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About Us
About CalOptima Health
History
Board of Directors
Brian Helleland
Cathy Green
Isabel Becerra
Maura Byron
Blair Contratto
José Mayorga, M.D.
Vicente Sarmiento
Don Wagner
Doug Chaffee
Norma García Guillén, J.D.
Debra Baetz
Executive Management
Eric Rustad
Javier Sanchez
Carmen Katsarov, LPCC, CCM
Deanne Thompson
Donna Laverdiere
Michaell Silva Rose, DrPH, LCSW
Eric Rustad
John Tanner
Kelly Bruno-Nelson
Kelly Giardina
Linda Lee, MPH
Marie Jeannis, RN, MSN, CCM
Michael Gomez
Michael Hunn
Nancy Huang
Richard Pitts, D.O., Ph.D.
Veronica Carpenter
Yunkyung Kim
Zeinab Dabbah, M.D., J.D., M.P.H.
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Stay Connected
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Health Care Fraud
First Tier, Downstream and Related Entities
Compliance Resource Links
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A Great Place to Work
Search Open Positions
Rewards and Benefits
Employee Appreciation
Health and Well-Being
Opportunities for Growth
Retirement Benefits
Work/Life Balance
Press Releases
CalOptima Health Publications
Press and Media Contacts
CalOptima Health Partners With NAMI OC For Mental Health Program Supporting Hospital Discharges
CalOptima Health Launches Largest Cancer Prevention Program with Record $50.1 Million Investment
CalOptima Health Wins Award For Partnership To Improve Behavioral Health Care
Marina Esquivel Cisneros of San Juan Capistrano, California Wins 2022 ACAP Scholarship
CalOptima Health Appoints Linda Lee To New Executive Director Position Focused On Serving Seniors
CalOptima Health, Orange County School Districts Partner to Combat Mental Health Crisis
Funding for Homeless Health Initiatives Expected to Top $123 Million
CalOptima Health Is a Top Medi-Cal Plan in California
CalOptima Seeks to Launch Covered California Plan
CalOptima Approves $64 Million in Added Provider Support
CalOptima Appoints Kelly Bruno-Nelson as Executive Director, Medi-Cal/CalAIM
CalOptima Invests Record $50 Million in Safety Net
CalOptima Embarks on a Groundbreaking Five-Year Strategic Vision
CalOptima Addresses Food Insecurity Among Members By Promoting CalFresh Enrollment
Michael Hunn Appointed Permanent CalOptima CEO
CalOptima Grants $1M to Increase Access at Be Well OC
CalOptima Launches Mobile Mammography Clinics to Increase Access to Preventive Screenings
CalOptima Names New Chief Medical Officer
CalOptima Enhances Care For Orange County Residents with Start of CalAIM on January 1
CalOptima Board Approves $45 Million in New Funds for Providers, and Additional Resources for Orange County’s Vulnerable
Wael Younan Named CalOptima Chief Information Officer
Michael Hunn to Lead CalOptima as Interim CEO
CalOptima Earns Consumer Satisfaction Award
CalOptima PACE Marks Eight Years in the Community
CalOptima Among Top Medi-Cal Plans in California
CalOptima Chief Executive Officer Richard Sanchez To Retire
Yunkyung Kim Named CalOptima Chief Operating Officer
CalOptima Promotes Back-To-School Readiness
CalOptima Promueve La Preparación Para El Regreso A Clases
CalOptima Thúc Đẩy Việc Chuẩn Bị Sẵn Sàng Để Quay Lại Trường Học
National Committee For Quality Assurance Renews CalOptima’s Accreditation Through 2024
El Comité Nacional De Control De Calidad Renueva La Acreditación De CalOptima Hasta El 2024
Ủy Ban Quốc Gia Về Bảo Đảm Phẩm Chất Gia Hạn Chứng Nhận Của CalOptima Đến Năm 2024
Vaccination and Resource Event Series Concludes
Event Provides Record Number of COVID-19 Vaccines
CalOptima and Partners to Host Vaccine Clinic and Resource Fair on Saturday
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
Pilot Program Aims to Quickly Vaccinate Vulnerable Seniors
El Programa Piloto Tiene Como Objetivo Vacunar Rápidamente a Los Adultos Mayores Vulnerables
Chương Trình Thí Điểm Để Nhanh Chóng Chích Ngừa Cho Những Người Cao Niên Dễ Bị Tổn Thương
Be Well OC Debuts First Mental Health and Wellness Campus in Orange County
CalOptima's Financial Support Addresses Ongoing Pandemic
Apoyo Financiero De CalOptima Para La Pandemia En Curso
Hỗ Trợ Tài Chính Từ CalOptima Để Đối Phó Với Đại Dịch Đang Diễn Ra
CalOptima Employees Award Two Scholarships to Members Pursuing Health Care Careers
CalOptima to Promote COVID-19 Vaccinations
CalOptima Promueve La Vacunación Contra El Covid-19
CalOptima Khuyến Khích Việc Chích Ngừa Covid-19
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الأعضاء
Medi-Cal
الأعضاء الجدد يبدأون هنا
المزايا
برامج أخرى
MSSP
التواصل مع الأعضاء
خدمات الترجمة الفورية
دخل الضمان التكميلي (SSI)
الخدمات المقدمة من قبل وكالات أخرى
التصريح المسبق
هل أنت بحاجة للحصول على مشورة صحية؟
اعثر على مزود
العثور على طبيب رعاية أولية أو أخصائي
ابحث عن مستشفى أو مرفق أو مزود إضافي
البحث عن رعاية عاجلة
العثور على مزود صحة سلوكية
ابحث عن مزود عيون
الأسئلة المتكررة
خدمات رفيقة الولادة
النماذج الشائعة
وثائق مهمة أخرى
Community Supports (CalAIM)
برنامج الصيدلة
سحب الأدوية واسترجاعها
الحقوق والمسؤوليات
الإبلاغ عن وحل المشاكل
نموذج التظلمات والاستئنافات
الإبلاغ عن الاحتيال وإساءة الاستخدام
احجز موعدًا للرعاية الصحية عن بعد مع أحد مزودي رعاية الصحة السلوكية
نموذج الطفل الشامل (WCM)
OneCare Connect
برنامج الصيدلة
إدارة العلاج الدوائي
وثائق الأعضاء
النماذج الشائعة
وثائق مهمة أخرى
حقوقك
الحقوق والمسؤوليات
يمكنك الإبلاغ عن الاحتيال أو سوء الاستخدام
كيفية تقديم استئناف أو تظلم
نموذج إلكتروني لتقديم طلبات أو استئنافات الأعضاء أو شكاويهم
إخلاء المسؤولية
OneCare (HMO D-SNP)
المزايا (Benefits)
منافع الأدوية بدون وصفة طبية (Over-the-Counter, OTC)
منافع الأدوية بدون وصفة طبية (Over-the-Counter, OTC)
الأسئلة الشائعة
اعثر على مزود
اعثر على طبيب رعاية أولية (PCP) أو أخصائي
اعثر على الرعاية العاجلة
اعثر على مستشفى أو منشأة أو مقدم خدمات ثانوي
اعثر على مزود رعاية سلوكية
اعثر على صيدلية
اعثر على مزود رؤية
كيفية التسجيل
توجيه الأعضاء الجدد
الأعضاء الجدد يبدأون هنا
برنامج الصيدلة
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مستندات الأعضاء
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حقوقك
الحقوق والمسؤوليات
يمكنك الإبلاغ عن الاحتيال أو الإساءة
كيفية تقديم طعن أو تظلم
نموذج إلكتروني لتقديم طلبات أو استئنافات الأعضاء أو شكاويهم
إخلاء مسؤولية
PACE
The PACE Center
How To Enroll
Benefits
Frequently Asked Questions
What Is An Interdisciplinary Team (IDT)?
Member Documents
Member Documents
Common Forms
PACE Telehealth
Your Rights
Report Fraud or Abuse
Your Rights and Responsibilities
Grievance Process
Learn About the Member Portal
Gender-Affirming Care
فحص السرطان والدعم
هل يجب أن يتم فحصي؟
فحص السرطان و الدعم
فحص السرطان وتقديم الدعم
فحص السرطان والدعم
For Providers
Claims and Eligibility
About CalOptima Link
Electronic Data Interchange (EDI)
Eligibility/Benefit Inquiry and Response (270/271)
When do providers use claim status inquiry and response?
Provider Claim Registration Forms
How to Verify Eligibility
Prior Authorizations
Claims Process
Post-Stabilization
Resources
Provider Complaint Process
Provider FAQs
You Can Report Fraud or Abuse
Provider Search and Directories
Manuals, Policies and Guides
Pediatric Prevention Services Provider Resources
Clinical Practice Guidelines (CPG)
Common Forms
Adverse Childhood Experiences
Health Education
Bright Steps Program (Maternity Services)
Multi-Language Health Education Materials
Quality Improvement and Health Equity
Behavioral Health Getting Started
SABIRT Resources
Autism Resources
Behavioral Health Resources
Common Forms
FAQs and Guides
News and Events
Announcements
Newsletters
Events
OneCare Connect 2023 Transition
Important Updates
Long-Term Care
Community-Based Adult Services
CBAS FAQ
Long-Term Services and Supports Facilities
Long-Term Services and Supports Forms
Pharmacy Information
Pharmacy Residency
Medi-Cal and CalOptima Direct
OneCare (HMO SNP) (Medicare Part D) Resources
OneCare Connect Resources
Pharmacy and Therapeutics Changes
CalOptima Health Plan Profile Sheets
Pharmacy Updates
True Metrix and TRUEtrack Program Information
Provider Trainings
Fraud, Waste and Abuse
Coding
Competency and Sensitivity Training
Cultural Competency Training
Disability Awareness
HEDIS Hybrid Medical Record Review
HIPAA Training
Provider Initial Onboarding / Annual Training
OneCare (HMO D-SNP) Model of Care
Other Trainings by Topic
Personal Care Coordinator Training
Seniors and Persons with Disabilities
How to Contract with CalOptima Health
Credentialing
Learn About the Provider Portal
About Us
About CalOptima Health
History
Board of Directors
Brian Helleland
Cathy Green
Isabel Becerra
Maura Byron
Blair Contratto
José Mayorga, M.D.
Vicente Sarmiento
Don Wagner
Doug Chaffee
Norma García Guillén, J.D.
Debra Baetz
Executive Management
Eric Rustad
Javier Sanchez
Carmen Katsarov, LPCC, CCM
Deanne Thompson
Donna Laverdiere
Michaell Silva Rose, DrPH, LCSW
Eric Rustad
John Tanner
Kelly Bruno-Nelson
Kelly Giardina
Linda Lee, MPH
Marie Jeannis, RN, MSN, CCM
Michael Gomez
Michael Hunn
Nancy Huang
Richard Pitts, D.O., Ph.D.
Veronica Carpenter
Yunkyung Kim
Zeinab Dabbah, M.D., J.D., M.P.H.
Board and Advisory Committees
Member Advisory Committee
Whole-Child Model Family Advisory Committee
Provider Advisory Committee
Finance and Audit Committee
Quality Assurance Committee
Investment Advisory Committee
Fast Facts
Financial and Budget Information
Transparency
Community Relations
Upcoming Events and Meetings
Community Outreach
Forums, Meetings and Events
CalOptima Health Community Alliances Partners
Stay Connected
CalOptima Health’s Commitment to Compliance
Health Care Fraud
First Tier, Downstream and Related Entities
Compliance Resource Links
Doing Business With CalOptima
Upcoming Meetings and Materials
Board Meeting Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Past Meeting Materials
Board Meeting Archive
FY 2023-2024
FY 2022-2023
FY 2021-2022
FY 2020-2021
FY 2018-2019
FY 2018-2019
FY 2017-2018
FY 2016-2017
Member Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Provider Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Quality Assurance Committee Archive
Fiscal Year 2022-2023
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Fiscal Year 2020-2021
Fiscal Year 2019-2020
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Finance and Audit Committee Archive
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Investment Advisory Committee Archive
Fiscal Year 2023-2024
Fiscal Year 2021-2022
Fiscal Year 2021-2022
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2020-2021
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
A Great Place to Work
Search Open Positions
Rewards and Benefits
Employee Appreciation
Health and Well-Being
Opportunities for Growth
Retirement Benefits
Work/Life Balance
Press Releases
CalOptima Health Publications
Press and Media Contacts
CalOptima Health Partners With NAMI OC For Mental Health Program Supporting Hospital Discharges
CalOptima Health Launches Largest Cancer Prevention Program with Record $50.1 Million Investment
CalOptima Health Wins Award For Partnership To Improve Behavioral Health Care
Marina Esquivel Cisneros of San Juan Capistrano, California Wins 2022 ACAP Scholarship
CalOptima Health Appoints Linda Lee To New Executive Director Position Focused On Serving Seniors
CalOptima Health, Orange County School Districts Partner to Combat Mental Health Crisis
Funding for Homeless Health Initiatives Expected to Top $123 Million
CalOptima Health Is a Top Medi-Cal Plan in California
CalOptima Seeks to Launch Covered California Plan
CalOptima Approves $64 Million in Added Provider Support
CalOptima Appoints Kelly Bruno-Nelson as Executive Director, Medi-Cal/CalAIM
CalOptima Invests Record $50 Million in Safety Net
CalOptima Embarks on a Groundbreaking Five-Year Strategic Vision
CalOptima Addresses Food Insecurity Among Members By Promoting CalFresh Enrollment
Michael Hunn Appointed Permanent CalOptima CEO
CalOptima Grants $1M to Increase Access at Be Well OC
CalOptima Launches Mobile Mammography Clinics to Increase Access to Preventive Screenings
CalOptima Names New Chief Medical Officer
CalOptima Enhances Care For Orange County Residents with Start of CalAIM on January 1
CalOptima Board Approves $45 Million in New Funds for Providers, and Additional Resources for Orange County’s Vulnerable
Wael Younan Named CalOptima Chief Information Officer
Michael Hunn to Lead CalOptima as Interim CEO
CalOptima Earns Consumer Satisfaction Award
CalOptima PACE Marks Eight Years in the Community
CalOptima Among Top Medi-Cal Plans in California
CalOptima Chief Executive Officer Richard Sanchez To Retire
Yunkyung Kim Named CalOptima Chief Operating Officer
CalOptima Promotes Back-To-School Readiness
CalOptima Promueve La Preparación Para El Regreso A Clases
CalOptima Thúc Đẩy Việc Chuẩn Bị Sẵn Sàng Để Quay Lại Trường Học
National Committee For Quality Assurance Renews CalOptima’s Accreditation Through 2024
El Comité Nacional De Control De Calidad Renueva La Acreditación De CalOptima Hasta El 2024
Ủy Ban Quốc Gia Về Bảo Đảm Phẩm Chất Gia Hạn Chứng Nhận Của CalOptima Đến Năm 2024
Vaccination and Resource Event Series Concludes
Event Provides Record Number of COVID-19 Vaccines
CalOptima and Partners to Host Vaccine Clinic and Resource Fair on Saturday
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
Pilot Program Aims to Quickly Vaccinate Vulnerable Seniors
El Programa Piloto Tiene Como Objetivo Vacunar Rápidamente a Los Adultos Mayores Vulnerables
Chương Trình Thí Điểm Để Nhanh Chóng Chích Ngừa Cho Những Người Cao Niên Dễ Bị Tổn Thương
Be Well OC Debuts First Mental Health and Wellness Campus in Orange County
CalOptima's Financial Support Addresses Ongoing Pandemic
Apoyo Financiero De CalOptima Para La Pandemia En Curso
Hỗ Trợ Tài Chính Từ CalOptima Để Đối Phó Với Đại Dịch Đang Diễn Ra
CalOptima Employees Award Two Scholarships to Members Pursuing Health Care Careers
CalOptima to Promote COVID-19 Vaccinations
CalOptima Promueve La Vacunación Contra El Covid-19
CalOptima Khuyến Khích Việc Chích Ngừa Covid-19
Current Initiatives
California Advancing and Innovating Medi-Cal (CalAIM)
Communications
Community Supports
CalAIM Components
Enhanced Care Management
FAQ
Funding Opportunities
Referral Forms
Cancer Screening and Support Initiatives
Quality Improvement Grant Program
Provider Workforce Development Initiative
Medi-Cal Renewal
Learn About the Whole-Child Model
What is CalOptima Health’s Health Care Administrative Fellowship?
Health and Wellness
Advance Directive Resource
Interactive Self-Management Tools
Asthma Management
Cancer
Depression
Diabetes Management
Fitness
High Blood Pressure
Immunizations
Injury Prevention
Medication
Mental Health
Nutrition
Pregnancy/Postpartum
Tobacco Cessation
Wellness
Wellness Programs and Services
برنامج المكافآت الصحية للأعضاء
مكافآت الأعضاء الصحية للقاح COVID-19
Features
قلل احتمالات إصابتك بالإنفلونزا من خلال
Immunizations
MentalHealth
Pregnancy
نصائح وقائية خاصة بالتعرض للشمس للمساعدة على منع سرطان الجلد
CalFresh
CalFresh Toolkit
Novel Coronavirus (COVID-19)
الرعاية البُعادية (عن بُعد) خلال COVID-19
لقاحات COVID-19
COVID-19 Information
Emergency Broadband Benefit
كيفية استخدام Othena
Community Communication COVID-19
Community-Based Organization (CBO) Communication
Provider Communication COVID-19
COVID-19 Telehealth Information
COVID-19 Vaccine Information and Resources
COVID-19 Provider Alerts (Fax Blasts)
Happy Holidays
لا تنتظر – احصل على التطعيمات
Website Privacy Policy
التغطية للجميع
Medi-Cal Expansion Toolkit
Other Ways to Apply
Get Naloxone
تعني لنا صحتك كل شيء
Medi-Cal Renewal Toolkit
Common Forms
Other Forms
Notice of Nondiscrimination
Other Forms
اتصل بنا
How to Get Here
Resources Home
Community and Other Resources
Government Agencies and Programs
Health Network Information
會員
Medi-Cal
新會員從這裡開始
福利
其他計劃
多功能耆老服務 (MSSP)
會員聯絡員
口譯服務
生活保障補助金 (SSI)
其牠機構提供的服務
預先授權
需要獲取健康建議
尋找家庭醫生或專科醫生
尋找家庭醫生或專科醫生
尋找家庭醫生或專科醫生
尋找醫院, 設施或 輔助醫療服務者
查找緊急護理
尋找一位行為健康醫療服務者
查尋視力醫療服務者
常見問題
陪產員服務
常用表格
其它重要文件
Community Supports (CalAIM)
召回與撤銷
權利與義務
報告和解決問題
申訴與上訴表格
您可以舉報欺詐或濫用
與行為健康服務者安排遠距醫療的預約
兒童全面保健模式
OneCare Connect
藥房
藥物治療管理
會員資料
常用表格
其它重要資料
您的權利
權利與義務
您可以舉報欺詐或濫用
如何提出上訴或申訴
線上會員請求、上訴或投訴表
免責聲明
OneCare (HMO D-SNP)
福利
非處方藥(OTC) 福利
非處方藥(OTC) 福利
常見問題
查詢醫療服務者
尋找家庭醫生或專科醫生
查找緊急護理
尋找醫院, 設施或 輔助醫療服務者
尋找一位行為健康醫療服務者
尋找藥房
查尋視力醫療服務者
如何加入
新會員介紹會
新會員從這裡開始
藥房計劃
藥物治療管理
會員文件
常用表格
其它重要資料
您的權益
權利和責任
您可以舉報欺詐或濫用行為
如何提出上訴或申訴
線上會員請求、上訴或投訴表
免責聲明
PACE
The PACE Center
How To Enroll
Benefits
Frequently Asked Questions
What Is An Interdisciplinary Team (IDT)?
Member Documents
Member Documents
Common Forms
PACE Telehealth
Your Rights
Report Fraud or Abuse
Your Rights and Responsibilities
Grievance Process
Learn About the Member Portal
癌症篩檢和支援
癌症篩檢和支援
我應該接受篩檢嗎?
癌症篩檢和支援
癌症篩檢和支援
癌症篩檢和支援
For Providers
Claims and Eligibility
About CalOptima Link
Electronic Data Interchange (EDI)
Eligibility/Benefit Inquiry and Response (270/271)
When do providers use claim status inquiry and response?
Provider Claim Registration Forms
How to Verify Eligibility
Prior Authorizations
Claims Process
Post-Stabilization
Resources
Provider Complaint Process
Provider FAQs
You Can Report Fraud or Abuse
Provider Search and Directories
Manuals, Policies and Guides
Pediatric Prevention Services Provider Resources
Clinical Practice Guidelines (CPG)
Common Forms
Adverse Childhood Experiences
Health Education
Bright Steps Program (Maternity Services)
Multi-Language Health Education Materials
Quality Improvement and Health Equity
Behavioral Health Getting Started
SABIRT Resources
Autism Resources
Behavioral Health Resources
Common Forms
FAQs and Guides
News and Events
Announcements
Newsletters
Events
OneCare Connect 2023 Transition
Important Updates
Long-Term Care
Community-Based Adult Services
CBAS FAQ
Long-Term Services and Supports Facilities
Long-Term Services and Supports Forms
Pharmacy Information
Pharmacy Residency
Medi-Cal and CalOptima Direct
OneCare (HMO SNP) (Medicare Part D) Resources
OneCare Connect Resources
Pharmacy and Therapeutics Changes
CalOptima Health Plan Profile Sheets
Pharmacy Updates
True Metrix and TRUEtrack Program Information
Provider Trainings
Fraud, Waste and Abuse
Coding
Competency and Sensitivity Training
Cultural Competency Training
Disability Awareness
HEDIS Hybrid Medical Record Review
HIPAA Training
Provider Initial Onboarding / Annual Training
OneCare (HMO D-SNP) Model of Care
Other Trainings by Topic
Personal Care Coordinator Training
Seniors and Persons with Disabilities
How to Contract with CalOptima Health
Credentialing
Learn About the Provider Portal
About Us
About CalOptima Health
History
Board of Directors
Brian Helleland
Cathy Green
Isabel Becerra
Maura Byron
Blair Contratto
José Mayorga, M.D.
Vicente Sarmiento
Don Wagner
Doug Chaffee
Norma García Guillén, J.D.
Debra Baetz
Executive Management
Eric Rustad
Javier Sanchez
Carmen Katsarov, LPCC, CCM
Deanne Thompson
Donna Laverdiere
Michaell Silva Rose, DrPH, LCSW
Eric Rustad
John Tanner
Kelly Bruno-Nelson
Kelly Giardina
Linda Lee, MPH
Marie Jeannis, RN, MSN, CCM
Michael Gomez
Michael Hunn
Nancy Huang
Richard Pitts, D.O., Ph.D.
Veronica Carpenter
Yunkyung Kim
Zeinab Dabbah, M.D., J.D., M.P.H.
Board and Advisory Committees
Member Advisory Committee
Whole-Child Model Family Advisory Committee
Provider Advisory Committee
Finance and Audit Committee
Quality Assurance Committee
Investment Advisory Committee
Fast Facts
Financial and Budget Information
Transparency
Community Relations
Upcoming Events and Meetings
Community Outreach
Forums, Meetings and Events
CalOptima Health Community Alliances Partners
Stay Connected
CalOptima Health’s Commitment to Compliance
Health Care Fraud
First Tier, Downstream and Related Entities
Compliance Resource Links
Doing Business With CalOptima
Upcoming Meetings and Materials
Board Meeting Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Past Meeting Materials
Board Meeting Archive
FY 2023-2024
FY 2022-2023
FY 2021-2022
FY 2020-2021
FY 2018-2019
FY 2018-2019
FY 2017-2018
FY 2016-2017
Member Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Provider Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Quality Assurance Committee Archive
Fiscal Year 2022-2023
Fiscal Year 2020-2021
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Investment Advisory Committee Archive
Fiscal Year 2023-2024
Fiscal Year 2021-2022
Fiscal Year 2021-2022
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2020-2021
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
A Great Place to Work
Search Open Positions
Rewards and Benefits
Employee Appreciation
Health and Well-Being
Opportunities for Growth
Retirement Benefits
Work/Life Balance
Press Releases
CalOptima Health Publications
Press and Media Contacts
CalOptima Health Partners With NAMI OC For Mental Health Program Supporting Hospital Discharges
CalOptima Health Launches Largest Cancer Prevention Program with Record $50.1 Million Investment
CalOptima Health Wins Award For Partnership To Improve Behavioral Health Care
Marina Esquivel Cisneros of San Juan Capistrano, California Wins 2022 ACAP Scholarship
CalOptima Health Appoints Linda Lee To New Executive Director Position Focused On Serving Seniors
CalOptima Health, Orange County School Districts Partner to Combat Mental Health Crisis
Funding for Homeless Health Initiatives Expected to Top $123 Million
CalOptima Health Is a Top Medi-Cal Plan in California
CalOptima Seeks to Launch Covered California Plan
CalOptima Approves $64 Million in Added Provider Support
CalOptima Appoints Kelly Bruno-Nelson as Executive Director, Medi-Cal/CalAIM
CalOptima Invests Record $50 Million in Safety Net
CalOptima Embarks on a Groundbreaking Five-Year Strategic Vision
CalOptima Addresses Food Insecurity Among Members By Promoting CalFresh Enrollment
Michael Hunn Appointed Permanent CalOptima CEO
CalOptima Grants $1M to Increase Access at Be Well OC
CalOptima Launches Mobile Mammography Clinics to Increase Access to Preventive Screenings
CalOptima Names New Chief Medical Officer
CalOptima Enhances Care For Orange County Residents with Start of CalAIM on January 1
CalOptima Board Approves $45 Million in New Funds for Providers, and Additional Resources for Orange County’s Vulnerable
Wael Younan Named CalOptima Chief Information Officer
Michael Hunn to Lead CalOptima as Interim CEO
CalOptima Earns Consumer Satisfaction Award
CalOptima PACE Marks Eight Years in the Community
CalOptima Among Top Medi-Cal Plans in California
CalOptima Chief Executive Officer Richard Sanchez To Retire
Yunkyung Kim Named CalOptima Chief Operating Officer
CalOptima Promotes Back-To-School Readiness
CalOptima Promueve La Preparación Para El Regreso A Clases
CalOptima Thúc Đẩy Việc Chuẩn Bị Sẵn Sàng Để Quay Lại Trường Học
National Committee For Quality Assurance Renews CalOptima’s Accreditation Through 2024
El Comité Nacional De Control De Calidad Renueva La Acreditación De CalOptima Hasta El 2024
Ủy Ban Quốc Gia Về Bảo Đảm Phẩm Chất Gia Hạn Chứng Nhận Của CalOptima Đến Năm 2024
Vaccination and Resource Event Series Concludes
Event Provides Record Number of COVID-19 Vaccines
CalOptima and Partners to Host Vaccine Clinic and Resource Fair on Saturday
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
Pilot Program Aims to Quickly Vaccinate Vulnerable Seniors
El Programa Piloto Tiene Como Objetivo Vacunar Rápidamente a Los Adultos Mayores Vulnerables
Chương Trình Thí Điểm Để Nhanh Chóng Chích Ngừa Cho Những Người Cao Niên Dễ Bị Tổn Thương
Be Well OC Debuts First Mental Health and Wellness Campus in Orange County
CalOptima's Financial Support Addresses Ongoing Pandemic
Apoyo Financiero De CalOptima Para La Pandemia En Curso
Hỗ Trợ Tài Chính Từ CalOptima Để Đối Phó Với Đại Dịch Đang Diễn Ra
CalOptima Employees Award Two Scholarships to Members Pursuing Health Care Careers
CalOptima to Promote COVID-19 Vaccinations
CalOptima Promueve La Vacunación Contra El Covid-19
CalOptima Khuyến Khích Việc Chích Ngừa Covid-19
Current Initiatives
California Advancing and Innovating Medi-Cal (CalAIM)
Communications
Community Supports
CalAIM Components
Enhanced Care Management
FAQ
Funding Opportunities
Referral Forms
Cancer Screening and Support Initiatives
Quality Improvement Grant Program
Provider Workforce Development Initiative
Medi-Cal Renewal
Learn About the Whole-Child Model
What is CalOptima Health’s Health Care Administrative Fellowship?
Health and Wellness
Advance Directive Resource
Interactive Self-Management Tools
Asthma Management
Cancer
Depression
Diabetes Management
Fitness
High Blood Pressure
Immunizations
Injury Prevention
Medication
Mental Health
Nutrition
Pregnancy/Postpartum
Tobacco Cessation
Wellness
Wellness Programs and Services
會員健康獎勵計畫
COVID-19疫苗會員健康獎勵
Features
減少患上流感的機率
Immunizations
MentalHealth
Pregnancy
預防皮膚癌的陽光防曬提示
CalFresh
CalFresh Toolkit
Novel Coronavirus (COVID-19)
COVID-19期間的虛擬護理
COVID-19 疫苗
COVID-19 Information
Emergency Broadband Benefit
How to Use Othena
Community Communication COVID-19
Community-Based Organization (CBO) Communication
Provider Communication COVID-19
COVID-19 Telehealth Information
COVID-19 Vaccine Information and Resources
COVID-19 Provider Alerts (Fax Blasts)
Happy Holidays
不要等待 — 接種疫苗。
Website Privacy Policy
覆蓋所有人
Medi-Cal Expansion Toolkit
Other Ways to Apply
Get Naloxone
我們重視您的健康勝於一切
Take action to keep your Medi-Cal
Medi-Cal Renewal Toolkit
Common Forms
Other Forms
Notice of Nondiscrimination
Other Forms
聯絡我們
How to Get Here
Resources Home
Community and Other Resources
Government Agencies and Programs
Health Network Information
Members
Medi-Cal
신규 회원은 여기서 시작하십시오
혜택
기타 프로그램
MSSP
회원 연결 담당자
통역 서비스
생활 보조금 (Supplemental Security Income, SSI)
다른 에이전시를 통해 제공받는 서비스
사전 승인
건강에 대한 조언이 필요하십니까?
주치의(PCP) 또는 전문의 찾기
병원, 시설 또는 보조 제공자 찾기
긴급 치료 찾기
행동 건강 제공자 찾기
안과 제공자 찾기
자주 묻는 질문
Cancer Screening and Support
일반 양식
기타 중요한 서류들
가입하는 방법
Community Supports (CalAIM)
약국 프로그램
리콜과 철수
권리와 책임
문제 신고 및 해결하기
불만 및 항소 제기 양식
사기 및 남용을 신고하실수 있습니다
행동 건강 제공자와 원격 진료를 예약하세요
Whole-Child Model(어린이 전체 모델)
OneCare Connect
약국 프로그램
약물 치료 관리
회원 서류들
일반 서류들
기타 중요한 서류들
귀하의 권리
권리와 책임
사기 및 남용을 신고하실 수 있습니다
How to File an Appeal or Grievance
Online Member Request, Appeal or Complaint Form
면책 선언
OneCare (HMO D-SNP)
혜택
오버-더-카운터(OTC) 혜택
오버-더-카운터(OTC) 혜택
자주 묻는 질문들
의료 제공자 찾기
주치의(PCP) 또는 전문의 찾기
긴급 치료 찾기
병원, 시설 또는 보조 제공자 찾기
행동 건강 제공자 찾기
약국 찾기
안과 제공자 찾기
가입 방법
신규 회원 오리엔테이션
신규 회원은 이곳에서 시작
Pharmacy
약물 치료 관리
회원 문서
일반 서류들
기타 중요한 문서
회원의 권리
권리와 책임
사기 또는 남용을 신고할 수 있습니다
항소 또는 불만을 제출하는 방법
온라인 회원 신청, 항소 또는 불만 양식
면책조항
PACE
The PACE Center
How To Enroll
Benefits
Frequently Asked Questions
What Is An Interdisciplinary Team (IDT)?
Member Documents
Member Documents
Common Forms
PACE Telehealth
Your Rights
Report Fraud or Abuse
Your Rights and Responsibilities
Grievance Process
Learn About the Member Portal
암 선별검사 및 지원
암 선별검사 및 지원
선별 검사를 받아야 합니까?
암 선별검사 및 지원
암 선별검사 및 지원
암 선별검사 및 지원
For Providers
Claims and Eligibility
About CalOptima Link
Electronic Data Interchange (EDI)
Eligibility/Benefit Inquiry and Response (270/271)
When do providers use claim status inquiry and response?
Provider Claim Registration Forms
How to Verify Eligibility
Prior Authorizations
Claims Process
Post-Stabilization
Resources
Provider Complaint Process
Provider FAQs
You Can Report Fraud or Abuse
Provider Search and Directories
Manuals, Policies and Guides
Pediatric Prevention Services Provider Resources
Clinical Practice Guidelines (CPG)
Common Forms
Adverse Childhood Experiences
Health Education
Bright Steps Program (Maternity Services)
Multi-Language Health Education Materials
Quality Improvement and Health Equity
Behavioral Health Getting Started
SABIRT Resources
Autism Resources
Behavioral Health Resources
Common Forms
FAQs and Guides
News and Events
Announcements
Newsletters
Events
OneCare Connect 2023 Transition
Important Updates
Long-Term Care
Community-Based Adult Services
CBAS FAQ
Long-Term Services and Supports Facilities
Long-Term Services and Supports Forms
Pharmacy Information
Pharmacy Residency
Medi-Cal and CalOptima Direct
OneCare (HMO SNP) (Medicare Part D) Resources
OneCare Connect Resources
Pharmacy and Therapeutics Changes
CalOptima Health Plan Profile Sheets
Pharmacy Updates
True Metrix and TRUEtrack Program Information
Provider Trainings
Fraud, Waste and Abuse
Coding
Competency and Sensitivity Training
Cultural Competency Training
Disability Awareness
HEDIS Hybrid Medical Record Review
HIPAA Training
Provider Initial Onboarding / Annual Training
OneCare (HMO D-SNP) Model of Care
Other Trainings by Topic
Personal Care Coordinator Training
Seniors and Persons with Disabilities
How to Contract with CalOptima Health
Credentialing
Learn About the Provider Portal
About Us
About CalOptima Health
History
Board of Directors
Brian Helleland
Cathy Green
Isabel Becerra
Maura Byron
Blair Contratto
José Mayorga, M.D.
Vicente Sarmiento
Don Wagner
Doug Chaffee
Norma García Guillén, J.D.
Debra Baetz
Executive Management
Eric Rustad
Javier Sanchez
Carmen Katsarov, LPCC, CCM
Deanne Thompson
Donna Laverdiere
Michaell Silva Rose, DrPH, LCSW
Eric Rustad
John Tanner
Kelly Bruno-Nelson
Kelly Giardina
Linda Lee, MPH
Marie Jeannis, RN, MSN, CCM
Michael Gomez
Michael Hunn
Nancy Huang
Richard Pitts, D.O., Ph.D.
Veronica Carpenter
Yunkyung Kim
Zeinab Dabbah, M.D., J.D., M.P.H.
Board and Advisory Committees
Member Advisory Committee
Whole-Child Model Family Advisory Committee
Provider Advisory Committee
Finance and Audit Committee
Quality Assurance Committee
Investment Advisory Committee
Fast Facts
Financial and Budget Information
Transparency
Community Relations
Upcoming Events and Meetings
Community Outreach
Forums, Meetings and Events
CalOptima Health Community Alliances Partners
Stay Connected
CalOptima Health’s Commitment to Compliance
Health Care Fraud
First Tier, Downstream and Related Entities
Compliance Resource Links
Doing Business With CalOptima
Upcoming Meetings and Materials
Board Meeting Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Past Meeting Materials
Board Meeting Archive
FY 2023-2024
FY 2022-2023
FY 2021-2022
FY 2020-2021
FY 2018-2019
FY 2018-2019
FY 2017-2018
FY 2016-2017
Member Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Provider Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Quality Assurance Committee Archive
Fiscal Year 2022-2023
Fiscal Year 2020-2021
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Investment Advisory Committee Archive
Fiscal Year 2023-2024
Fiscal Year 2021-2022
Fiscal Year 2021-2022
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2020-2021
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
A Great Place to Work
Search Open Positions
Rewards and Benefits
Employee Appreciation
Health and Well-Being
Opportunities for Growth
Retirement Benefits
Work/Life Balance
Press Releases
CalOptima Health Publications
Press and Media Contacts
CalOptima Health Partners With NAMI OC For Mental Health Program Supporting Hospital Discharges
CalOptima Health Launches Largest Cancer Prevention Program with Record $50.1 Million Investment
CalOptima Health Wins Award For Partnership To Improve Behavioral Health Care
Marina Esquivel Cisneros of San Juan Capistrano, California Wins 2022 ACAP Scholarship
CalOptima Health Appoints Linda Lee To New Executive Director Position Focused On Serving Seniors
CalOptima Health, Orange County School Districts Partner to Combat Mental Health Crisis
Funding for Homeless Health Initiatives Expected to Top $123 Million
CalOptima Health Is a Top Medi-Cal Plan in California
CalOptima Seeks to Launch Covered California Plan
CalOptima Approves $64 Million in Added Provider Support
CalOptima Appoints Kelly Bruno-Nelson as Executive Director, Medi-Cal/CalAIM
CalOptima Invests Record $50 Million in Safety Net
CalOptima Embarks on a Groundbreaking Five-Year Strategic Vision
CalOptima Addresses Food Insecurity Among Members By Promoting CalFresh Enrollment
Michael Hunn Appointed Permanent CalOptima CEO
CalOptima Grants $1M to Increase Access at Be Well OC
CalOptima Launches Mobile Mammography Clinics to Increase Access to Preventive Screenings
CalOptima Names New Chief Medical Officer
CalOptima Enhances Care For Orange County Residents with Start of CalAIM on January 1
CalOptima Board Approves $45 Million in New Funds for Providers, and Additional Resources for Orange County’s Vulnerable
Wael Younan Named CalOptima Chief Information Officer
Michael Hunn to Lead CalOptima as Interim CEO
CalOptima Earns Consumer Satisfaction Award
CalOptima PACE Marks Eight Years in the Community
CalOptima Among Top Medi-Cal Plans in California
CalOptima Chief Executive Officer Richard Sanchez To Retire
Yunkyung Kim Named CalOptima Chief Operating Officer
CalOptima Promotes Back-To-School Readiness
CalOptima Promueve La Preparación Para El Regreso A Clases
CalOptima Thúc Đẩy Việc Chuẩn Bị Sẵn Sàng Để Quay Lại Trường Học
National Committee For Quality Assurance Renews CalOptima’s Accreditation Through 2024
El Comité Nacional De Control De Calidad Renueva La Acreditación De CalOptima Hasta El 2024
Ủy Ban Quốc Gia Về Bảo Đảm Phẩm Chất Gia Hạn Chứng Nhận Của CalOptima Đến Năm 2024
Vaccination and Resource Event Series Concludes
Event Provides Record Number of COVID-19 Vaccines
CalOptima and Partners to Host Vaccine Clinic and Resource Fair on Saturday
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
Pilot Program Aims to Quickly Vaccinate Vulnerable Seniors
El Programa Piloto Tiene Como Objetivo Vacunar Rápidamente a Los Adultos Mayores Vulnerables
Chương Trình Thí Điểm Để Nhanh Chóng Chích Ngừa Cho Những Người Cao Niên Dễ Bị Tổn Thương
Be Well OC Debuts First Mental Health and Wellness Campus in Orange County
CalOptima's Financial Support Addresses Ongoing Pandemic
Apoyo Financiero De CalOptima Para La Pandemia En Curso
Hỗ Trợ Tài Chính Từ CalOptima Để Đối Phó Với Đại Dịch Đang Diễn Ra
CalOptima Employees Award Two Scholarships to Members Pursuing Health Care Careers
CalOptima to Promote COVID-19 Vaccinations
CalOptima Promueve La Vacunación Contra El Covid-19
CalOptima Khuyến Khích Việc Chích Ngừa Covid-19
Current Initiatives
California Advancing and Innovating Medi-Cal (CalAIM)
Communications
Community Supports
CalAIM Components
Enhanced Care Management
FAQ
Funding Opportunities
Referral Forms
Cancer Screening and Support Initiatives
Quality Improvement Grant Program
Provider Workforce Development Initiative
Medi-Cal Renewal
Learn About the Whole-Child Model
What is CalOptima Health’s Health Care Administrative Fellowship?
Health and Wellness
Advance Directive Resource
Interactive Self-Management Tools
Asthma Management
Cancer
Depression
Diabetes Management
Fitness
High Blood Pressure
Immunizations
Injury Prevention
Medication
Mental Health
Nutrition
Pregnancy/Postpartum
Tobacco Cessation
Wellness
Wellness Programs and Services
회원 건강 보상 프로그램
COVID-19 백신 회원 건강 보상
Features
독감에 걸릴 확률을 줄이십시오
Immunizations
Generalized Anxiety Disorder
Pregnancy
피부암 예방에 도움을 주는 자외선 안전 도움말
CalFresh
CalFresh Toolkit
Novel Coronavirus (COVID-19)
COVID-19동안 영상검진
COVID-19 백신
COVID-19 Information
Emergency Broadband Benefit
How to Use Othena
Community Communication COVID-19
Community-Based Organization (CBO) Communication
Provider Communication COVID-19
COVID-19 Telehealth Information
COVID-19 Vaccine Information and Resources
COVID-19 Provider Alerts (Fax Blasts)
Happy Holidays
기다리지 마십시오 - 백신접종을 하십시오.
Website Privacy Policy
모두를 위한 보장
Medi-Cal Expansion Toolkit
Other Ways to Apply
Get Naloxone
귀하의 건강은 저희에게 전부입니다
Medi-Cal Renewal Toolkit
Common Forms
Other Forms
Notice of Nondiscrimination
Other Forms
연락처
How to Get Here
Resources Home
Community and Other Resources
Government Agencies and Programs
Health Network Information
اعضاء
Medi-Cal
اعضای جدید از اینجا آغاز کنند
مزایا
برنامههای دیگر
MSSP
ارتباط با اعضا
خدمات مترجم
درآمد تامین تکمیلی (SSI)
خدماتی که توسط سازمانهای دیگر ارائه میشود
مجوز از قبل
تلفن مشاوره با پرستار
یافتن ارائهدهنده
یافتن ارائهدهنده اصلی خدمات درمانی یا متخصص
جستجوی بیمارستان، تسهیلات و ارائه دهندگان جانبی
یافتن مراکز مراقبتهای فوری
انتخاب ارائه دهنده سلامت رفتاری
جستجوی ارائه دهنده خدمات بینایی
پرسشهای متداول
خدمات مامای همراه یا Doula
مدارک اعضاء
فرمهای رایج
دیگر اسناد مهم
روش ثبت نام
برنامه ریزی آشناسازی اعضاء جدید
Community Supports (CalAIM)
برنامه داروخانه
فراخوانی و گردآوری داروها
حقوق شما
حقوق و وظایف
گزارش و حل مشکلات
فرم شکایت و تجدیدنظر
شما میتوانید تقلب و سوء استفاده را گزارش دهید
یک قرار ملاقات از راه دور با یک ارائه دهنده بهداشت رفتاری برنامه ریزی کنید
الگوی کودک سالم
OneCare Connect
برنامه داروسازی
مدیریت دارو درمانی
اسناد برای اعضاء
فرمهای رایج
اسناد مهم دیگر
حقوق شما
حقوق و وظایف
شما میتوانید تقلب و سوء استفاده را گزارش دهید
How to File an Appeal or Grievance
Online Member Request, Appeal or Complaint Form
اعلامیه سلب مسئولیت
OneCare (HMO D-SNP)
Benefits
مزایای بدون نسخه (Over-the-Counter, OTC)
مزایای بدون نسخه (Over-the-Counter, OTC)
پرسشهای متداول
جستجوی ارائهکننده
یافتن ارائهکننده اصلی خدمات درمانی یا متخصص
یافتن مراقبت فوری
جستجوی بیمارستان، مرکز یا ارائهکننده فرعی
یافتن ارائهکننده خدمات سلامت رفتاری
جستجوی داروخانه
جستجوی ارائه دهنده خدمات بینایی
نحوه ثبت نام
راهنمای شرکت در طرح برای اعضای جدید
اعضای جدید از اینجا شروع کنند
برنامه داروخانه
مدیریت درمان دارویی
اسناد عضو
فرمهای رایج
دیگر اسناد مهم
حقوق شما
حقوق و وظایف
شما میتوانید کلاهبرداری یا سوءاستفاده را گزارش کنید
نحوه ثبت درخواست تجدیدنظر یا شکایت
فرم آنلاین درخواست تجدیدنظر یا شکایت توسط اعضاء
اعلامیه سلب مسئولیت
PACE
The PACE Center
How To Enroll
Benefits
Frequently Asked Questions
What Is An Interdisciplinary Team (IDT)?
Member Documents
Member Documents
Common Forms
PACE Telehealth
Your Rights
Report Fraud or Abuse
Your Rights and Responsibilities
Grievance Process
Learn About the Member Portal
Gender-Affirming Care
غربالگری و پشتیبانی برای سرطان
آیا نیاز به انجام غربالگری دارم؟
غربالگری و پشتیبانی برای سرطان
غربالگری سرطان و پشتیبانی
غربالگری و پشتیبانی سرطان
For Providers
Claims and Eligibility
About CalOptima Link
Electronic Data Interchange (EDI)
Eligibility/Benefit Inquiry and Response (270/271)
When do providers use claim status inquiry and response?
Provider Claim Registration Forms
How to Verify Eligibility
Prior Authorizations
Claims Process
Post-Stabilization
Resources
Provider Complaint Process
Provider FAQs
You Can Report Fraud or Abuse
Provider Search and Directories
Manuals, Policies and Guides
Pediatric Prevention Services Provider Resources
Clinical Practice Guidelines (CPG)
Common Forms
Adverse Childhood Experiences
Health Education
Bright Steps Program (Maternity Services)
Multi-Language Health Education Materials
Quality Improvement and Health Equity
Behavioral Health Getting Started
SABIRT Resources
Autism Resources
Behavioral Health Resources
Common Forms
FAQs and Guides
News and Events
Announcements
Newsletters
Events
OneCare Connect 2023 Transition
Important Updates
Long-Term Care
Community-Based Adult Services
CBAS FAQ
Long-Term Services and Supports Facilities
Long-Term Services and Supports Forms
Pharmacy Information
Pharmacy Residency
Medi-Cal and CalOptima Direct
OneCare (HMO SNP) (Medicare Part D) Resources
OneCare Connect Resources
Pharmacy and Therapeutics Changes
CalOptima Health Plan Profile Sheets
Pharmacy Updates
True Metrix and TRUEtrack Program Information
Provider Trainings
Fraud, Waste and Abuse
Coding
Competency and Sensitivity Training
Cultural Competency Training
Disability Awareness
HEDIS Hybrid Medical Record Review
HIPAA Training
Provider Initial Onboarding / Annual Training
OneCare (HMO D-SNP) Model of Care
Other Trainings by Topic
Personal Care Coordinator Training
Seniors and Persons with Disabilities
How to Contract with CalOptima Health
Credentialing
Learn About the Provider Portal
About Us
About CalOptima Health
History
Board of Directors
Brian Helleland
Cathy Green
Isabel Becerra
Maura Byron
Blair Contratto
José Mayorga, M.D.
Vicente Sarmiento
Don Wagner
Doug Chaffee
Norma García Guillén, J.D.
Debra Baetz
Executive Management
Eric Rustad
Javier Sanchez
Carmen Katsarov, LPCC, CCM
Deanne Thompson
Donna Laverdiere
Michaell Silva Rose, DrPH, LCSW
Eric Rustad
John Tanner
Kelly Bruno-Nelson
Kelly Giardina
Linda Lee, MPH
Marie Jeannis, RN, MSN, CCM
Michael Gomez
Michael Hunn
Nancy Huang
Richard Pitts, D.O., Ph.D.
Veronica Carpenter
Yunkyung Kim
Zeinab Dabbah, M.D., J.D., M.P.H.
Board and Advisory Committees
Member Advisory Committee
Whole-Child Model Family Advisory Committee
Provider Advisory Committee
Finance and Audit Committee
Quality Assurance Committee
Investment Advisory Committee
Fast Facts
Financial and Budget Information
Transparency
Community Relations
Upcoming Events and Meetings
Community Outreach
Forums, Meetings and Events
CalOptima Health Community Alliances Partners
Stay Connected
CalOptima Health’s Commitment to Compliance
Health Care Fraud
First Tier, Downstream and Related Entities
Compliance Resource Links
Doing Business With CalOptima
Upcoming Meetings and Materials
Board Meeting Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Past Meeting Materials
Board Meeting Archive
FY 2023-2024
FY 2022-2023
FY 2021-2022
FY 2020-2021
FY 2018-2019
FY 2018-2019
FY 2017-2018
FY 2016-2017
Member Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Provider Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Quality Assurance Committee Archive
Fiscal Year 2022-2023
Fiscal Year 2020-2021
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Investment Advisory Committee Archive
Fiscal Year 2023-2024
Fiscal Year 2021-2022
Fiscal Year 2021-2022
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2020-2021
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
A Great Place to Work
Search Open Positions
Rewards and Benefits
Employee Appreciation
Health and Well-Being
Opportunities for Growth
Retirement Benefits
Work/Life Balance
Press Releases
CalOptima Health Publications
Press and Media Contacts
CalOptima Health Partners With NAMI OC For Mental Health Program Supporting Hospital Discharges
CalOptima Health Launches Largest Cancer Prevention Program with Record $50.1 Million Investment
CalOptima Health Wins Award For Partnership To Improve Behavioral Health Care
Marina Esquivel Cisneros of San Juan Capistrano, California Wins 2022 ACAP Scholarship
CalOptima Health Appoints Linda Lee To New Executive Director Position Focused On Serving Seniors
CalOptima Health, Orange County School Districts Partner to Combat Mental Health Crisis
Funding for Homeless Health Initiatives Expected to Top $123 Million
CalOptima Health Is a Top Medi-Cal Plan in California
CalOptima Seeks to Launch Covered California Plan
CalOptima Approves $64 Million in Added Provider Support
CalOptima Appoints Kelly Bruno-Nelson as Executive Director, Medi-Cal/CalAIM
CalOptima Invests Record $50 Million in Safety Net
CalOptima Embarks on a Groundbreaking Five-Year Strategic Vision
CalOptima Addresses Food Insecurity Among Members By Promoting CalFresh Enrollment
Michael Hunn Appointed Permanent CalOptima CEO
CalOptima Grants $1M to Increase Access at Be Well OC
CalOptima Launches Mobile Mammography Clinics to Increase Access to Preventive Screenings
CalOptima Names New Chief Medical Officer
CalOptima Enhances Care For Orange County Residents with Start of CalAIM on January 1
CalOptima Board Approves $45 Million in New Funds for Providers, and Additional Resources for Orange County’s Vulnerable
Wael Younan Named CalOptima Chief Information Officer
Michael Hunn to Lead CalOptima as Interim CEO
CalOptima Earns Consumer Satisfaction Award
CalOptima PACE Marks Eight Years in the Community
CalOptima Among Top Medi-Cal Plans in California
CalOptima Chief Executive Officer Richard Sanchez To Retire
Yunkyung Kim Named CalOptima Chief Operating Officer
CalOptima Promotes Back-To-School Readiness
CalOptima Promueve La Preparación Para El Regreso A Clases
CalOptima Thúc Đẩy Việc Chuẩn Bị Sẵn Sàng Để Quay Lại Trường Học
National Committee For Quality Assurance Renews CalOptima’s Accreditation Through 2024
El Comité Nacional De Control De Calidad Renueva La Acreditación De CalOptima Hasta El 2024
Ủy Ban Quốc Gia Về Bảo Đảm Phẩm Chất Gia Hạn Chứng Nhận Của CalOptima Đến Năm 2024
Vaccination and Resource Event Series Concludes
Event Provides Record Number of COVID-19 Vaccines
CalOptima and Partners to Host Vaccine Clinic and Resource Fair on Saturday
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
Pilot Program Aims to Quickly Vaccinate Vulnerable Seniors
El Programa Piloto Tiene Como Objetivo Vacunar Rápidamente a Los Adultos Mayores Vulnerables
Chương Trình Thí Điểm Để Nhanh Chóng Chích Ngừa Cho Những Người Cao Niên Dễ Bị Tổn Thương
Be Well OC Debuts First Mental Health and Wellness Campus in Orange County
CalOptima's Financial Support Addresses Ongoing Pandemic
Apoyo Financiero De CalOptima Para La Pandemia En Curso
Hỗ Trợ Tài Chính Từ CalOptima Để Đối Phó Với Đại Dịch Đang Diễn Ra
CalOptima Employees Award Two Scholarships to Members Pursuing Health Care Careers
CalOptima to Promote COVID-19 Vaccinations
CalOptima Promueve La Vacunación Contra El Covid-19
CalOptima Khuyến Khích Việc Chích Ngừa Covid-19
Current Initiatives
California Advancing and Innovating Medi-Cal (CalAIM)
Communications
Community Supports
CalAIM Components
Enhanced Care Management
FAQ
Funding Opportunities
Referral Forms
Cancer Screening and Support Initiatives
Quality Improvement Grant Program
Provider Workforce Development Initiative
Medi-Cal Renewal
Learn About the Whole-Child Model
What is CalOptima Health’s Health Care Administrative Fellowship?
Health and Wellness
Advance Directive Resource
Interactive Self-Management Tools
Asthma Management
Cancer
Depression
Diabetes Management
Fitness
High Blood Pressure
Immunizations
Injury Prevention
Medication
Mental Health
Nutrition
Pregnancy/Postpartum
Tobacco Cessation
Wellness
Wellness Programs and Services
برنامه پاداش سلامتی اعضا
پاداش سلامتی اعضا برای دریافت واکسن COVID-19
Features
احتمال ابتلا به آنفولانزا را کم کنید
Immunizations
Generalized anxiety disorder
Pregnancy
نکات ایمنی جهت جلوگیری از سرطان پوست
CalFresh
CalFresh Toolkit
Novel Coronavirus (COVID-19)
مراقبتهای از راه دور طی کوید-19 (COVID-19)
واکسن COVID-19
COVID-19 Information
Emergency Broadband Benefit
How to Use Othena
Community Communication COVID-19
Community-Based Organization (CBO) Communication
Provider Communication COVID-19
COVID-19 Telehealth Information
COVID-19 Vaccine Information and Resources
COVID-19 Provider Alerts (Fax Blasts)
Happy Holidays
منتظر نشوید—واکسن بزنید
Website Privacy Policy
پوشش برای همه
Medi-Cal Expansion Toolkit
Other Ways to Apply
Get Naloxone
سلامتی شما برای ما در ارجحیت است
Medi-Cal Renewal Toolkit
Common Forms
Other Forms
Notice of Nondiscrimination
Other Forms
تماس با ما
How to Get Here
Government Agencies and Programs
Health Network Information
Members
Medi-Cal
Miembros nuevos comiencen aquí
Beneficios
Otros programas
MSSP
Programa de enlace para el miembro
Servicios de interpretación
Seguridad de Ingreso Suplementario (SSI)
Servicios ofrecidos por otras agencias
Autorización previa
¿Necesita consejos de salud?
Busque un proveedor
Busque un médico general o especialista
Busque un hospital, instalación o proveedor auxiliar
Busque un centro de cuidado urgente
Busque un centro de cuidado urgente
Busque un proveedor de salud del comportamiento
Busque un proveedor de la visión
Preguntas comunes
Doula
Documentos para miembros
Formularios comunes
Otros documentos importantes
¿Cómo inscribirse?
Calendario de las juntas de orientación para miembros nuevos
Apoyos comunitarios de CalAIM
Programa de farmacia
Medicamentos retirados y suspendidos
Sus derechos
Derechos y responsabilidades
¿Cómo informar y resolver problemas?
Formulario de quejas y apelaciones
Usted puede denunciar el fraude y abuso
Programe una cita de telesalud con un proveedor de salud del comportamiento
Whole-Child Model
OneCare Connect
Programa de farmacia
Administración Terapéutica de Medicamentos
Documentos para miembros
Formularios comunes
Otros documentos importantes
Sus derechos
Derechos y responsabilidades
Usted puede denunciar el fraude y abuso
How to File an Appeal or Grievance
Online Member Request, Appeal or Complaint Form
Descargos de responsabilidad
OneCare (HMO D-SNP)
Beneficios
Artículos de venta libre (OTC)
Artículos de venta libre (OTC)
Preguntas comunes
Busque un proveedor
Busque un médico general o especialista
Busque un hospital, instalación o proveedor auxiliar
Busque un centro de cuidado urgente
Busque un hospital, instalación o proveedor auxiliar
Busque un proveedor de salud del comportamiento
Busque una farmacia
Busque un proveedor de la visión
Cómo inscribirse
Orientación para miembros nuevos
Miembros nuevos comiencen aquí
Farmacia
Administración Terapéutica de Medicamentos
Documentos para miembros
Formularios comunes
Otros documentos importantes
Sus derechos
Derechos y responsabilidades
Usted puede denunciar el fraude y abuso
Cómo presentar una apelación o queja
Formulario para presentar una apelación o queja en línea
Descargo de responsabilidad
PACE
El centro PACE
¿Cómo inscribirse?
Beneficios
Preguntas comunes
¿Qué es un equipo interdisciplinario (Interdisciplinary Team, IDT)?
Documentos para miembros
Documentos para miembros
Formularios comunes
PACE telesalud
Sus derechos
Denuncie el fraude y abuso
Sus derechos y responsabilidades
Proceso para presentar quejas
Learn About the Member Portal
Detección y apoyo para el cáncer
Detección y apoyo para el cáncer
¿Debería hacerme una prueba de detección?
Detección y apoyo para el cáncer
Pruebas de detección del cáncer y apoyo
Detección y apoyo para el cáncer
For Providers
Claims and Eligibility
About CalOptima Link
Electronic Data Interchange (EDI)
Eligibility/Benefit Inquiry and Response (270/271)
When do providers use claim status inquiry and response?
Provider Claim Registration Forms
How to Verify Eligibility
Prior Authorizations
Claims Process
Post-Stabilization
Resources
Provider Complaint Process
Provider FAQs
You Can Report Fraud or Abuse
Provider Search and Directories
Manuals, Policies and Guides
Pediatric Prevention Services Provider Resources
Clinical Practice Guidelines (CPG)
Common Forms
Adverse Childhood Experiences
Health Education
Bright Steps Program (Maternity Services)
Multi-Language Health Education Materials
Quality Improvement and Health Equity
Behavioral Health Getting Started
SABIRT Resources
Autism Resources
Behavioral Health Resources
Common Forms
FAQs and Guides
News and Events
Announcements
Newsletters
Events
OneCare Connect 2023 Transition
Important Updates
Long-Term Care
Community-Based Adult Services
CBAS FAQ
Long-Term Services and Supports Facilities
Long-Term Services and Supports Forms
Pharmacy Information
Pharmacy Residency
Medi-Cal and CalOptima Direct
OneCare (HMO SNP) (Medicare Part D) Resources
OneCare Connect Resources
Pharmacy and Therapeutics Changes
CalOptima Health Plan Profile Sheets
Pharmacy Updates
True Metrix and TRUEtrack Program Information
Provider Trainings
Fraud, Waste and Abuse
Coding
Competency and Sensitivity Training
Cultural Competency Training
Disability Awareness
HEDIS Hybrid Medical Record Review
HIPAA Training
Provider Initial Onboarding / Annual Training
OneCare (HMO D-SNP) Model of Care
Other Trainings by Topic
Personal Care Coordinator Training
Seniors and Persons with Disabilities
How to Contract with CalOptima Health
Credentialing
Learn About the Provider Portal
About Us
About CalOptima Health
History
Board of Directors
Brian Helleland
Cathy Green
Isabel Becerra
Maura Byron
Blair Contratto
José Mayorga, M.D.
Vicente Sarmiento
Don Wagner
Doug Chaffee
Norma García Guillén, J.D.
Debra Baetz
Executive Management
Eric Rustad
Javier Sanchez
Carmen Katsarov, LPCC, CCM
Deanne Thompson
Donna Laverdiere
Michaell Silva Rose, DrPH, LCSW
Eric Rustad
John Tanner
Kelly Bruno-Nelson
Kelly Giardina
Linda Lee, MPH
Marie Jeannis, RN, MSN, CCM
Michael Gomez
Michael Hunn
Nancy Huang
Richard Pitts, D.O., Ph.D.
Veronica Carpenter
Yunkyung Kim
Zeinab Dabbah, M.D., J.D., M.P.H.
Board and Advisory Committees
Member Advisory Committee
Whole-Child Model Family Advisory Committee
Provider Advisory Committee
Finance and Audit Committee
Quality Assurance Committee
Investment Advisory Committee
Fast Facts
Financial and Budget Information
Transparency
Community Relations
Upcoming Events and Meetings
Community Outreach
Forums, Meetings and Events
CalOptima Health Community Alliances Partners
Stay Connected
CalOptima Health’s Commitment to Compliance
Health Care Fraud
First Tier, Downstream and Related Entities
Compliance Resource Links
Doing Business With CalOptima
Upcoming Meetings and Materials
Board Meeting Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Past Meeting Materials
Board Meeting Archive
FY 2023-2024
FY 2022-2023
FY 2021-2022
FY 2020-2021
FY 2018-2019
FY 2018-2019
FY 2017-2018
FY 2016-2017
Member Advisory Committee Archive
Fiscal Year 2020-2021
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Provider Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Quality Assurance Committee Archive
Fiscal Year 2022-2023
Fiscal Year 2020-2021
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Investment Advisory Committee Archive
Fiscal Year 2023-2024
Fiscal Year 2021-2022
Fiscal Year 2021-2022
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2020-2021
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
A Great Place to Work
Search Open Positions
Rewards and Benefits
Employee Appreciation
Health and Well-Being
Opportunities for Growth
Retirement Benefits
Work/Life Balance
Press Releases
CalOptima Health Publications
Press and Media Contacts
CalOptima Health Partners With NAMI OC For Mental Health Program Supporting Hospital Discharges
CalOptima Health Launches Largest Cancer Prevention Program with Record $50.1 Million Investment
CalOptima Health Wins Award For Partnership To Improve Behavioral Health Care
Marina Esquivel Cisneros of San Juan Capistrano, California Wins 2022 ACAP Scholarship
CalOptima Health Appoints Linda Lee To New Executive Director Position Focused On Serving Seniors
CalOptima Health, Orange County School Districts Partner to Combat Mental Health Crisis
Funding for Homeless Health Initiatives Expected to Top $123 Million
CalOptima Health Is a Top Medi-Cal Plan in California
CalOptima Seeks to Launch Covered California Plan
CalOptima Approves $64 Million in Added Provider Support
CalOptima Appoints Kelly Bruno-Nelson as Executive Director, Medi-Cal/CalAIM
CalOptima Invests Record $50 Million in Safety Net
CalOptima Embarks on a Groundbreaking Five-Year Strategic Vision
CalOptima Addresses Food Insecurity Among Members By Promoting CalFresh Enrollment
Michael Hunn Appointed Permanent CalOptima CEO
CalOptima Grants $1M to Increase Access at Be Well OC
CalOptima Launches Mobile Mammography Clinics to Increase Access to Preventive Screenings
CalOptima Names New Chief Medical Officer
CalOptima Enhances Care For Orange County Residents with Start of CalAIM on January 1
CalOptima Board Approves $45 Million in New Funds for Providers, and Additional Resources for Orange County’s Vulnerable
Wael Younan Named CalOptima Chief Information Officer
Michael Hunn to Lead CalOptima as Interim CEO
CalOptima Earns Consumer Satisfaction Award
CalOptima PACE Marks Eight Years in the Community
CalOptima Among Top Medi-Cal Plans in California
CalOptima Chief Executive Officer Richard Sanchez To Retire
Yunkyung Kim Named CalOptima Chief Operating Officer
CalOptima Promotes Back-To-School Readiness
CalOptima Promueve La Preparación Para El Regreso A Clases
CalOptima Thúc Đẩy Việc Chuẩn Bị Sẵn Sàng Để Quay Lại Trường Học
National Committee For Quality Assurance Renews CalOptima’s Accreditation Through 2024
El Comité Nacional De Control De Calidad Renueva La Acreditación De CalOptima Hasta El 2024
Ủy Ban Quốc Gia Về Bảo Đảm Phẩm Chất Gia Hạn Chứng Nhận Của CalOptima Đến Năm 2024
Vaccination and Resource Event Series Concludes
Event Provides Record Number of COVID-19 Vaccines
CalOptima and Partners to Host Vaccine Clinic and Resource Fair on Saturday
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
Pilot Program Aims to Quickly Vaccinate Vulnerable Seniors
El Programa Piloto Tiene Como Objetivo Vacunar Rápidamente a Los Adultos Mayores Vulnerables
Chương Trình Thí Điểm Để Nhanh Chóng Chích Ngừa Cho Những Người Cao Niên Dễ Bị Tổn Thương
Be Well OC Debuts First Mental Health and Wellness Campus in Orange County
CalOptima's Financial Support Addresses Ongoing Pandemic
Apoyo Financiero De CalOptima Para La Pandemia En Curso
Hỗ Trợ Tài Chính Từ CalOptima Để Đối Phó Với Đại Dịch Đang Diễn Ra
CalOptima Employees Award Two Scholarships to Members Pursuing Health Care Careers
CalOptima to Promote COVID-19 Vaccinations
CalOptima Promueve La Vacunación Contra El Covid-19
CalOptima Khuyến Khích Việc Chích Ngừa Covid-19
Current Initiatives
California Advancing and Innovating Medi-Cal (CalAIM)
Communications
Community Supports
CalAIM Components
Enhanced Care Management
FAQ
Funding Opportunities
Referral Forms
Cancer Screening and Support Initiatives
Quality Improvement Grant Program
Provider Workforce Development Initiative
Medi-Cal Renewal
Learn About the Whole-Child Model
What is CalOptima Health’s Health Care Administrative Fellowship?
Health and Wellness
Advance Directive Resource
Interactive Self-Management Tools
Asthma Management
Cancer
Depression
Diabetes Management
Fitness
High Blood Pressure
Immunizations
Injury Prevention
Medication
Mental Health
Nutrition
Pregnancy/Postpartum
Tobacco Cessation
Wellness
Wellness Programs and Services
Programa de recompensas de salud para miembros
Recompensas de salud para miembros de la vacuna contra el COVID-19
Features
Reduzca las posibilidades de contraer la gripe
Immunizations
Generalized anxiety disorder
Pregnancy
Recomendaciones de seguridad bajo el sol para prevenir el cáncer de la piel
CalFresh
CalFresh Toolkit
Novel Coronavirus (COVID-19)
Las consultas de telesalud durante el COVID-19
VaccineClinics
COVID-19 Information
Emergency Broadband Benefit
How to Use Othena
Community Communication COVID-19
Community-Based Organization (CBO) Communication
Provider Communication COVID-19
COVID-19 Telehealth Information
COVID-19 Vaccine Information and Resources
COVID-19 Provider Alerts (Fax Blasts)
Happy Holidays
No espere, vacúnese
Vacunas de regreso a clases
Website Privacy Policy
Cobertura para todos
Medi-Cal Expansion Toolkit
Otras formas de hacer una solicitud
Obtén Naloxone
Su Salud Es Todo Para Nosotros
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Liên Lạc Thành Viên
Dịch Vụ Thông Dịch
Tiền Trợ Cấp An Sinh (SSI)
Các Dịch Vụ Được Cơ Quan Khác Cung Cấp
Sự Cho Phép Trước
Cần Nhận Được Lời Khuyên về Sức Khỏe?
Tìm một Bác Sĩ Gia Đình (PCP) hoặc Bác Sĩ Chuyên Khoa
Tìm một Bác Sĩ Gia Đình (PCP) hoặc Bác Sĩ Chuyên Khoa
Tìm Bệnh Viện, Trung Tâm hoặc Nhà Cung Cấp Dịch Vụ Phụ
Tìm trung tâm chăm sóc khẩn cấp
Tìm Nhà Cung Cấp Dịch Vụ Sức Khỏe Hành Vi
Tìm Một Nhà Cung Cấp Dịch Vụ Nhãn Khoa
Các Câu Hỏi Thường Gặp
Doula
Mẫu Đơn Thông Thường
Các Tài Liệu Quan Trọng Khác
các dịch vụ Hỗ trợ Cộng đồng của chương trình CalAIM
Chương Trình Nhà Thuốc
Sự thu hồi và Lấy thuốc ra
Quyền hạn và Trách nhiệm
Báo Cáo và Giải Quyết Các Vấn Đề
Mẫu Đơn Than Phiền và Khiếu Nại
Quý Vị Có Thể Báo Cáo Gian Lận hoặc Lạm Dụng
Đặt Hẹn Cho Buổi Khám Telehealth Với Nhà Cung Cấp Dịch Vụ Sức Khỏe Hành Vi
Whole-Child Model
OneCare Connect
Nhà Thuốc
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Quyền Hạn của Quý Vị
Quyền hạn và Trách nhiệm
Quý Vị Có Thể Báo Cáo Về Sự Gian Lận hoặc Lạm Dụng
Cách Nộp Khiếu Nại hoặc Than Phiền
Mẫu Đơn Yêu Cầu, Khiếu Nại hoặc Than Phiền của Thành Viên Trên Mạng
Minh Định Trách Nhiệm
OneCare (HMO D-SNP)
Phúc lợi
Các Phúc Lợi Không Cần Toa (OTC)
Các Phúc Lợi Không Cần Toa (OTC)
Các Câu Hỏi Thường Gặp
Tìm một Bác Sĩ Gia Đình (PCP) hoặc Bác Sĩ Chuyên Khoa
Tìm một Bác Sĩ Gia Đình (PCP) hoặc Bác Sĩ Chuyên Khoa
Tìm Trung Tâm Chăm Sóc Khẩn Cấp
Tìm Bệnh Viện, Trung Tâm hoặc Nhà Cung Cấp Dịch Vụ Phụ
Tìm Nhà Cung Cấp Dịch Vụ Sức Khỏe Hành Vi
Tìm Một Nhà Thuốc
Tìm Một Nhà Cung Cấp Dịch Vụ Nhãn Khoa
Cách để Ghi danh
Hướng Dẫn cho Thành Viên Mới
Thành Viên Mới Bắt Đầu Tại Đây
Chương Trình Nhà Thuốc
Kiểm Soát Việc Trị Liệu Bằng Thuốc
Tài Liệu cho Thành Viên
Những Mẫu Đơn Thông Dụng
Các Tài Liệu Quan Trọng Khác
Quyền Hạn của Quý Vị
Quyền hạn và Trách nhiệm
Quý Vị Có Thể Báo Cáo Về Sự Gian Lận hoặc Lạm Dụng
Cách để Nộp một Đơn Khiếu Nại hoặc Than Phiền
Mẫu Đơn Điện Tử cho Yêu Cầu, Khiếu Nại hoặc Than Phiền của Thành Viên
Minh Định Trách Nhiệm
PACE
Trung Tâm PACE
Cách Ghi Danh
Phúc lợi
Các Câu Hỏi Thường Gặp
Nhóm Chăm Sóc Liên Ngành (IDT) Là Gì?
Tài Liệu cho Thành Viên
Các Tài Liệu Quan Trọng Khác
Những Mẫu Đơn Thông Dụng
PACE Telehealth (dịch vụ y tế thông qua hệ thống viễn thông)
Quyền Hạn của Quý Vị
Quý Vị Có Thể Báo Cáo Gian Lận và Lạm Dụng
Quyền Hạn và Trách Nhiệm của Quý Vị
Quá Trình Nộp Đơn Than Phiền
Learn About the Member Portal
Khám Tầm Soát và Hỗ Trợ Người Bị Bệnh Ung Thư
Khám Tầm Soát và Hỗ Trợ Người Bị Bệnh Ung Thư
Tôi có nên khám tầm soát không?
Khám Tầm Soát và Hỗ Trợ Người Bị Bệnh Ung Thư
Khám Tầm Soát và Hỗ Trợ Người Bị Bệnh Ung Thư
Khám Tầm Soát và Hỗ Trợ Người Bị Bệnh Ung Thư
For Providers
Claims and Eligibility
About CalOptima Link
Electronic Data Interchange (EDI)
Eligibility/Benefit Inquiry and Response (270/271)
When do providers use claim status inquiry and response?
Provider Claim Registration Forms
How to Verify Eligibility
Prior Authorizations
Claims Process
Post-Stabilization
Resources
Provider Complaint Process
Provider FAQs
You Can Report Fraud or Abuse
Provider Search and Directories
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Clinical Practice Guidelines (CPG)
Common Forms
Adverse Childhood Experiences
Health Education
Bright Steps Program (Maternity Services)
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Behavioral Health Getting Started
SABIRT Resources
Autism Resources
Behavioral Health Resources
Common Forms
FAQs and Guides
News and Events
Announcements
Newsletters
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Important Updates
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CBAS FAQ
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Other Trainings by Topic
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Credentialing
Learn About the Provider Portal
About Us
About CalOptima Health
History
Board of Directors
Brian Helleland
Cathy Green
Isabel Becerra
Maura Byron
Blair Contratto
José Mayorga, M.D.
Vicente Sarmiento
Don Wagner
Doug Chaffee
Norma García Guillén, J.D.
Debra Baetz
Executive Management
Eric Rustad
Javier Sanchez
Carmen Katsarov, LPCC, CCM
Deanne Thompson
Donna Laverdiere
Michaell Silva Rose, DrPH, LCSW
Eric Rustad
John Tanner
Kelly Bruno-Nelson
Kelly Giardina
Linda Lee, MPH
Marie Jeannis, RN, MSN, CCM
Michael Gomez
Michael Hunn
Nancy Huang
Richard Pitts, D.O., Ph.D.
Veronica Carpenter
Yunkyung Kim
Zeinab Dabbah, M.D., J.D., M.P.H.
Board and Advisory Committees
Member Advisory Committee
Whole-Child Model Family Advisory Committee
Provider Advisory Committee
Finance and Audit Committee
Quality Assurance Committee
Investment Advisory Committee
Fast Facts
Financial and Budget Information
Transparency
Community Relations
Upcoming Events and Meetings
Community Outreach
Forums, Meetings and Events
CalOptima Health Community Alliances Partners
Stay Connected
CalOptima Health’s Commitment to Compliance
Health Care Fraud
First Tier, Downstream and Related Entities
Compliance Resource Links
Doing Business With CalOptima
Upcoming Meetings and Materials
Board Meeting Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Committee Live Stream
Past Meeting Materials
Board Meeting Archive
FY 2023-2024
FY 2022-2023
FY 2021-2022
FY 2020-2021
FY 2018-2019
FY 2018-2019
FY 2017-2018
FY 2016-2017
Member Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Provider Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Quality Assurance Committee Archive
Fiscal Year 2022-2023
Fiscal Year 2020-2021
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Finance and Audit Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2018-2019
Investment Advisory Committee Archive
Fiscal Year 2023-2024
Fiscal Year 2021-2022
Fiscal Year 2021-2022
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
Fiscal Year 2020-2021
Whole-Child Model Family Advisory Committee Archive
Fiscal Year 2020-2021
Fiscal Year 2019-2020
A Great Place to Work
Search Open Positions
Rewards and Benefits
Employee Appreciation
Health and Well-Being
Opportunities for Growth
Retirement Benefits
Work/Life Balance
Press Releases
CalOptima Health Publications
Press and Media Contacts
CalOptima Health Partners With NAMI OC For Mental Health Program Supporting Hospital Discharges
CalOptima Health Launches Largest Cancer Prevention Program with Record $50.1 Million Investment
CalOptima Health Wins Award For Partnership To Improve Behavioral Health Care
Marina Esquivel Cisneros of San Juan Capistrano, California Wins 2022 ACAP Scholarship
CalOptima Health Appoints Linda Lee To New Executive Director Position Focused On Serving Seniors
CalOptima Health, Orange County School Districts Partner to Combat Mental Health Crisis
Funding for Homeless Health Initiatives Expected to Top $123 Million
CalOptima Health Is a Top Medi-Cal Plan in California
CalOptima Seeks to Launch Covered California Plan
CalOptima Approves $64 Million in Added Provider Support
CalOptima Appoints Kelly Bruno-Nelson as Executive Director, Medi-Cal/CalAIM
CalOptima Invests Record $50 Million in Safety Net
CalOptima Embarks on a Groundbreaking Five-Year Strategic Vision
CalOptima Addresses Food Insecurity Among Members By Promoting CalFresh Enrollment
Michael Hunn Appointed Permanent CalOptima CEO
CalOptima Grants $1M to Increase Access at Be Well OC
CalOptima Launches Mobile Mammography Clinics to Increase Access to Preventive Screenings
CalOptima Names New Chief Medical Officer
CalOptima Enhances Care For Orange County Residents with Start of CalAIM on January 1
CalOptima Board Approves $45 Million in New Funds for Providers, and Additional Resources for Orange County’s Vulnerable
Wael Younan Named CalOptima Chief Information Officer
Michael Hunn to Lead CalOptima as Interim CEO
CalOptima Earns Consumer Satisfaction Award
CalOptima PACE Marks Eight Years in the Community
CalOptima Among Top Medi-Cal Plans in California
CalOptima Chief Executive Officer Richard Sanchez To Retire
Yunkyung Kim Named CalOptima Chief Operating Officer
CalOptima Promotes Back-To-School Readiness
CalOptima Promueve La Preparación Para El Regreso A Clases
CalOptima Thúc Đẩy Việc Chuẩn Bị Sẵn Sàng Để Quay Lại Trường Học
National Committee For Quality Assurance Renews CalOptima’s Accreditation Through 2024
El Comité Nacional De Control De Calidad Renueva La Acreditación De CalOptima Hasta El 2024
Ủy Ban Quốc Gia Về Bảo Đảm Phẩm Chất Gia Hạn Chứng Nhận Của CalOptima Đến Năm 2024
Vaccination and Resource Event Series Concludes
Event Provides Record Number of COVID-19 Vaccines
CalOptima and Partners to Host Vaccine Clinic and Resource Fair on Saturday
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
CalOptima Launches Trusted Messenger Video Campaign
Pilot Program Aims to Quickly Vaccinate Vulnerable Seniors
El Programa Piloto Tiene Como Objetivo Vacunar Rápidamente a Los Adultos Mayores Vulnerables
Chương Trình Thí Điểm Để Nhanh Chóng Chích Ngừa Cho Những Người Cao Niên Dễ Bị Tổn Thương
Be Well OC Debuts First Mental Health and Wellness Campus in Orange County
CalOptima's Financial Support Addresses Ongoing Pandemic
Apoyo Financiero De CalOptima Para La Pandemia En Curso
Hỗ Trợ Tài Chính Từ CalOptima Để Đối Phó Với Đại Dịch Đang Diễn Ra
CalOptima Employees Award Two Scholarships to Members Pursuing Health Care Careers
CalOptima to Promote COVID-19 Vaccinations
CalOptima Promueve La Vacunación Contra El Covid-19
CalOptima Khuyến Khích Việc Chích Ngừa Covid-19
Current Initiatives
California Advancing and Innovating Medi-Cal (CalAIM)
Communications
Community Supports
CalAIM Components
Enhanced Care Management
FAQ
Funding Opportunities
Referral Forms
Cancer Screening and Support Initiatives
Quality Improvement Grant Program
Provider Workforce Development Initiative
Medi-Cal Renewal
Learn About the Whole-Child Model
What is CalOptima Health’s Health Care Administrative Fellowship?
Health and Wellness
Advance Directive Resource
Interactive Self-Management Tools
Asthma Management
Cancer
Depression
Diabetes Management
Fitness
High Blood Pressure
Immunizations
Injury Prevention
Medication
Mental Health
Nutrition
Pregnancy/Postpartum
Tobacco Cessation
Wellness
Wellness Programs and Services
Chương trình Tặng thưởng Chăm sóc Sức khỏe cho Thành viên
Chương trình Tặng thưởng Chăm sóc Sức khỏe cho Thành viên Chích ngừa COVID-19
Features
Giảm Nguy Cơ Bị Bệnh Cúm
Immunizations
Generalized Anxiety Disorder
Pregnancy
Sun Safety
CalFresh
CalFresh Toolkit
Novel Coronavirus (COVID-19)
Buổi Thăm Khám bằng Telehealth Trong Mùa Dịch COVID-19
Các loại Vắc-xin ngừa COVID-19
COVID-19 Information
Emergency Broadband Benefit
How to Use Othena
Community Communication COVID-19
Community-Based Organization (CBO) Communication
Provider Communication COVID-19
COVID-19 Telehealth Information
COVID-19 Vaccine Information and Resources
COVID-19 Provider Alerts (Fax Blasts)
Happy Holidays
Xin Đừng Chờ Đợi—Hãy Chích Ngừa
Chích ngừa để Quay lại Trường học
Website Privacy Policy
Đài thọ cho Tất cả Mọi người
Medi-Cal Expansion Toolkit
Other Ways to Apply
Nhận Naloxone
Sức khỏe của Quý vị là Quan trọng nhất với Chúng tôi
Medi-Cal Renewal Toolkit
Common Forms
Other Forms
Notice of Nondiscrimination
Other Forms
Liên Lạc Với Chúng Tôi
How to Get Here
Resources Home
Community and Other Resources
Government Agencies and Programs
Health Network Information
Version: 19.8.14.0
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