Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Health Net Medi-Cal (Health Net California, a Centene company) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Health Net Medi-Cal (Health Net California, a Centene company) fax number
(844) 837-5947
Medi-Cal Member Services (PCP/PPG Change)
Used for: PCP/PPG change requests and related Medi-Cal provider services, including member transfers and updates; Medi-Cal member appeals and grievances
Fax destination details
- Department
- Medi-Cal Member Services (PCP/PPG Change)
- Purpose
- PCP/PPG change requests and related Medi-Cal provider services, including member transfers and updates; Medi-Cal member appeals and grievances
- Form
- Request for PCP/PPG Change Form — Request for PCP/PPG Change Form
- Address
- Medi-Cal Member Appeals and Grievances Department, P.O. Box 10348, Van Nuys, CA 91410-0348
- Voice phone
- 800-675-6110
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the PCP/PPG change form with member and new PCP/PPG information and fax to Health Net Medi-Cal Member Services at 844-837-5947.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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