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    2-1-1 San Diego

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Resources


New Provider Orientation
Online Referral Submission Instructions

Contract Applications
Community Health Group only honors Contract Applications from the following providers at this time. If you are one of these providers, please click on the applicable specialty below for the corresponding application:

Notice to Non-Contracted Providers
Ambulatory Surgery Center
Behavioral Health
Colon and Rectal Surgery
Endocrinology
Hand Surgery
Infectious Disease
Neurology
Oral Maxillofacial Surgery
Orthopedic Surgery
Primary Care (FP, IM, GP)
Pulmonology
Rheumatology

Formulary
Medi-Cal Formulary
Cal MediConnect Medicare Formulary
CommuniCare Medicare PA Criteria
Cal MediConnect Medicare PA Criteria
Medication Request Form

Quality Improvement

Hospital Safety

Grievance Forms
English Medi-Cal Grievance Form
Arabic Medi-Cal Grievance Form
Spanish Medi-Cal Grievance Form
Vietnamese Medi-Cal Grievance Form
Tagalog Medi-Cal Grievance Form

Deficit Reduction Act

Managed Care Medical links
AAHP
NCQA

Medical links
Health World
Medical Matrix
AMA
AHCPR
CMS
Center Watch
RxList
NLM

Referral Request Resources
CCS Service Authorization Request(SAR) Form
Referral and Services Request Form
No Authorization Required List (Medi-Cal)
No Authorization Required List (Cal MediConnect)
Synagis Request Form
Online CHDP Users Manual
CPMG Auth Request for Synagis

Credentialing
Credentialing Policy - Right to Review
Credentialing Policy – Minimum Practitioner Standards
Credentialing Application
Credentialing Addendum A
Credentialing Addendum B