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Provider Manual

The California Department of Corrections and Rehabilitation (CDCR) and Health Net Federal Services, LLC have partnered to develop and maintain a statewide network of health care providers, the Prison Health Care Provider Network (PHCPN) Project, for all CDCR adult institutions. The PHCPN provides patient-inmates access to specialty medical services in the community.

The PHCPN Operations Manual offers providers contracting through Network Providers, LLC (NPLLC) (a subsidiary of Health Net Federal Services, LLC), and participating in the PHCPN, important plan benefits, limitations and administration processes to ensure all patient-inmates receive appropriate services as needed.

The three providers types - Physicians, Hospitals, and Ancillary - are listed at the top of every page. Refer to the Provider Type listed at the top of the page to see if the content applies to you.

Policies and procedures listed in the PHCPN Operations Manual apply to all participating providers, unless specified otherwise in the Provider Participation Agreement (PPA).

As a participating provider, you are required to comply with applicable state laws and regulations and NPLLC policies and procedures. The contents of the PHCPN Operations Manual are supplemental to your PPA and its addendums. When the contents of the PHCPN Operations Manual conflict with your PPA, the PPA takes precedence. 

 

Last Updated: 12/30/2019