CHDP Appointments and Referrals

Medi-Cal members requesting an appointment with their primary care physician (PCP) must be scheduled for an appointment within 10 business days if the child is behind schedule for a Child Health and Disability Prevention (CHDP) program exam. If the PCP cannot provide the needed services within 10 business days, the PCP may refer the member to another participating provider, out-of-network CHDP provider, local health department, or school-based CHDP program. A PCP referring a member to an out-of-network provider must furnish a complete referral. 

If an external source (for example, school, member or out-of-network provider) contacts the Health Net Medi-Cal Member Services Department, Community Health Plan of Imperial Valley Member Services Department or CalViva Health Medi-Cal Member Services Department (for Fresno, Kings and Madera counties), a representative makes contact with the member's PCP to determine whether the member is in need of current CHDP services and to provide assistance with appointment scheduling as needed.