MMCD All Plan Letters - 1998 to Current
| 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 | 2001 | 2000 | 1999 | 1998
2013 - All Plan Letters
|
APL 13-001 (PDF) |
Coordination of Benefits: Medicare and Medi-Cal |
01/03/2013 |
| APL 13-002 (PDF) |
Processing Errors Related to Denied Medical Exemption Requests Regarding Mandatory Enrollment into a Medi-Cal Managed Care Plan |
01/23/2013 |
| APL 13-003 (PDF) |
Coordination of Benefits: Medicare and Medi-Cal (Supersedes APL 13-001) |
02/08/2013 |
| APL 13-004 (PDF) |
Rates For Emergency And Post-Stabilization Acute Inpatient Services Provided By Out-Of-Network General Acute Care Hospitals Based On Diagnosis Related Groups Effective July 1, 2013 |
02/12/2013 |
| APL 13-005 (PDF) |
Quality & Performance Improvement Program Requirements for 2013 (Supersedes APL 11-021) |
04/12/2013 |
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2012 - All Plan Letters
|
APL 12-001 (PDF) |
Contracts with Dual-Eligible Special Needs Plans |
04/18/2012 |
|
APL 12-002 (PDF) |
2012-13 Rates For Post-Stabilization Inpatient Services Provided By Out-Of-Network Acute Care Hospitals |
07/05/2012 |
|
APL 12-003 Revised (PDF) |
2012-13 Rates For Emergency-Based Inpatient Services Provided By Out-Of-Network Acute Care Hospitals |
07/13/2012 |
| APL 12-004 Revised (PDF) |
2012-13 Rates For Post-Stabilization Inpatient Services Provided By Out-Of-Network Acute Care Hospitals (Supersedes APL12-002) |
07/13/2012 |
| APL 12-005 (PDF) |
2013-2014 Managed Care Plan MEDS/834 Cutoff and Processing Schedule |
12/27/2012 |
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2011 - All Plan Letters
|
APL 11-002 (PDF) |
Quality and Performance Improvement Program Requirements for 2011 |
01/31/2011 |
|
APL 11-005 (PDF) |
Aid Codes 4H and 4L: Identifying Foster Care Children in the California Work Opportunity and Responsibility to Kids (CalWORKS) or 1931(b) Programs |
02/10/2011 |
|
APL 11-006 (PDF) |
Disclosure of Select Provider Contracting Program Rates |
02/10/2011 |
|
APL 11-008 (PDF) |
Aid Code 4T: Aid Code to Identify Children in the New Federal KIN-GAP Program |
03/08/2011 |
|
APL 11-010 (PDF) |
Competency and Sensitivity Training Required In Serving The Needs of Seniors and Persons with Disabilities |
05/12/2011 |
|
APL 11-012 (PDF) |
Reporting Responsibilities Regarding Third-Party Tort Liability |
05/23/2011 |
|
APL 11-014 (PDF) |
Transition to Update HIPAA Transactions for Enrollment and Premium Payments |
06/10/2011 |
|
APL 11-015 (PDF) |
Rate Setting: Increased Percentage of Countywide Rates |
06/20/2011 |
|
APL 11-016 (PDF) |
2011-2012 Rates for Emergency-Based Inpatient Services Provided by Out-of-Network Acute Care Hospitals |
07/18/2011 |
|
APL 11-017 (PDF) |
2011-2012 Rates for Post-Stabilization Inpatient Services Provided by Out-of-Network Acute Care Hospitals |
07/18/2011 |
|
APL 11-018 (PDF) |
Readability and Suitability of Written Health Education Materials |
08/19/2011 |
| APL 11-019 (PDF) |
Extended Continuity of Care for Seniors and Persons with Disabilities |
09/21/2011 |
|
APL 11-020 (PDF) |
Medi-Cal Managed Care Plan Ongoing Provider File Submission Requirements |
09/21/2011 |
| APL 11-021 (PDF) |
Quality and Performance Improvement Program Requirements for 2012 |
09/21/2011 |
| APL 11-022 (PDF) |
Six New Derivative Foster Care Aid Codes |
12/06/2011 |
| APL 11-023 (PDF) |
Aid Code 0W |
12/06/2011 |
| APL 11-024 (PDF) |
2012-2013 Managed Care Plan MEDS/FAME/5010 834 Cutoff and Processing Schedule |
12/27/2011 |
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2010 - All Plan Letters
|
APL 10-001 (PDF) |
Quality and Performance Improvement Program Requirements for 2010 |
03/04/2010 |
|
APL 10-002 (PDF) |
Rogers Amendment Data Request |
03/22/2010 |
|
APL 10-003 (PDF) |
Augmented Reimbursement for Family Planning Services |
06/22/2010 |
|
APL 10-005 (PDF) |
Financial Reporting Requirements |
06/22/2010 |
|
APL 10-006 (PDF) |
Medi-Cal Managed Care Plan Ongoing Provider File Updates |
07/13/2010 |
|
APL 10-007 (PDF) |
2010-11 Rates for Emergency Inpatient Services Provided by Out-Of-Network Acute Care Hospitals |
07/06/2010 |
|
APL 10-008 (PDF) |
2010-11 Rates for Post-Stabilization Inpatient Services Provided by Out-of-Network Acute Care Hospitals |
07/06/2010 |
|
APL 10-009 (PDF) |
Utilization and Payment Data for Safety-Net Providers |
07/13/2010 |
|
APL 10-010 (PDF) |
Reinstatement of Optometry Services |
07/15/2010 |
|
APL 10-011 (PDF) |
The Rogers Amendment and Tertiary Hospitals |
09/02/2010 |
|
APL 10-014 (PDF) |
Correction to All Plan Letter 10-003 Regarding Augmented Reimbursment for Family Planning Services |
12/28/2010 |
|
APL 10-015 (PDF) |
2011-2012 Managed Care Plans MEDS/FAME/834+Supplemental Cutoff and Processing Schedule |
12/28/2010 |
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2009 - All Plan Letters
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2008 - All Plan Letters
|
APL 08-001 (PDF) |
Summary of 2007 Chaptered Legislation Affecting, or of Interest to Medi-Cal Managed Care Plans |
02/05/2008 |
|
APL 08-004 (PDF) |
Managed Care Rate Reductions for FY 2008-09 |
05/12/2008 |
|
APL 08-005 (PDF) |
Managed Care Rate Reductions for FY 2008-09; Technical Clarification to MMCD All Plan Letter NO. 08-004 |
06/18/2008 |
|
APL 08-006 (PDF) |
Interim Procedures Until Execution of New EQRO Contract |
06/30/2008 |
|
APL 08-007 (PDF) |
Requirements for Employee Education Regarding False Claims Recovery |
07/01/2008 |
|
APL 08-008 (PDF) |
Reimbursement for Non-contracted Hospital Emergency Inpatient Services |
10/02/2008 |
|
APL 08-009 (PDF) |
Quality and Performance Improvement Requirements for 2009 |
10/27/2008 |
|
APL 08-010 (PDF) |
Hospital Payment for Post Medi-Cal Post-Stabilization Services |
11/10/2008 |
|
APL 08-012 (PDF) |
2009-2010 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule |
12/08/2008 |
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2007 - All Plan Letters
|
APL 07-001 (PDF) |
Conversion to Electronic Filing of Financial Reports |
05/18/2007 |
|
APL 07-002 (PDF - 5.5MB) |
Conlan v. Bonta: Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process |
01/31/2007 |
|
APL 07-003 (PDF) |
Federal Deficit Reduction Act of 2005 (Reimbursement for Non-Contracted Emergency Services Providers) |
03/16/2007 |
|
APL 07-004 (PDF) |
Summary of 2006 Chaptered Legislation Affecting, or of Interest to, Medi-Cal Managed Care Plans |
02/13/2007 |
|
APL 07-005 (PDF) |
Implementation of NPI Update |
05/18/2007 |
|
APL 07-007 (PDF) |
Federal Deficit Reduction Act of 2005 (Employee Education About False Claims) |
03/09/2007 |
|
APL 07-008 (PDF) |
Topical Fluoride Varnish |
04/18/2007 |
|
APL 07-009 (PDF) |
New Financial Reporting Requirements |
05/14/2007 |
|
APL 07-011 (PDF) |
Update on California Department of Health Services Reorganization |
06/06/2007 |
|
APL 07-012 (PDF) |
Identification of Regional Center Consumers |
08/24/2007 |
|
APL 07-013 (PDF) |
Quality and Performance Improvement Program Requirements for 2008 |
09/25/2007 |
|
APL 07-014 (PDF) |
Hospice Services and Medi-Cal Managed Care |
10/12/2007 |
|
APL 07-015 (PDF) |
Human Papillomavirus Vaccine |
10/18/2007 |
|
APL 07-017 (PDF) |
Federal Deficit Reduction Act of 2005, Section 6036 (Citizenship Verification Requirement) |
11/06/2007 |
|
APL 07-019 (PDF) |
2008-2009 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule |
12/20/2007 |
|
APL 07-020 (PDF) |
Medi-Cal Billing Restriction on the Use of Social Security Numbers |
12/26/2007 |
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2006 - All Plan Letters
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2005 - All plan letters
|
APL 05-001 (PDF) |
Summary of 2003 and 2004 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
01/06/2005 |
|
APL 05-002 (PDF - 2.1MB) |
New Process for Transmitting Enrollment/Disenrollment Data |
03/28/2005 |
|
APL 05-003 (PDF) |
Hospice Services and Medi-Cal Managed Care |
03/25/2005 |
|
APL 05-004 (PDF) |
Personal Injury Inquiry Letter |
04/11/2005 |
|
APL 05-005 (PDF) |
All Plan Letter 04006 Regarding Senate Bill 59 Notice of Action Letters |
04/11/2005 |
|
APL 05-006 (PDF) |
HIPAA Requirements: Plans’ Reporting Responsibilities |
05/02/2005 |
|
APL 05-007 (PDF) |
Erectile Dysfunction Treatment for Known Sex Offenders |
06/13/2005 |
|
APL 05-008 (PDF) |
Review and Analysis of Financial Status of Health Plans Proposed Request for Funding Augmentations |
10/18/2005 |
|
APL 05-009 (PDF) |
Carve out Erectile Dysfunction Drugs |
11/18/2005 |
|
APL 05-010 (PDF - 31.0MB) |
Advance Directive Form |
11/23/2005 |
|
APL 05-011 (PDF - 2.3MB) |
2005-2006 Managed Care Plan (MCP) MEDS/FAME Cutoff and Processing Schedule |
no date |
|
APL 05-012 (PDF) |
Medicare Modernization Act; Medicare Part D Prescription Drug Plan |
12/14/2005 |
|
APL 05-013 (PDF) |
Medicare Modernization Act; Medicare Part D Implementation System Changes |
12/29/2005 |
|
APL 05-014 (PDF - 17.3MB) |
Summary of 2005 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
12/30/2005 |
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2004 - All Plan Letters
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2003 - All Plan Letters
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2002 - All Plan Letters
|
APL 02-001 (PDF) |
Medi-Cal HIV/AIDS Home and Community Based Services Waiver Program |
07/19/2002 |
|
APL 02-002 (PDF) |
Possible Movement of Fame Files from the CA Health and Human Services (CHHS) Data Center to the Medi-Cal Web Site |
03/15/2002 |
|
APL 02-003 (PDF) |
Cultural and Linguistic Contractual Requirements: Threshold and Concentration Standard Languages Update |
07/07/2002 |
|
APL 02-004 (PDF) |
Health Plan Employer Data and Information Set (HEDIS) and Consumer Assessment of Health Plans (CAHPS) Reports Are Now Available on the DHCS Internet Site |
06/11/2002 |
|
APL 02-005 (PDF) |
Emergency Services Medical Claim Coding and Documentation Guidelines |
08/07/2002 |
|
APL 02-006 (PDF) |
Implementation of Medi-Cal Managed Care Division (MMCD) Policy Letter 02-02 |
09/25/2002 |
|
APL 02-007 (PDF) |
Summary of 2002 Chaptered Legislation for Medi-Cal Managed Care Plans |
11/12/2002 |
|
APL 02-008 (PDF) |
External Accountability Set (EAS) Performance Measure Audits |
11/26/2002 |
|
APL 02-009 (PDF) |
2003 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
12/27/2002 |
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2001 - All Plan Letters
|
APL 01-001 (PDF) |
Summary of 2000 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
01/16/2001 |
|
APL 01-002 (PDF - 7.9MB) |
Reporting and Other Requirements Regarding Workers’ Compensation Recovery |
02/21/2001 |
|
APL 01-003 (PDF) |
Mifepristone (RU-486) As a Medi-Cal Benefit |
07/25/2001 |
|
APL 01-004 (PDF) |
Health Plan Choice Reminders (Annual Renotifications) |
08/21/2001 |
|
APL 01-005 (PDF - 6.2MB) |
Implementation of a New Process Which Will Reject Encounter Data At Record Level |
11/26/2001 |
|
APL 01-006 (PDF) |
2002 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
12/24/2001 |
|
APL 01-007 (PDF - 21.7MB) |
Summary of 2001 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
12/17/2001 |
|
APL 01-008 (PDF) |
Breast and Cervical Cancer Treatment Program |
12/17/2001 |
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2000 - All Plan Letters
|
APL 00-001 (PDF - 10.1MB) |
2000 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
02/03/2000 |
|
APL 00-002 (PDF) |
Medi-Cal Managed Care Medical Exemptions |
02/29/2000 |
|
APL 00-003 (PDF) |
Policy and Procedure Revisions |
03/07/2000 |
|
APL 00-004 (PDF) |
California Children’s Services (CCS) Policy Regarding the Requirement That All CCS Applicants Shall Make Application to the Medi-Cal Program (Health and Safety Code Section 123995) |
04/14/2000 |
|
APL 00-005 (PDF) |
Invitation to All Plan Meeting on Year 2000 Proposed Contract Amendments |
05/09/2000 |
|
APL 00-006 (PDF) |
Maximus Warehouse Relocation |
06/05/2000 |
|
APL 00-007 (PDF) |
Potential Increase in New Enrollees Due to Changes in the Section 1931(b) Program |
07/05/2000 |
|
APL 00-008 (PDF) |
Importance of Increased Outreach to New Eligibles Under the Section 1931(b) Program |
08/15/2000 |
|
APL 00-009 (PDF) |
Percent of Poverty Population |
09/15/2000 |
|
APL 00-010 (PDF) |
Draft 2000 Medi-Cal Managed Care Contract Amendments Package 00-01 |
09/13/2000 |
|
APL 00-011 (PDF) |
Ensuring Beneficiaries Receive Laboratory Services From CLIA Certified Laboratories |
10/17/2000 |
|
APL 00-012 (PDF) |
Utilization Review of Initial Risk Assessments for Pregnant Women |
12/22/2000 |
|
APL 00-013 (PDF) |
Amended Regulations for Enrollment and Disenrollment for Two-Plan Model Plans |
12/28/2000 |
|
APL 00-014 (PDF) |
2001 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
12/29/2000 |
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1999 - All Plan Letters
|
APL 99-001 (PDF) |
Managed Care Plan Utilization of Therapeutic Pharmaceutical Agents-Certified Optometrists |
01/21/1999 |
|
APL 99-002 (PDF) |
1999 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
01/21/1999 |
|
APL 99-003 (PDF) |
Year 2000 Readiness Certification and Business Continuation Plan |
01/27/1999 |
|
APL 99-004 (PDF) |
New Laws from the 1997-98 Session of the California Legislature Affecting the Medi-Cal Program |
02/17/1999 |
|
APL 99-005 (PDF) |
Cultural Competency in Health Care - Meeting the Needs of a Culturally and Linguistically Diverse Population |
04/02/1999 |
|
APL 99-006 (PDF) |
Encounter Data Work Group |
4/28/1999 |
|
APL 99-007 (PDF) |
Medi-Cal Managed Care Health Education Work Group and the “Staying Healthy” Assessment Subcommittee |
06/01/1999 |
|
APL 99-008 (PDF) |
Updates to Managed Care Data Dictionary |
07/14/1999 |
|
APL 99-009 (PDF) |
Draft 1999 Medi-Cal Managed Care Contract Amendments |
07/26/1999 |
|
APL 99-010 (PDF) |
Status of the Conversion to the Fiscal Intermediary Access to Medi-Cal Eligibility |
08/03/1999 |
|
APL 99-011 (PDF - 12.9MB) |
New Medi-Cal Managed Care Exemption Forms |
08/03/1999 |
|
APL 99-012 (PDF) |
Revision to MMCD All Plan Letter 99003 Re: Year 2000 Readiness |
10/08/1999 |
|
APL 99-013 (PDF) |
Concurrent Participation in the Medi-Cal Managed Care Program and the Multipurpose Senior Services Program |
10/20/1999 |
|
APL 99-014 (PDF) |
Summary of 1999 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
12/01/1999 |
|
APL 99-015 (PDF) |
Emergency Services Claims |
12/06/1999 |
|
APL 99-016 (PDF) |
Year 2000 Contingency Plan Update |
12/16/1999 |
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1998 - All Plan Letters
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