25-982 Updated Prison Health Care Provider Network (PHCPN) Operations Manual Online

Date: 10/10/25

Access the latest PHCPN manual to stay compliant and informed

The PHCPN Operations Manual explains the services, rules and procedures for contracted providers. Providers must follow the manual unless their contract states otherwise.

You can easily find up-to-date information on the provider website. We have recently completed a full review of the PHCPN Operations Manual and updated several documents. Please see the table below for a list of those updates.

We have completed a full review of the PHCPN Operations Manual and updated several documents. The table below lists the documents that were revised to ensure accuracy and current information.

Section	Document
California Correctional Health Care Services Formulary	California Correctional Health Care Services Formulary
Claims and Provider Reimbursement	CMS-1500/CMS-1450 Billing Instructions
	Electronic Claims Submission
	Oral And Maxillofacial Surgeons Claim Form
	Overpayment Procedures
	Overpayment and Offsets
	Paper Claims Submission
Clinical Quality Management	Clinical Quality Management
Emergency Services	Emergency Services
Medical Parolees	Medical Parolees
Prior Authorization	Prior Authorization
Safety and Security Procedures	Patient Transportation
Telemedicine	Telemedicine Provider Requirement
Forms and References	The following forms have been removed: Division of Juvenile Justice Inpatient Medical Screening (PDF) Referral Form for DJJ Youth to Inpatient Psychiatric Programs (PDF)

 

Additional information

If you have questions regarding the information contained in this update, contact the PHCPN Provider Services Center by email or by telephone at 877 899 0561.