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Medi-Cal Rendering Provider Application Disclosure Statement Agreement for Physician Allied Dental P

Medi-Cal Rendering Provider Application Disclosure Statement Agreement for Physician Allied Dental P 2025

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The document is a communication from the California Department of Health Care Services outlining the requirements for applicants seeking to enroll as Medi-Cal providers. It details the necessary forms, including the Medi-Cal Rendering Provider application and associated documentation, such as proof of National Provider Identifier (NPI) and professional liability insurance. The letter emphasizes the importance of completing all sections accurately to avoid application denial and provides instructions for reporting changes in provider information. Additionally, it includes guidelines for maintaining compliance with Medi-Cal regulations.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is Medi-Cal pave?

The Provider Application and Validation for Enrollment (PAVE) system is an interactive, web- based solution for the provider types who enroll with Medi-Cal through PED and manage their Medi-Cal accounts securely online.

What is Pave Clinic?

The PAVE Clinic is an outpatient podiatry specialty clinic. PAVE is specialty services working as a team with a goal of prevention of foot sores or amputation. Amputation care and rehabilitation is provided for a Veteran who has had an amputation.

What is the pave program?

The PAVE program consists of a series of modules that provide participants with knowledge and skills that better enable them to speak out against violence in their communities.

How long does a pave application take?

Processing and approval of the application takes approximately 1 month. Check your PAVE inbox frequently for approval information. Once your application is approved, you will receive a letter in your PAVE inbox.

How do I submit a prior authorization to Medi-Cal?

Pharmacy providers and prescribers can submit a PA request via fax number 1-800-869-4325 by utilizing the preferred Medi-Cal Rx Prior Authorization Request Form or any of the following approved forms: 50-1, 50-2, 61-211.

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