Developed by CMA Physician Services, the Health Plan Quick Reference Guide outlines available encounter data submission resources, requirements, and contacts from the major Medi-Cal health plans.
California Medical Association Physician Services (CMA PSO)
Why use it
Save time and effort searching for encounter data submission resources. The reference guide is editable so provider practices and community health centers can update and expand it as needed.
Who it’s for
These printable resources are intended for business office, billing, and administrative staff at physician practices and community health centers in California serving patients with Medi-Cal coverage. Users can add Commercial and Medicare plan information using the template provided.
If you are a health plan representative and have edits or additions for this guide, please fill out IHA’s Contact Us form so your update may be incorporated.
The Health Plan Quick Reference Guide lists encounter data submission information, including format and timeliness requirements as well as available resources, for the following Medi-Cal managed care plans:
- Health Net
- Blue Shield of California Promise Health Plan
- Inland Empire Health Plan
- Molina Healthcare
- L.A. Care Health Plan
November 2022; updated February 2023