Information for Community Providers

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

Community Based Organization Line

The County of San Diego’s Access Customer Service Call Center offers a specialized toll-free line for use by Community Based Organizations (CBOs) within the San Diego county region. The CBO line has live agents to help when you need it! For more information, please click here.

Authorized Representative Forms and Release of Information Forms

To protect the confidentiality and privacy of those we serve, you will need to have either a completed and up-to-date Medi-Cal Authorized Representative Form (MC 382; MC 383) or Release of Information on file in order for Access to provide you information for a case that is not your own.  Submitting these forms can be done by completing the following steps:

  • Mail the form to address Access, PO Box 85027, San Diego, CA 92186. Please include the case number on the form when doing so.  The form will be scanned into the system and a representative will contact you.

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 call 858-658-8650 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