Contra Costa Health Plan
The CCHP Provider Relations and Contracting Units compose a team of qualified professionals who meet the needs of our network providers. The Provider Relations and Contracting Units have over 150 years of combined clinical, credentialing, contracting, private practice and managed healthcare experience to support over 3000 Primary Care and Specialty providers in our two primary networks; the Community Provider Network and the Regional Medical Center Network. The Provider Relations and Contracting Units are committed to solving the concerns of our providers while delivering excellent customer service and training to our providers and their staff. CCHP cares for over 100,000 members in Contra Costa County.
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- Provider Bulletins
- Provider/Pharmacy Directory
- Preferred Drug List
- Pharmacy and Therapeutics
- Clinical Guidelines
- Interpreter Services
- SPD Training
- CPN Meetings
- FSR Tool
- Health Education Resources
- Contact Us
Forms and Resources
- Grievance Form (PDF)
- Claims Tracer Sheet (MS-Excel | PDF)
- Provider Orientation Handbook & Manual (PDF)
- Medi-cal: Member Rights | Spanish (PDF)
- Commercial: Member Rights | Spanish (PDF)
- 2010 HEDIS Report (PDF)
- Sleep Study Requisition Form (PDF)
- Prior Authorization Request (PA) form (PDF) | Word
- Medication Prior Authorization Request (PA) form (PDF)
- Erectile Dysfunction Medication: Questionnaire and Prior Authorization Form (PDF)
- Synagis Prior Authorization Request form (PDF)
- Direct Member Reimbursement Form (PDF)