措和 Medi-Cal 计划即将发生的变化。​​ 

In addition to trainings offered through the Medi-Cal Learning Portal, the DHCS/O&E team also facilitates live, virtual and in-person trainings throughout each year. Information on these trainings can be found on DHCS’ website and Medi-Cal providers interested in attending these trainings must register through the Medi Cal Provider Learning Portal Event Calendar.​​  

Medi-Cal providers can also review the information in the Medi-Cal Provider Training workbooks and PowerPoint presentations, which are available for download and can be used at the Medi-Cal provider seminars and other training events.​​ 

生殖健康热线（非 DHCS）​​ 

The Reproductive Health Hotline (ReproHH) is a free, confidential, on-demand phone service staffed by University of California San Francisco’s (UCSF) clinicians who specialize in sexual and reproductive health. It will provide evidence-based clinical information for health care providers with questions about sexual and reproductive health. Funded by the State of California and operated by UCSF’s Department of Family and Community Medicine.​​ 

Medi-Cal 福利​​ 

Medi-Cal providers help ensure that Medi-Cal members have access to a core set of health benefits (known as Essential Health Benefits (EHBs)), including doctor visits, hospital care, immunization, pregnancy-related services, prescription drugs, mental health and substance use disorder services, dental, laboratory services, nursing home care, and more. Medi-Cal providers can learn more about specific EHB categories and the services that fall within each on the Department’s website.[HE1]​​