For Providers
Important Notice for Providers
Please be advised that PHP (Medicare) & PHC California (Medi-Cal) electronic claims submission was impacted by the Change Healthcare Cybersecurity attack. The latest update from Change Healthcare on February 21, 2024, is below:
“Change Healthcare is experiencing a cyber-security issue, and our experts are working to address the matter. Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action to disconnect our systems to prevent further impact. At this time, we believe the issue is specific to Change Healthcare and all other systems across UnitedHealth Group are operational. The disruption is expected to last at least through the day. We will provide updates as more information becomes available.”
PHP & PHC California has reestablished electronic claims submissions through Optum iEDI. Please see the updated bulletin for claims submission information. We appreciate your continued patience and will provide updates as they become available.
| Go to our Provider Portal or learn about what the portal does and how to access it. |
If you need to check enrollee eligibility, assistance with a referral, submit an authorization, report a hospitalization, check status of an authorization or a claim, or want the claims submission address, see the directory of departments. |
If you are a contracted provider with PHC California, thank you for being part of a dynamic specialty health plan that cares for some of Los Angeles County’s most vulnerable population.
If you are considering joining PHC California, welcome. PHC California is an HIV/AIDS special needs Medi-Cal managed care plan serving HIV-positive Medi-Cal recipients who have a prior AIDS diagnosis and live in Los Angeles County.
PHC California offers unique provider and member benefits and services:
- HIV specialty network. PHC California identifies specialists in the community who have the most experience in treating patients with HIV.
- An experienced care management panel comprised of HIV-expert physicians, nurses and pharmacists who actively practice HIV medicine
- Patient care coordination through Registered Nurse Case Managers who are assigned to each member to assist in coordination of treatment plans, complex care delivery, referrals to community-based resources, disease management education, and medication adherence
- Access to ACCME-accredited continuing education at reduced or no cost to providers
- Open invitation for provider participation in the plan’s quality improvement committees, e.g., pharmacy and therapeutics, standards and protocols, utilization management and credentialing committees
- HIV-related therapies that do not require prior authorization
PHC California stresses prevention and education, promotes positive lifestyle changes, improves medical self-management, and increases patient and family satisfaction. The plan strives to improve the well being of patients by providing a medical home with providers who are experts in delivering care to people who are HIV-positive.
PHC California is an affiliate of AIDS Healthcare Foundation. The plan is backed by the world’s largest and most experienced HIV/AIDS health system operator.
PHC California is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC). AAAHC is private, non-profit organization that develops standards to advance and promote patient safety, quality care, and value for health care through peer-based accreditation processes, education, and research. (By clicking on the above link, you will be taken to a website operated by AAAHC and not PHP.)
For more information about joining the PHC California provider network, please contact Provider Relations.
DHCS 030716 PHC FR Form 1.0