All behavioral health providers, including interns, must be credentialed by both health plans. CHCN does not facilitate credentialing of behavioral health providers for the health centers. Please submit credentialing applications for behavioral health providers directly to the health plans. Alameda Alliance for Health sub-contracts Medi-Cal behavioral health services to Beacon Health Options. Anthem manages behavioral health benefits in-house.
 

In order to meet state and federal requirement for provider enrollment, FQHC individual providers must enroll with Medi-Cal as an Ordering Referring Prescribing (ORP) provider or be actively enrolled with Medicare. Below is a list of provider types that can enroll as ORP. If the FQHC provider type does not enroll as ORP, such as nutritionists or acupuncturists, then the provider must still enroll in Medicare. You can utilize the links below to validate a provider’s ORP status and find additional resources. CHCN health centers should provide evidence of Medicare enrollment during the credentialing process.Provider types that may enroll with Medicare as ORP:

• Physician (Doctor of Medicine or Osteopathy, Doctor of Dental Medicine, Doctor of Dental Surgery, Doctor of Podiatric Medicine, Doctor of Optometry)
• Physician Assistant
• Certified Clinical Nurse Specialist
• Nurse Practitioner
• Clinical Psychologist
• Certified Nurse Midwife
• Clinical Social Worker and
• Interns, residents, and fellows.

For all other provider types, such as nutritionists and acupuncturists, please provide proof of Medicare enrollment with the credentialing application.