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ACCESS: Information for Providers

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ACCESS

Information on this page is intended for healthcare providers, advocates and application assisters.

Submitting Authorized Representative Forms

1. Send an e-mail to pubassist.HHSA@sdcounty.ca.gov with “AR Forms” in the subject line
2. Provide your full name, contact phone number, and mailing address
3. Attach the forms in PDF format
4. An ACCESS agent will respond within 3 business days

Verify Medi-Cal Eligibility

The Automated Eligibility Verification System (AEVS) is for healthcare providers that are inquiring about the Medi-Cal status of a patient. To access AEVS, have your healthcare Provider Identification Number available and visit the Medi-Cal point of service website or call 1-800-456-2387. If you are unable to use AEVS, you can fax (858-467-9088) your request, including the patient's name, case number and/or social security number, to ACCESS. Your inquiry will be responded to within 3 business days. If you need a response sooner and cannot wait 3 business days, please call ACCESS at 1-866-262-9881 and an agent will assist you.

Verify County Medi-Cal Services (CMS) Eligibility

The provider online verification (POV) website is a site for CMS contracted healthcare providers that are inquiring about the CMS certification status of a patient. If you would like access to the CMS POV site, please contact Rebecca Velie at (858) 495-1360 or Rebecca_G_Velie@uhc.com to inquire about becoming a CMS contracted provider. The query will inform you of the eligibility status and the certification period for the patient. For more detailed instructions, please refer to the Provider Online Verification document.

To verify patient’s coverage status:
1. Enter institutional tax ID number
2. Enter either patient’s SSN OR Member ID (click on appropriate tab)
3. Enter patients date of birth (DOB)
4. Enter today’s date for current coverage information

Medi-Cal Newborn Referral

Please fax (858-467-9088) or mail (ACCESS, 7947 Mission Center Court, San Diego, CA 92108; ATTN: Newborn Referral) the completed Medi-Cal Newborn Referral form to ACCESS. You can also call ACCESS at 1-866-262-9881 to report the birth of a child.

Release of Information

To protect the confidentiality and privacy of those we serve, you will need to have either a completed and up-to-date Authorized Representative form or Release of Information on file in order for ACCESS to provide you information for a case that is not your own. Please fax (858-467-9088) or mail (ACCESS, 7947 Mission Center Court, San Diego, CA 92108) the completed form.