Provider Notifications/Updates


Care1st Provider Updates - 07/2018
Care1st Data Migration, Provider Manual, Encounter Data Updates, Medi-Cal Provider Enrollment.

Provider Communications Memo - 05/2018
Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain.

Timely Access Regulations and Upcoming Surveys
Important Information for Physician Practices

Provider Online Interface Form Flyer
Effective July 1, 2016, contracted providers are required to notify Care1st within 5 business days of any changes to their panel status pursuant to H&S 1367.27. Care1st contracted providers can review their information through a Provider Data Form located in the Provider Portal. More

SB 75 – Full Scope Medi-Cal for All Children

  • The Department of Health Care Services (DHCS) will implement the transition of individuals from restricted scope to full scope Medi-Cal coverage by May 1, 2016.

DHCS recognizes SB 75 affects two (2) populations of children:

  • Transition population - individuals under age 19 who are currently enrolled into restricted scope Medi-Cal with unsatisfactory immigration status; and,
  • New enrollee population - individuals under age 19 who are eligible for Medi-Cal and have unsatisfactory immigration status not yet enrolled

DCHS has not created aids codes for the transition of the two (2) populations.

Care1st Enrollment Unit is available M-F from 8am-6pm and be reached at (866) 820-6009 for assistance with the following:

  • SB 75 education
  • Enrollment assistance into the Medi-Cal program
  • Enrollment assistance into Medi-Cal Managed Care
  • Adding a family member to an existing case
  • Medi-Cal Annual Re-determination
  • Reinstate Medi-cal benefits assistance


Provider Roster:
  • Los Angeles/ San Diego Counties – Medi-Cal Mental Health Services Expansion
    Effective 1/1/2014 – Beacon Provider Roster - [Coming soon]

  • Benefits of Electronic fund Transfer (EFT) Include:
    Care1st Health Plan has teamed up with J.P. Morgan to speed up claims payment via an electronic fund transfer (EFT) system. Your business provides services to our members so it is our top priority that you have fast access to your money and easy claim processing for your office. More