Provider Credentialing Application Form 2007-2024

Provider Credentialing Application Form: What You Should Know

It has been redesigned to make enrollment process simple,  consistent and accurate. Click to view PAVE's enrollment process. Physician Assistant — California Medicaid Download and submit the Health Care Plan Registration Application for Physician Assistant (PDF, 5.3 MB) Physician Assistant — California Medicaid Physician Assistant — CA.gov Download and submit the Physician Assistant (PDF, 13.4 MB) PAVE is a secure, web-based Provider Portal that simplifies and accelerates enrollment processes, such as completion and submission of new enrollment and revalidation  and new medical records electronically. It has been redesigned to make enrollment process  simple, consistent, accurate, and fast. Click to view PAVE's electronic records. Physician Assistant — Medical — CA.gov Click to view Physician Assistant (Medical) Provider Portal. Physician Assistant — California Medicaid  Physician Assistant — CA.gov Click to view Physician Assistant (Medicaid) Provider Portal. Physician Assistance Programs (PA) — California Department of Public Health and Human Services Health Care Access Authority (HCA) Click on the program below that matches your state Medicare or CHIP benefit. Medicare (Medicaid) HCA Health Care Service Centers (formerly Community Health Centers— CHC) Visit any of the following HCA sites to make application. Call.

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