Provider Resources

CMSP Benefit
CLAIMS
Providers may check the status of in-process claims via the AMM Claims Manager portal. Providers may also download EOB in this portal. Please create a new account or log in here.

For a full list of claims processing adjustment codes, click here.

List of Contracted Clearinghouses & Payer IDs

PROVIDER PORTAL (Cerecons)
Providers may submit authorizations or check authorization status by logging in to Cerecons. If you are a first time user and need to create an account, please contact Jennifer Plank at 562-766-2000 Ext. 310.

CMSP’s list of services requiring prior authorization is subject to change. For the most updated list of services requiring prior authorization, click here.

CMSP covers inpatient mental health services provided by specific facilities participating in the CMSP network. Inpatient mental health services and psychiatric health facilities must be authorized by county mental health departments in the county where the member resides. For a list of mental health organizations, click here.

RESOURCES

Important Contacts

The CMSP Provider Operations Manual includes general information including but not limited to covered services, billing instructions, and authorization requirements.

The CMSP Primary Care Benefit Pilot Program Transitional Addendum includes general information including but not limited to covered services, billing instructions, and pilot program run out processes.

For a list of CMSP Approved Procedure Codes with No Share of Cost, click
here.

For information regarding completion of a CMS 1500 form, providers may utilize the NUCC Instruction Manual or Medi-Cal’s CMS-1500 Companion Guide.

For a detailed list of covered dental benefits and limitations, click here.

To access the 2014 Medicare and Medicaid Fraud and Abuse Prevention Workbook, click here.