CalOptima

• Benefit By Health Plan
• Formularies And Drug Information
• Link to CalOptima website
• Out of Network & Emergency Coverage
  • For Medical:
  • For HMP SNP- OneCare:

• Prior Authorizations and Review
• Coverage of Emergency Services
• Grievances
• Medication Therapy Management
• Pediatric Preventive Services Provider Resources
• Quality Assurance Policy
• Alternative Access Standards Guidelines. Please click here to download.
• Alternative Access Standards List. Please click here to download.

• Cost Sharing
• Health Network Services
• Member Enrollment – OneCare
• Potential For Contact Termination
• We Speak Your Languages
• Health Homes Program Orange County Resources Guide