Provider Application and Validation Enrollment (PAVE)

• Effective October 31, 2022, the Department of Health Care Services (DHCS) is establishing new Medi-Cal provider enrollment requirements for dental providers. Dental providers will be able to enroll as a Medi-Cal dental provider by submitting an electronic application through the Provider Application for Validation and Enrollment (PAVE) online enrollment portal, along with all supporting documentation.
• For Medi-Cal provider enrollment information, please contact Provider Enrollment Division (PED) using the Inquiry Form found on PED's website under "Provider Resources" at www.dhcs.ca.gov/provgovpart/Pages/PED.aspx. You can also call the PED Message Center at (916) 323-1945.
• For PAVE application questions, email PED at PAVE@dhcs.ca.gov, or send a message in PAVE.
• For PAVE technical support, please call the PAVE Help Desk at (866) 252-1949. The Help Desk is available Monday-Friday from 8:00am-6:00pm, excluding State holidays. You can also use the PAVE Chat feature while in PAVE. Chat is available Monday-Friday from 8:00am-4:00pm, excluding State holidays.

For more information please refer to the following provider bulletins:

• Volume 38, Number 31
• Volume 38, Number 34

If a Medi-Cal Dental Fee-For-Service provider is interested in becoming a Dental Managed Care (DMC) provider, providers may contact our DMC plans as follows:

• Health Net Medi-Cal Dental Plan Provider Line: (888) 273-2713
• Access Dental Plan Provider Line: 800-640-4466 or ProviderRelations@premierlife.com
• Liberty Dental Plan Provider Line: (888) 700-0643 or the Liberty Dental Plan California Dentist and RDHAP enrollment website link