How can a provider enroll in Electronic Funds Transfer (EFT)?
All active Medi-Cal dental providers electing this option are required to enroll. The EFT Direct Deposit Enrollment Form and instructions are located at the following link: www.denti-cal.ca.gov or by contacting the Telephone Service Center at 1-800-423-0507 to request the direct deposit enrollment form. The provider must send the completed form and a pre-printed voided check to: California Medi-Cal Dental Program Provider Enrollment P.O. Box 15609 Sacramento, CA 95852-0609 The form is returned to the provider if it is not completed correctly.
