California Facility Network

California Facility Network

Downloads

Please click on the title that corresponds to the document you would like to view, and then click on print or download as necessary.

 TitleDescription
Anthem Blue CrossThis form needs to be completed by a medical professional for all Anthem Blue Cross Medi-Cal members.
California Health and WellnessThis form needs to be completed by a medical professional for all California Health and Wellness Medi-Cal members.
HealthNet of CaliforniaThis form needs to be completed by a medical professional for all HealthNet Medi-Cal members.
How to Contact Us - Phone ListThis is a list of phone numbers to call if you have questions or concerns
Standing Order FormThis form needs to be completed when a standing order needs to be set up for a member
Welcome to the Facility Services Web Site Information- Power Point PresentationDownloadable PowerPoint Presentation regarding the FSW
EDI Form for FSW Login CredentialsDownloadable EDI form to be filled out and faxed back to the California Facilities Department at 1-877-601-0535

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