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Maternal, Child & Adolescent Health Section

Child Health & Disability Prevention (CHDP) Program - Provider Information

New Announcements:

As of July 1, 2017, Green PM160 forms are no longer used for billing or care coordination.

Effective January 1, 2018, the State no longer requires Medi-Cal Managed Care plans (MCMCP) to collect CHDP PM160 forms, however, FQHCs must still submit CHDP Informational-only PM160s (brown form) for fee-for-service Medi-Cal/Gateway patients. Please refer to your managed care plans for details on their submission requirements.

CHDP Provider Information Notices and Provider Manual

Enrollment Information

PM160 Reporting and Care Coordination Referral Forms

Periodicity Schedule

Facility Site Review