此頁面提供有關如何註冊成為 Medi-Cal 提供商、提供者帳單和索償協助，以及 Medi-Cal 保障福利，包括保障政策的相關資訊和資源。​​ 

加州醫療補助健康保健計劃提供者註冊​​ 

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 還負責開發註冊政策，以及在索償付過程中使用的提供者主文件資料庫中更新和維護提供者資訊。​​  

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

Medi-Cal 提供者手冊和提供者公告​​ 

Medi-Cal 提供商可以訪問 Medi-Cal 提供者手冊和提供者公告，其中概述了 Medi-Cal 的保障和退款政策。​​ 

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.​​ 

中醫服務供應商帳單和索償協助​​ 

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).​​ 

醫療服務提供商可以在星期一至五（例假日除外）上午 8 時至下午 5 時，通過電話（800）541-5555（加州以外，（916）636-1980）與電話服務中心（TSC）聯繫電話服務中心（TSC）。 為了更快地存取 TSC 資源，Medi-Cal 提供者可參考 TSC 主選單提示選項指南。​​ 

通過小型供應商計費單位，DHCS 還為每月提交多達 100 個 Medi-Cal 索償而不使用帳單服務或代理商的 Medi-Cal 提供商提供全方位的計費支援和培訓計劃。 Medi-Cal 提供商可以在星期一至五（例假日除外）上午 8 時至下午 12 時及下午 1 時至下午 5 時，通過電話 916）636-1275 聯繫小型供應商計費單位。​​ 

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.​​ 

醫療服務提供者培訓​​ 

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 學習入口網站為 Medi-Cal 提供者和計費者提供自定節奏的在線培訓，有關計費基礎知識、政策、程序、新措施以及 Medi-Cal 計劃即將進行的更改。​​ 

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.​​ 

生殖健康熱線（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.​​ 

加州醫療補助健康保健計劃 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]​​