Find the right department

Form currently linked from the 2026 OneCare Pharmacy page; code H5433_25IRPD041_C. Published phone supports expedited requests and representative questions. The form’s four-hours footer typo is not used for hours.

Current provider Pharmacy page links this form; use the OneCare Part D row. Phone is corroborated in current manual section I5. Appeals use the separately listed appeal fax.

Current PACE page links the December 2025 referral form. The form requires the individual’s authorization to forward their contact details and request PACE intake contact.

PACE center and customer service. TTY 714-468-1063. Program enrollment and eligibility require the PACE team’s review.

Current PACE Your Rights page directs participant concerns to PACE staff or the general PACE line. It also gives 844-999-7223 as a toll-free alternative. No older grievance mailbox is inferred.

1-844-999-PACE. PACE intake team determines whether program requirements and service area apply. TTY 714-468-1063.

Published PACE TTY contact; not a voice claims desk.

Public business intake contact printed on the December 2025 PACE referral form currently linked from the PACE page. Individual staff availability and hours are not stated.

Public business intake contact printed on the December 2025 PACE referral form currently linked from the PACE page. Individual staff availability and hours are not stated.

Public business intake contact printed on the December 2025 PACE referral form currently linked from the PACE page. Individual staff availability and hours are not stated.

Public business intake contact printed on the December 2025 PACE referral form currently linked from the PACE page. Individual staff availability and hours are not stated.

Current provider Pharmacy page’s general CalOptima Health Pharmacy Program information contact. Specific drug authorization and appeal destinations are listed separately.

September 2026 manual P2: provider breach-reporting contact; ask for the Privacy Officer. This is not a medical-records request or general member inbox.

Current linked form is for claim reimbursement or processing disputes. Clinical authorization disputes use a different form and route. Follow the applicable member/network and plan instructions.

Use the currently linked non-contracted registration form with its required W-9 and supporting materials. Form title is December 2022; fax/email are also confirmed in current September 2026 manual L2. This is registration for claims review, not acceptance into the contracted network.

Mailbox for errors in the published provider directory. Do not use as claims, contracting or member clinical intake.

September 2026 manual M5 specifically publishes this mailbox and Provider Resource Line for HEDIS questions. It is not a general medical-records submission destination.

Current Claims and Eligibility page directs contracted providers and prospective contracting inquiries to this mailbox. Separate from non-contracted registration and the general providerservices mailbox.

Current FAQ publishes this general provider mailbox. Contracting and training use the separate Provider Services Inbox route.

Training questions use Provider Relations; signed completion attestations may be emailed to this inbox or the assigned representative.

Current linked service authorization dispute form. Clinical authorization denials, reductions, suspensions or terminations; not claim-payment or billing disputes. Required supporting clinical information must accompany the form.

September 2026 manual M7 specifies these reporting channels for potential quality-of-care issues.

Published after-hours inpatient post-stabilization route. Obtain the tracking number and case-specific clinical fax from the UM team.

Obtain a tracking number first; the nurse case manager supplies the fax destination for clinical information. This route is specifically for inpatient post-stabilization authorization.

State agency/health-officer directory contact. The source does not promise a general switchboard, appointment eligibility or a response time. Personal staff email omitted.

Contact published in Maryland Department of Health’s Local Partners directory. The source does not state routine hours, fax, administrative email, or office address; those fields remain blank. Contact the department to identify the relevant program.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Non-emergency medical transportation prior authorization (PCS forms). Trip scheduling is through Modivcare.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Online submission at radmd.com.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Emergency hospitalizations require notification within 24 hours.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Long-term care (SNF/LTC) intake and authorization.

One number for CalViva Medi-Cal member and provider services; the PA list also gives it for eligibility/benefits and telephone prior authorization requests.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Scheduling of non-emergency and non-medical ground transportation.

Fax the completed CalViva Notice of Pregnancy form as early as possible so the plan can support the pregnancy.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. PA for drugs administered in a physician's office (including self-injectables given in office). Outpatient pharmacy drugs are Medi-Cal Rx.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Outpatient/inpatient PA requests may also be submitted online at provider.healthnetcalifornia.com.

Paper claims for CalViva Health. For real-time eligibility and claim status through clearinghouses, the payer ID is 68069 (Availity) or 95567 (Ability/MDOnline).

Email Health Net Provider Relations (CalViva) to request the printed provider toolkit.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Transplant evaluation, consult, donor search and transplant procedure requests.

CalViva Health Medi-Cal (Fresno, Kings, Madera counties) is administered by Health Net; this contact comes from the CalViva prior authorization list effective October 1, 2026. Musculoskeletal surgical procedure requests for members 21 and over.

For enrolled Dual Align (Medicare + Medi-Cal) members in Fresno, Kings and Madera counties; TTY 711.

Published routine clinic contact. Payment and sliding-fee questions can be raised with the clinic; assistance requires review. Contact-page fax and postal address were reviewed in the official indexed extract; direct page retrieval timed out. The current home-page extract confirms the clinic phone, location, hours and named communities.

Pennsylvania Department of Health state-center directory record. This is a state public-health service contact, distinct from a county health department. Confirm program eligibility and the responsible local jurisdiction with staff.

CHA billing questions, MyCHArt billing log-in help and paper statement requests.

CHA central referral office main line and fax for provider referrals. Specialty Scheduling Center: 781-338-0600 (fax 781-367-9912).

CHA financial assistance / financial counseling (MassHealth, Health Safety Net, CHA programs).

Send the signed CHA authorization form by fax, mail, or email a scan of the hand-signed form. Patients can also request through MyCHArt.