Per diem/Consultative positions:
Please check out our position's page
for more details.
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Children's Medical Services Network (CMS Net) Provider Electronic Data Interchange (EDI)
The CMS Net Provider Electronic Data Interchange (CMS Net PEDI) is a web-based tool that enables approved CCS and GHPP providers,
Medi-Cal Managed Care Plans (MCP) and Healthy Family Plans (HFP) to electronically access the status of California Children
Services (CCS) and Genetically Handicapped Persons Program (GHPP) Requests for Services/Authorizations. In addition to viewing
authorizations each approved provider/facility shall have the ability to print service authorization requests (SARs), denial
letters, Notices of Action and generate standard reports.
Providers and plans wishing to participate in the CMS Net PEDI shall be aware of the following facts and requirements upon applying for access:
The information obtained through the CMS Net PEDI is real time.
The site that shall be used to access the CMS Net PEDI is best supported with Internet Explorer 8. If an alternate Internet Browser is used the SCD cannot guarantee results.
Each provider or plan shall have a designated PEDI liaison(s) that shall be responsible for all communication with the State CMS Network Section for coordination of users within the organization and dissemination of CMS Net PEDI IDís and passwords. The CMS Net PEDI liaison(s) shall also be responsible for notifying the CMS Network Section of staffing changes (provider separation, user modification, etc.) including status of their position. Such requests shall be submitted on the attached account request form, Appendix A.
Each provider or plan must have internal agreements at their site between services including, but not limited to: Inpatient Services, Outpatient Clinics, Emergency Services, CCS and GHPP approved Special Care Centers, and Billing services regarding the internal distribution of CCS and GHPP authorizations and CMS Net correspondences.
Each provider or plan must assure that they have written permission from the providers within their domain to access the providersí individual authorizations. This requirement is not applicable to Healthy Families or Medi-Cal Managed Care Health Plans.
If the provider/plan is approved for CMS Net PEDI, the County and or/Regional Office will not provide hard copies of SARs, NOAs or other correspondence related to cases. Exceptions to this rule may be made for newborns using momís Medi-Cal eligibility and technical malfunctions.
For MCP and HF Plans that subcontract with another Health Care Provider or Plan, the CMS Net PEDI enrolled Plan is responsible for providing the SARs, NOAs or other applicable information to the subcontracted Plan or request a CMS Net PEDI ID for each individual employed at the subcontracted Plan.
Where feasible each provider or plan must be willing to enter into reciprocal agreements with State and local CCS programs and the GHPP program permitting electronic access to medical information regarding CCS and GHPP beneficiaries.
Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and
is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition
of the website, which is the official version.