How do I become a Path to Health Provider?
If you are interested in providing health care services for the Path to Health Pilot, applications for Phase 2 are available now and must be completed and submitted by 9/5/2019 at noon. For applications documents and timeline information – Click Here.
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 Path to Health (powered by One-e-App) User Manual for details about using the secure, online enrollment portal. If you need further help, contact the Path to Health 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:
- Ages 21 years old and older
- 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.
- Be already enrolled in Medi-Cal (restricted scope, emergency services only) –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.
How do I bill for medical services?
Path to Health medical claims are processed by Advanced Medical Management. Please visit https://pathtohealth.amm.cc 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.