Search

HPSM
Providers

Where to Start

Medi-Cal Rx started on 1/1/22

Learn about DHCS’s provider medication authorization & claims procedures.
Medi-Cal Rx dhcs

Learn more

vax
COVID-19 Vaccine Incentive Program

Get funding to vaccinate HPSM members!

Authorizations
Claims
Directory Search
Find a Form
Formulary Search
Learning Lab
Portal/eReports Log in
Provider Resources
View More Tasks

News & Announcements

 
DHCS 30-Day Notice - Reinstatement of Reject Codes (149 KB)
 
Happy Pride From HPSM (226 KB)
 
June 2022 Behavioral Health Provider Update (220 KB)
 
COVID-19 Therapeutics (194 KB)
 
May 2022 Notification Summary (225 KB)

Popular Forms

 
Prior Authorization Request Form (1165 KB)
 
Prescription Drug Authorization Request Form (231 KB)
 
Referral Authorization Correction Form (378 KB)
 
ACE Referral Authorization Form (384 KB)

Page Directory

Authorizations
Prior Authorizations Referrals Prescription Authorizations Specialty Authorizations PAR List Changes
Claims
Claims Submit Claims Rebill or Update Claims Submit a Claims Dispute Sign Up for Electronic Payments Contact Claims Services
Clinician Documentation & Quality Resources

Clinical GuidelinesFacility Site Reviews/Medical Record ReviewsHealthcare Effectiveness Data & Information SetInitial Health AssessmentPotential Quality Issue

Search
Provider Forms Provider Portal Search the Formulary Search the Provider Directory
Culturally Inclusive Care
Cultural Humility & Cultural CompetencyHealth LiteracyLanguage Assistance Services Maternal Health Disparities Seniors & Persons with Disabilities
Additional Care Resources
Behavioral Health CalAIM: Community Supports and Enhanced Care Management COVID-19 Resources Diabetes Prevention Program Home Health Care Providers Nurse Advice Line Tobacco Cessation Urgent Care Referrals
Our Network
Join Our Network Join HPSM Dental Update Your Info Specialist Incentive Value-Based Payment Program
Provider Education
Grievance & Appeals Process HealthMatters MD Newsletter News & Announcements Provider Learning Lab Provider Manual
 
 
` }