If you are a medical, mental health, lab, or dental provider contracted with the Early Intervention Program, you must comply with the terms of your contract. Here you can find help with understanding your contract, billing expectations and payment details.
Register for the EIP Medical and/or Dental Provider Lists
Sign up to receive important updates and notices regarding the medical and/or dental portion of EIP.
EIP Provider Contract Information
Billing Requirements for EIP Providers
Tools for billing and applying your payments for services rendered to EIP clients.
- Benefit Exception Request (Word)
Request prior authorization for non-covered services and exceptions to rule.
Dental Waiver (Word)
Request waiver if client cannot obtain an appointment with a Medicare and/or Medicaid contracted Dental provider, or if the client has a unique situation where their private insurance cannot be used.
Mental Health Waiver (Word)
Request waiver if client cannot obtain an appointment with a Medicare and/or Medicaid contracted Mental Health service provider, or if the client has a unique situation where their private insurance cannot be used
- Provider Billing and Resource Guide (PDF)
Guide to billing and policies for EIP Contracted Providers.
- Provider Portal Instructions (PDF)
Detailed instructions on how to access the Provider Portal for contracted Providers. Gives access to payment remittances, eligibility and submitting authorizations.
Please contact EIP Claims Payments for additional questions.
Get physician's advice or consults on the UCSF Clinician Consultation Center website.