Provider Materials

Welcome to the Central Health Medicare Plan (CHMP) provider network! This page is your go-to resource for key materials, including the provider manual, important communications, and necessary forms, to help you work effectively with us.

The provider manual is your comprehensive guide to collaborating with CHMP. It outlines our policies, procedures, and regulatory requirements while offering insights into our programs and processes. This ensures we can work together seamlessly to meet our members' healthcare needs. The information provided here and in the manual is accurate as of its publication date, and updates will be made as policies or regulatory requirements evolve.

If you have any questions, our dedicated team is here to assist you. Contact us at 866-403-8296 via our new provider services line, email us at PRCalifornia@molinahealthcare.com, or reach out to your regional Provider Service Representative. We look forward to partnering with you!

 

Key Materials

Provider Manual

Quick Reference Guide

 

 

Frequently Used Forms

CA – Complex Case Management - External CM Referral form  

 

2025 Online Formulary

Central Health Medicare Plan 
Central Health Focus Plan (HMO C-SNP)
Central Health Ventura Medicare Plan(HMO)
Central Health San Mateo Medicare Plan
Central Health Savings Plan 
Central Health Jade Plan 
Central Health Premier Plan I 
Central Health Embrace Care Plan (HMO C-SNP)
Central Health Classic Care Plan I
Central Health Classic Care Plan II
Central Health Part B Savings Plan
Central Health Medi-Medi Plan I 
Central Health Medi- Medi Plan II
Central Health Dual Access Plan
Central Health Embrace Choice Plan 

 

Formulary 

Central Health Medi-Medi Plan II (HMO)

Central Health Dual Access Plan (HMO)

Central Health Embrace Choice Plan (HMO)

Central Health Medicare Plan (HMO)

Central Health Ventura Medicare Plan (HMO)

Central Health San Mateo Medicare Plan (HMO)

Central Health Jade Plan (HMO)

Central Health Premier Plan I (HMO)

Central Health Embrace Care Plan (HMO C-SNP)

Central Health Classic Care Plan I (HMO)

Central Health Classic Care Plan II (HMO)

Central Health Part B Savings Plan (HMO) 

 

RX Forms

How to Request a Redetermination

Requesting a Redetermination 

Direct Member Reimbursement

Part B Step Therapy

 

 

 

 

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