MMCD All Plan & Policy Letters - Subject Listing

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Note: Please check back periodically as new letters are added. Policy Letters are preceded by 'PL'.  Policy Letters were not issued from 2003 - 2006.

 

Abortion Services

• Abortion Services  PL 99-008 (PDF)
• Mifepristone (RU-486) as a Medi-Cal Benefit  01-003 (PDF)

Acquired Immune Deficiency Syndrome/Acquired Immunodeficiency Virus AIDS/HIV

• Medi-Cal HIV/AIDS Home and Community Based Services Waiver Program 02-001 (PDF)
• Medi-Cal Managed Care Health Plan Capitated and Non-Capitated Human Immunodeficiency Virus/Acquired Immunie Deficiency Syndrom (HIV/AIDS) and Antipsychotic Drugs  03-004 (PDF - 4.9MB)

Advanced Directives

• Advance Directive Forms  05-010 (PDF - 31.0MB)

Aged-Senior Services

• Concurrent Participation in the Medi-Cal Managed Care Program and the Multipurpose Senior Services Program  99-013 (PDF)

Aid Codes

• Aid Code 6G  09-004 (PDF)
• Aid Code 2H  09-010 (PDF)
• Aid Codes 06 and 46  09-002 (PDF)
• Aid Code 38  98-009 (PDF)

Amendments

• Draft 2000 Medi-Cal Managed Care Contract Amendments Package 00-01 00-010 (PDF)
• Draft 1999 Medi-Cal Managed Care Contract Amendments 99-009 (PDF)
• Invitation to All Plan Meeting on Year 2000 Proposed Contract Amendments 00-005 (PDF)

Audits

• Corrective Action Plan (CAP) Standardized Format (Supersededs PL 92-20) PL 01-001 (PDF)
• External Accountability Set (EAS) Performance Measure Audits 02-008 (PDF)

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Banking

• Same Day Banking  06-011 (PDF)

Beneficiary Notices

• Conlan v. Bonta; Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process  07-002 (PDF - 5.5MB)

Billing

• Medi-Cal Billing Restriction on the Use of Social Security Numbers  07-020 (PDF)
• Payment of Invoices Beyond the Six-Month Billing Limit  PL 08-002 (PDF)

Breast and Cervical Cancer Treatment

• Breast and Cervical Cancer Treatment Program  01-008 (PDF)

Breastfeeding

• Breastfeeding Promotion  PL 98-010 (PDF)

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CAHPS Survey

• Quality and Performance Improvement Requirements for 2007  06-010 (PDF)

Children's Services

• Blood Lead Screening of Young Children  PL 02-001 (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)  00-004 (PDF)
• California Children Services Numbered Letters 01-0298 and 09-0598  98-006 (PDF)

Capitation

• Medi-Cal Managed Care Capitation Report  09-003 (PDF)
• Recovery of Capitation Paid to Health Care Plans for Deceased Beneficiaries  04-002 (PDF - 4.1MB)
• Same Day Banking  06-011 (PDF)
• Workers’ Compensation (WC)- Notice Award of New Workers’ Compensation Recovery Program (WCRP) Contractor; Reporting and Other Requirements  04-004 (PDF - 4.9MB)

 

Clinical Laboratories Improvements Amendments of 1988 (CLIA)

• Ensuring Beneficiaries Receive Laboratory Services From CLIA Certified Laboratories 00-011 (PDF)

Community Advisory Committee

• Community Advisory Committee (CAC)  PL 99-001 (PDF)

Conlan Court Decisions

• Conlan v. Bonta; Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process  07-002 (PDF - 5.5MB)

Contraceptive Devices

• Contraceptive Devices  06-008 (PDF)

Corrective Action Plan (CAP)

• Corrective Action Plan (CAP) Standardized Format  PL 01-001 (PDF)

Credentialing

• Credentialing & Re-Credentialing: Time Line Change, New Primary Source Verification Requirements and Verification of Credentials of Non-Physician Practitioners  PL 02-003 (PDF)

Cultural and Linguistics

• Community Advisory Committee (CAC)  PL 99-001 (PDF)
• Cultural Competency in Health Care - Meeting the Needs of a Culturally and Linguistically Diverse Population   99-005 (PDF)
• Cultural and Linguistic Contractual Requirements: Threshold and Concentration Standard Languages Update   02-003 (PDF)
• Health Education and Cultural and Linguistic Group Needs Assessment  PL 99-002 (PDF)
• Linguistic Services  PL 99-003 (PDF - 8.4MB)
• Translation of Written Informing Materials  PL 99-004 (PDF)

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Data

• Conversion of MESH to the Medi-Cal Web Site  PL 01-002 (PDF)
• Data for Conversion to Fiscal Intermediary Access to Medi-Cal Eligibility Data  PL 99-006 (PDF)
• Encounter Data Work Group  99-006 (PDF)
• Errata of MMCD Policy Letter 01-01 dated October 30, 2001  PL 01-002 Rev (PDF)
• Health Plan Employer Data and Information Set (HEDIS) and Consumer Assessment of Health Plans (CAHPS) Reports Are Now Available on the DHS internet Site  02-004 (PDF)
• Implementation of a New Process Which Will Reject Encounter Data At Record Level  01-005 (PDF - 6.2MB)
• List of Contracted Hostipals and Bed Days 09-011 (PDF)
• New Process for Transmitting Enrollment/Disenrollment Data  05-002 (PDF - 2.1MB)
• Possible Movement of FAME Files from the CA Health and Services Data Center to the Medi-Cal Website  02-002 (PDF)
• Status of the Conversion to the Fiscal Intermediary Access to Medi-Cal Eligibility 99-010 (PDF)
• Supplemental Data Request  06-009 (PDF)
1. 06-009 Attachment: California Information Request (Excel)
2. 06-009 Attachment: Lookup Tables (Excel)
• Updates to Managed Care Data Dictionary 99-008 (PDF)

Dental

• Dental Services - Anesthesia Coverage  PL 00-005 (PDF - 2.1MB)
• Topical Fluoride Varnish  07-008 (PDF)

DFMC - Delmarva Foundation for Medical Care Inc.

• Delmarva Foundation for Medical Care Inc.  03-014 (PDF)

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Early and Periodic Screening Diagnosis and Treatment Services

• Blood Lead Screening of Young Children  PL 02-001 (PDF)

Eligibility

• Addendum to MMCD Policy Letter 98-03 - Conversion to New Eligibility Report System  PL 99-005 (PDF - 3.0MB)
• Conlan v. Bonta; Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process  07-002 (PDF - 5.5MB)
• Conversion to New Eligibility Reporting System  PL 98-003 (PDF)
• Medi-Cal Intercounty Transfers  03-005 (PDF - 5.3MB)
• Refugee Health Care  PL 98-007 (PDF)
• Status of the Conversion to the Fiscal Intermediary Access to Medi-Cal Eligibility Data  99-010 (PDF)

Emergency Services (ER Care)

• Emergency Services Medical Claim Coding and Documentation Guidelines  02-005 (PDF)
• Emergency Services Claims  99-015 (PDF)
• Non-Contracted Emergency Room Rate Schedule  03-013 (PDF)

Enrollments and Disenrollments

• 2008-2009 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule  07-019 (PDF)
• 2007-2008 Managed Care Plan MEDS/FAME Cutoff and Processing Schedule  06-012 (PDF)
• Amended Regulations for Enrollment and Disenrollment for Two-Plan Model Plans  00-013 (PDF)
• Change of Children in Percent of Poverty Aid Categories to Mandatory Enrollment for Medi-Cal Managed Care  PL 00-003 (PDF)
• Default Assignment for Beneficiaries  03-001 (PDF)
• Enrollment Forms in Primary Care Provider Offices and Enrollment Packet Material Distribution  PL 98-004 (PDF)
• Enrollment of Medi-Cal/Medicare Dual Eligibles and Medi-Cal Beneficiaries with Commercial Health Maintenance Coverage  PL 98-005 (PDF - 9.4MB)
• Health Plan Choice Reminders (Annual Renotifications)  01-004 (PDF)
• Implementation of New Enrollment Forms  04-007 (PDF)
• Implementation of New Enrollment Forms  04-005 (PDF - 4.3MB)
• LTC Guidelines/Policy Letters GMC/Two-Plan Letter  03-003 (PDF - 4.2MB)
• Maximus Warehouse Relocation  00-006 (PDF)
• Medi-Cal Managed Care Medical Exemptions  00-002 (PDF)
• New Medi-Cal Managed Care Exemption Forms  99-011 (PDF - 12.9MB)
• New Process for Transmitting Enrollment/Disenrollment Data  05-002 (PDF - 2.1MB)
• Percent of Poverty Population  00-009 (PDF)
• Potential Increase in New Enrollees Due to Changes in the Section 1931(b) Program  00-007 (PDF)
 

Expedited State Hearing (ESH)

• Implementation of Expedited State Hearings  03-009 (PDF)

External Accountability Set

• Interim Procedures Until Execution of New EQRO Contract  08-006 (PDF)
• External Accountability Set (EAS) Performance Measure Audits  02-008 (PDF)
• Quality and Performance Improvement Requirements for 2007  06-010 (PDF)

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FAME 

• 2009-2010 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule  08-012 (PDF)
• 2008-2009 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule  07-019 (PDF)
• 2007-2008 Managed Care Plan MEDS/FAME Cutoff and Processing Schedule  06-012 (PDF)
• 2005-2006 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  05-011 (PDF - 2.3MB)
• 2004-2005 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  04-008 (PDF)
• 2004 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  04-001 (PDF)
• 2003 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  02-009 (PDF)
• 2002 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  01-006 (PDF)
• 2001 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  00-014 (PDF)
• 2000 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  00-001 (PDF - 10.1MB)
• 1999 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  99-002 (PDF)
• 1998 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  98-003 (PDF)
• Possible Movement of FAME Files from the CA Health and Human Services (CHHS) Data Center to the Medi-Cal Web Site  02-002 (PDF)

Family Planning

• Contraceptive Devices  06-008 (PDF)
• Family Planning Services in Medi-Cal Managed Care  PL 98-011 (PDF - 31.9MB)
• Medi-Cal Managed Care Plan Requirements for Provision of Contraceptive Drug Services and Supplies  03-010 (PDF)
• Senate Bill (SB) 94 - Family Planning Services  PL 07-018 (PDF)

Federal Deficit Reduction Act of 2005

• Federal Deficit Reduction Act of 2005 (Reimbursement for Non-Contracted Emergency Services Providers)  07-003 (PDF)
• Federal Deficit Reduction Act of 2005 (Employee Education About False Claims)  07-007 (PDF)
• Federal Deficit Reduction Act of 2005, Section 6036 (Citizenship Verification Requirement)  07-017 (PDF)
• Requirements for Employee Education Regarding False Claims Recovery  08-007 (PDF)

Finance

• Conversion to Electronic Filing of Financial Reports  07-001 (PDF)
• New Financial Reporting Requirements  07-009 (PFD)
• Review and Analysis of Financial Status of Health Plans Proposed Request for Funding Augmentations  05-008 (PDF)
• Same Day Banking  06-011 (PDF)

Fraud

• Fraud Referral Procedure to Audits and Investigations (A&I)  03-011 (PDF)

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Grievance

• Quarterly Submission of Grievance Logs  03-008 (PDF)
• Timeframes For Member Grievances PL 09-006 (PDF)

Health Assessments

• Initial Comprehensive Health Assessment  PL 08-003 (PDF)

Health Education

• Health Education  PL 02-004 (PDF)
• Health Education and Cultural and Linguistic Group Needs Assessment  PL 99-002 (PDF)
• Individual Health Education Behavioral Assessment  PL 99-007 (PDF - 2.1MB)
• Medi-Cal Managed Care Health Education Work Group and the “Staying Healthy” Assessment Subcommittee  99-007 (PDF)

HIPAA - Health Insurance Portability and Accountability Act of 1996

• Certificates of Creditable Coverage Under the Health Insurance Portability and Accountability Act of 1996  PL 98-002 (PDF - 3.6MB)
• HIPAA Requirements: Notice of Privacy Practices and Notification of Breaches  06-001 (PDF)
• HIPAA Requirements: Plans' Reporting Responsibilities  05-006 (PDF)
• Protected Health Information (PHI) and Notification of Breaches 06-005 (PDF)
 

Hospice

• Hospice Services and Medi-Cal Managed Care 07-014 (PDF)
• Hospice Services and Medi-Cal Managed Care 05-003 (PDF)

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Indian Health

• Indian Health Services 09-009 (PDF) 

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Legislation

• 2008 Chaptered Legislation Affecting, or of Interest to Medi-Cal Managed Care Plans  09-001 (PDF)
• All Plan Letter 04006 Regarding Senate Bill 59 Notice of Action Letter  05-005 (PDF)
• Erectile Dysfunction Treatment for Known Sex Offenders  05-007 (PDF)
• List of Contracted Hospitals and Bed Days  09-007 (PDF)
• List of Contracted Hostipals and Bed Days 09-011 (PDF)
• Newborns' and Mothers' Health Act of 1997  PL 98-001 (PDF)
• New Laws from the 1997-98 Session of the California Legislature Affecting the Medi-Cal Program  99-004 (PDF)
• SB 59 (Stats. 1999, Chapter 539) Required Notices of Action  04-006 (PDF)
• SB 87 Medi-Cal Contact Information Release Form  03-002 (PDF - 2.5 MB)
• Summary of 2007 Chaptered Legislation Affecting, or of Interest to Medi-Cal Managed Care Plans  08-001 (PDF)
• Summary of 2006 Chaptered Legislation Affecting, or of Interest to Medi-Cal Managed Care Plans  07-004 (PDF)
• Summary of 2005 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans  05-014 (PDF - 17.3MB)
• Summary of 2003 and 2004 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans  05-001 (PDF - 2.0MB)
• Summary of 2002 Chaptered Legislation for Medi-Cal Managed Care Plans  02-007 (PDF)
• Summary of 2001 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans  01-007 (PDF - 21.7MB)
• Summary of 2000 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans  01-001 (PDF)
• Summary of 1999 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans  99-014 (PDF)
• Update on California Department of Health Services Reorganization  07-011 (PDF)

Local Education Agencies (LEAs)

• Managed Care Relationship with Local Education Agency Providers  PL 00-006 (PDF)

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Marketing

• Plan-Paid Advertising Extended Until January 31, 2001  PL 00-004 (PDF)
• Non-Monetary Member Incentive Guidelines  PL 09-005 (PDF)

MEDS - Medi-Cal Eligibility Data System

• 2009-2010 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule  08-012 (PDF)
• 2008-2009 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule  07-019 (PDF)
• 2007-2008 Managed Care Plan MEDS/FAME Cutoff and Processing Schedule  06-012 (PDF)
• 2005-2006 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  05-011 (PDF - 2.3MB)
• 2004-2005 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  04-008 (PDF)
• 2004 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  04-001 (PDF)
• 2003 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  02-009 (PDF)
• 2002 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  01-006 (PDF)
• 2001 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  00-014 (PDF)
• 2000 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  00-001 (PDF - 10.2MB)
• 1999 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  99-002 (PDF)
• 1998 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  98-003 (PDF)
• Medicare Modernization Act; Medicare Part D Implementation System Changes  05-013 (PDF)
• Medicare Part D Update  06-002 (PDF - 4.0MB), 06-003 (PDF - 2.4MB)
• Possible Movement of FAME Files from the CA Health and Human Services (CHHS) Data Center to the Medi-Cal Web Site  02-002 (PDF)

Mental Health

• Med-Cal Managed Care Plan Responsibilities Under the Medi-Cal Specialty Mental Health Services Consolidation Program  PL 00-001 Rev (PDF - 4.3MB)
• Medi-Cal Managed Care Plan Responsibilities Under the Medi-Cal Specialty Mental Health Services Consolidation Program  PL 00-001 (PDF)

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National Provider Identifier (NPI)

• Implementation of NPI Update  07-005 (PDF)
• Update to All Plan Letter 06-04 re: Implementation of National Provider Identifier (NPI)  06-006 (PDF)
• National Provider Identifier (NPI)  06-004 (PDF)

Notice of Action

• Timeframes For Member Grievances PL 09-006 (PDF)

Other Health Coverage

• Cost Avoidance and Post-Payment Recovery for Other Health Coverage PL 08-011 (PDF)

Outreach

• Importance of Increased Outreach to New Eligibles Under the Section 1931(b) Program  00-008 (PDF)

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Percent of Poverty

• Percent of Poverty Population  00-009 (PDF)

Personal Injury

• Personal Injury Inquiry Letter  05-004 (PDF)

Pharmacy

• Carve out Erectile Dysfunction Drugs  05-009 (PDF)
• Contraceptive Devices  06-008 (PDF)
• Managed Care Plan Utilization of Therapeutic Pharmaceutical Agents-Certified Optometrist  99-001 (PDF)
• Medi-Cal Managed Care Plan Requirements for Provision of Contraceptive Drug Services and Supplies  03-010 (PDF)
• Medi-Cal Managed Care Health Plan Capitated and Non-Capitated Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) and Antipsychotic Drugs  03-004 (PDF - 4.9MB)
• Medicare Modernization Act; Medicare Part D Prescription Drug Plan  05-012 (PDF)
• Mifepristone (RU-486) as a Medi-Cal Benefit  01-003 (PDF)
• Pharmacy Prior Authorization Requests by California Licensed Pharmacists 08-013 (PDF)
• Recombinant Growth Hormone Injections  98-007 (PDF)
• Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (Note: revised 11/07/07, see APL 07-016)  PL 07-006 (PDF)
• Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (revised) MMCD Policy Letter 07-006 dated April 2, 2007  PL 07-016 (PDF)

Policy and Procedure

• Policy and Procedure Revisions 00-003 (PDF)

Post Stabilization

• Policy and Procedure Revisions 08-010 (PDF)

Prenatal Care

• Breastfeeding Promotion  PL 98-010 (PDF)
• Newborn and Prenatal Genetic Screening Services PL 98-006 (PDF - 38.2MB)
• Utilization Review of Initial Risk Assessments for Pregnant Women  00-012 (PDF)

Primary Care Physician (PCP)

• Primary Care Physician Selection and Assignment Policy  PL 98-012 (PDF)

Prescriptions (Rx)

• Carve out Erectile Dysfunction Drugs  05-009 (PDF)
• Contraceptive Devices  06-008 (PDF)
• Managed Care Plan Utilization of Therapeutic Pharmaceutical Agents-Certified Optometrist  99-001 (PDF)
• Medi-Cal Managed Care Plan Requirements for Provision of Contraceptive Drug Services and Supplies  03-010 (PDF)
• Medi-Cal Managed Care Health Plan Capitated and Non-Capitated Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) and Antipsychotic Drugs  03-004 (PDF - 4.9MB)
• Medicare Modernization Act; Medicare Part D Prescription Drug Plan  05-012 (PDF)
• Mifepristone (RU-486) as a Medi-Cal Benefit  01-003 (PDF)
• Pharmacy Prior Authorization Requests by California Licensed Pharmacists 08-013 (PDF)
• Recombinant Growth Hormone Injections  98-007 (PDF)
• Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (Note: revised 11/07/07, see APL 07-016)  PL 07-006 (PDF)
• Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (revised) MMCD Policy Letter 07-006 dated April 2, 2007  PL 07-016 (PDF)

Probation

• Medi-Cal Providers on Probation  03-012 (PDF)
• Medi-Cal Providers on Probation  04-003 (PDF - 7.6MB)

Provider Directory

• Health Plan Provider Directory Policy, Guidelines and Delivery Standards PL 00-002 (PDF)

Provider Participation

• Termination of Subcontracting Relationships  06-007 (PDF)
• Facilities Excluded from the Medi-Cal Program  PL 98-009 (PDF)
• Medi-Cal Providers on Probation  03-012 (PDF)
• Medi-Cal Providers on Probation  04-003 (PDF - 7.6MB)

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QIP- Quality and Performance Improvement Program

• Certification of Managed Care Plan Staff Responsible for the Conduct of Primary Care Provider site Reviews  PL 03-002 (PDF)
• Certified Quality Provider Site Certificate 03-007 (PDF)
• Credentialing & Re-Credentialing: Time Line Change, New Primary Source Verification Requirements and Verification of Credentials of Non-Physician Practitioners  PL 02-003 (PDF)
• Facility Site Review Clarification #2  03-006 (PDF)
• Implementation of Medi-Cal Managed Care Division (MMCD) Policy Letter 02-002  02-006 (PDF)
• Procedures for Submitting QIP Documents and New Resources for Plans 09-008 (PDF)
• Quality and Performance Improvement Program  PL 03-001 (PDF)
• Quality and Performance Improvement Requirements for 2009  08-009 (PDF)
• Quality and Performance Improvement Requirements for 2008  07-013 (PDF)
• Quality and Performance Improvement Requirements for 2007  06-010 (PDF)
• Site Review  PL 02-002 (PDF - 28.4MB)
• Use of Services Measures 03-015 (PDF)

Quality Improvement Projects (QIPs)

• Quality and Performance Improvement Requirements for 2007  06-010 (PDF)

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Rates

• Fee-For-Service Reimbursement Rate Assistance  PL 98-008 (PDF)
• Managed Care Rate Reductions for FY 2008-09; Technical Clarification to MMCD All Plan Letter NO. 08-004  08-005 (PDF)
• Managed Care Rate Reductions for FY 2008-09  08-004 (PDF)
• Non-Contracted Emergency Room Rate Schedule  03-013 (PDF)
• Reimbursement for Non-contracted Hospital Emergency Inpatient Services 08-008 (PDF)
• Senate Bill (SB) 94 - Family Planning Services  PL 07-018 (PDF)
• Supplemental Data Request  06-009 (PDF)
1. 06-009 Attachment: California Information Request (Excel)
2. 06-009 Attachment: Lookup Tables (Excel)

Regional Center Consumers

• Identification of Regional Center Consumers  07-012 (PDF)

Reimbursement

• Conlan v. Bonta; Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process  07-002 (PDF - 5.5MB)
• Reimbursement for Non-contracted Hospital Emergency Inpatient Services 08-008 (PDF)

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Site Review

• Certified Quality Provider Site Certificate 03-007 (PDF)
• Facility Site Review Clarification #2  03-006 (PDF)
• Site Review  PL 02-002 (PDF - 28.4MB)

State Hearings

• Conlan v. Bonta; Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process  07-002 (PDF - 5.5MB)
• Timeframes For Member Grievances PL 09-006 (PDF)

Third Party Liability

• Reporting and Other Requirements Regarding Workers’ Compensation Recovery  01-002 (PDF - 7.9MB)

Utilization Review (UR)

• Utilization Review of Initial Risk Assessments for Pregnant Women  00-012 (PDF)
• Workers’ Compensation (WC)- Notice Award of New Workers’ Compensation Recovery Program (WCRP) Contractor; Reporting and Other Requirements  04-004 (PDF - 5.9MB)

Vaccines

• Human Papillomavirus Vaccine  07-015 (PDF)

Year 2000 (Y2K)

• Year 2000 Contingency Plan Update  99-016 (PDF)
• Revision to MMCD All Plan Letter 99-003 Re: Year 2000 Readiness  99-012 (PDF)
• Year 2000 Readiness Certification and Business Continuation Plan  99-003 (PDF)

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