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It’s easy to sign up! Find out how you can qualify for our benefits program and get coverage for preventive care.

How do I become a Path to Health Provider?

Health centers interested in becoming Path to Health enrollment providers can contact

How do I enroll a member?

Only health centers participating in the Path to Health Pilot Project may enroll members. Participating health centers should refer to the mCase User Manual for details about using the secure, online enrollment portal. If you need further help, contact the Enrollment System Help Desk at (800) 548-5880.

How can I screen my patients to see if they’ll qualify for Path to Health?

To qualify for benefits, applicants must meet the following:

  1. Be an undocumented adult between the ages of 26-49 years old.
  2. Live in one of the following counties: Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Imperial, Inyo, Kings, Lake, Lassen, Madera, Marin, Mariposa, Mendocino, Modoc, Mono, Napa, Nevada, Plumas, San Benito, Shasta, Sierra, Siskiyou, Solano, Sonoma, Sutter, Tehama, Trinity, Tuolumne, Yolo and Yuba.
  3. Either be already enrolled in restricted scope, emergency services only Medi-Cal (aid codes 1U, 3T, 55, 58, 5F, 5T, C1, C2, C3, C4, C5, C6, C7, C8, D2, D3, D4, D5, D6, D7, J3, J4, J6, J8, K3, K5, K7, K9, M2, or M4) or can supply sufficient verification of income at or below 138% of the Federal Poverty Level, are not pregnant, and do not have any other health coverage. Learn more about the Federal Poverty Level here.

How do I bill for medical services?

Path to Health medical claims are processed by Advanced Medical Management. Please visit or call (877) 283-PATH (7284) for more information. The Path to Health Provider Operations Manual is available to download here.

How do I bill for pharmacy services?

Path to Health pharmacy claims are processed by MedImpact (PCN/Group No. 50145). For a listing of which medications are covered by Path to Health, click here. Please call MedImpact at (800) 788-2949 for more information.

How do I know if a certain procedure code or medication is covered under Path to Health?

Copies of the Path to Health Drug Formulary and Covered CPT Code List are available to download here.

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