Welcome to the PAVE Registration Guide! This guide is designed to help clinicians, including licensed providers, navigate the process of registering on the PAVE platform for Medi-Cal claims submission. PAVE is an essential tool for billing and submitting claims for services provided under Medi-Cal, ensuring that you can deliver care while staying compliant with all necessary requirements.
Understand the Registration Requirements
Who Needs to Register in PAVE:
Licensed clinicians (e.g., LCSWs, LMFTs, LPCCs, Psychologists) must enroll in PAVE as Ordering, Referring, or Prescribing (ORP) providers to enroll in Medi-Cal Fee-for-Service or if they will be authorizing Medi-Cal services for unlicensed staff. This applies whether they are employed by an LEA or a CBO.
What’s Required for Registration:
• Valid license number (if applicable).
• Provider type identification (based on your role and service type).
• Service location(s) where the services will be provided.
• Agency or practice information, including the legal business name and contact details.
Prepare Required Documents
Before beginning the registration process, please ensure that you have the following documents and information:
• License information (for licensed practitioners).
• NPI (National Provider Identifier) for the clinician.
• Supervisor information (if applicable, for associates).
• Medi-Cal provider number (for those already enrolled).
• Service location details (physical address where services are provided).
• Tax identification number (TIN) or Employer Identification Number (EIN) if applicable.
CYBHI Providers Eligible to enroll in Medi-Cal FFS through PAVE
Licensed Clinical Social Workers
Licensed Marriage and Family Therapists
Licensed Professional Clinical Counselors
Licensed Physicians, including DOs and Psychiatrists
Certified Nurse Practitioners (AKA Licensed Nurse Practitioners)
Licensed Physician Assistants
Psychologist (AKA Licensed Psychologist)
Create a PAVE Account
If you don’t already have a PAVE account, you will need to create one on the official PAVE website.
1. Access the PAVE Registration Portal:
Go to the official PAVE registration website.
Click on [Sign Up] to start the process.
2. Fill in Personal and Professional Information:
Enter the following information: your first name, last name, username, password, telephone number, and a recovery email
address (this can be either your personal or business email).
Click on the box [I’m not a robot].
Once you’re finished, click [Next] to proceed to the next page.
3. Set Up Two-Step Authentication
PAVE requires a two-step verification when creating the user profile.
An email will be sent to your recovery email address.
Note: The verification code is valid for 15 minutes.
Enter the verification code and click [Verify] to finish creating the user profile.
4. Once PAVE confirms successful verification, click [Login].
5. Enter your email and your password and click [Login].
How to Create a PAVE Profile for New Enrollments
1. Once you have created your user profile, you will be prompted to create your PAVE profile.
Enter your National Provider Identification (NPI) number and click [Verify].
Enter your provider name and click [Create my PAVE Profile].
How to Create a PAVE Application
1. Click on the [Applications] tab.
2. Select [New Application].
3. You will be forwarded to the new application questionnaire.
Note: If you are an Ordering/Referring/Prescribing (ORP) provider, please follow the instructions listed in the section below titled Registering as an ORP.
Answering these questions helps PAVE determine which type of application you need to complete.
If you are unsure about a question, hover your mouse over it to see a helpful explanation.
4. Select [I’m new to Medi-Cal, and I want to create a new application]. Then, additional selections will appear.
5. Select your provider type.
Depending on your situation, you can select either:
I’m an individual licensed/certified healthcare practitioner
I’m a group of licensed/certified healthcare practitioners
Once you have selected your provider type, click [Continue].
6. Select the type of billing and services rendered.
Select [I’m an Ordering/Referring/Prescribing (ORP) Provider].
Click [Continue].
7. Enter your NPI and click [Verify].
8. Confirm the information is correct.
PAVE will display your provider details. Review them carefully, then click [Yes] to confirm. Once confirmed, click [Continue].
9. Select the provider type from a drop-down menu.
After selecting your provider type from the list, click [Continue].
10. Select any additional languages other than English offered at your service location and click [Continue] at the bottom of the page.
11. Review the summary.
If the summary page is correct, select [Continue] to generate the application.
If any updates are needed, click [Previous].
Profile Information Section
1. You will be brought back to the application page. Click [Continue] to continue your application.
2. Please take a few minutes to fill out your profile information such as your name, professional title, and date of birth.
At the bottom of the page, you’ll see the message: “If the provider is subject to High Risk Screening and a fingerprint-based criminal background check, attach Livescan receipts.” You can skip this step and click [Continue].
3. After your personal information, it will ask for your residential address. Medi-Cal needs your residential address to help verify your identity. Once complete, click [Continue].
4. The next page is for identification where you will input your social security number and either your drivers license or state issued ID. Click [Continue].
5. You will then be asked to review all information you input for the “Individual Profile” portion of the application. Please review carefully and make any necessary corrections.
Business Information
1. Next, complete the Business Information section. Click [+ Add] to enter all practice locations and clinics.
2. Double check to make sure you have entered all practice locations correctly. Click [Continue].
3. Please enter your contact person information. If you will be the contact person, please click the checkbox “I,____will be the contact person”, then click [Continue].
4. You will then be asked to review the contact person information.
5. Next, enter your mailing address. This is typically the business address where you want to receive official Medi-Cal correspondence. Then click [Continue].
6. You will then be asked to confirm and review your mailing address information.
Practice Information
1. Next, enter your professional license information in the form. You will be asked to upload your professional license(s).
You can find your license details here: https://www.bbs.ca.gov/licensees/verify.html
Start by uploading the license that allows you to provide health care services. If your license was issued out of state, you will need to manually enter the license details.
2. At this point, you have completed the Professional Licenses & Certificates sub-form. Please carefully review the information you provided. Click [Continue].
3. Please review the NPI/Taxonomy section below for accuracy. If everything looks correct, click [Continue].
Disclosure Information
1. In this section, you must disclose all providers with an ownership or controlling interest in any healthcare program. This includes:
Medi-Cal participation
Facility ownership
Provider history: You will be asked whether you currently participate or have ever participated as a provider in the Medi-Cal program or another state’s Medicaid program
Once completed, click Continue.
2. You will be asked to review the program participation information you previously input. Click [Continue].
3. Next, you will see an Adverse Actions page. Please answer the following questions and click [Continue].
4. Next, you will see a Fines/Debts (Gov.) page.
If you do not have any fines or debts, check the box that says, “This business has no current State or Federal government fines/debts.”
If you do have fines or debts related to Medicare, Medicaid, or any other federal or state healthcare programs, please provide details of your payment arrangements. You can add entries by clicking [+ Add].
When you’re finished, click [Continue]. Then review the summary page and click [Continue] again.
Signature
1. Here, you will add your “Signature: Provider Agreement” (electronic signature).
A warning pop-up appears asking you to read carefully before e-signing the application. Click [Continue Signing] to proceed.
2. Please review the Provider Agreement. Once you have reviewed it, exit out of the Preview Medi-Cal Provider Agreement window.
3. Next, check the boxes next to each of the four Provider Agreement statements. Then click [Continue].
4. Verify your personal information before electronically signing the Provider Agreement. You will need to enter the following:
Last four digits of your SSN
Year of birth
Email address
The password used to create your PAVE Portal account
Once you’ve entered and verified this information, click [Continue].
Submit Application
You will receive a confirmation email that your registration form has been submitted.
Processing Time: DHCS reviews in ‘date order received’. The legal allowance for the initial review period is 90 days for physicians and 180 days for all other provider types.
The Enrollment Process Approval, Referral, or Denial
If approved, referred, or denied, you will be notified via email to log into the PAVE system. Click on the [My Messages] tab to view any letters and/or messages.
If your application is approved, your message in PAVE will include an attached approval letter.
Additionally, your enrollment record can be found in PAVE by clicking on the [Accounts] tab.
If your application is referred for comprehensive review, your message in PAVE will include an attached letter.
If your application is denied, your message in PAVE will include an attached letter with the denial reason(s) and your appeal rights.
Troubleshooting
For technical assistance with the PAVE system, please direct questions to the PAVE Help Desk at (866) 252-1949.
For Medi-Cal enrollment questions, please email Intranet - AutoForms (ca.gov) or call (916)323-1945.
For additional help in PAVE, click on this link to take you to the PAVE homepage, where you can access Provider Training videos and other tutorials.
Frequently Asked Questions (FAQs)
1. What happens if my registration is rejected?
You will receive a reason for the rejection. Correct any issues and resubmit your registration.
2. Can I bill for services while my registration is pending?
Yes, you can serve as an ORP while waiting for your application to be approved. Once the application is approved it will backdate your ORP status to the data your application was submitted.
For support with your PAVE Application, please contact the DHCS PAVE Help Desk at (866) 252-1949. The Help Desk is available Monday - Friday, 08:00 am - 06:00 pm Pacific time, excluding state holidays.