Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Health Net Medi-Cal (Health Net California, a Centene company). Before sending anything sensitive, confirm the number and receiving department directly with Health Net Medi-Cal (Health Net California, a Centene company), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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Health Net Medi-Cal (Health Net California, a Centene company) fax number
(844) 837-5947
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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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