Archived All Plan, Duals Plan and Policy Letters
Archived letters are not current and are not applicable to contractors. DHCS has either update the letter or made a determination that it is no longer valid. Please refer to the “Current All Plan and Policy Letters” and the “Current Duals Plan Letters” web pages for current letters.
2016
| Letter Number | Title (Subject) of Letter |
| APL 16-011 (PDF) | Reporting Requirements Related to Provider Preventable Conditions (Superseded by APL 17-009) |
| APL 16-012 (PDF) | Provider Credentialing and Recredentialing (Superseded by APL 17-019) |
| APL 16-018 (PDF) | Quality and Performance Improvement Requirements (Superseded by APL 17-014) |
2015
| Letter Number | Title (Subject) of Letter |
| Continuity of Care for New Enrollees Transitioned to Managed Care After Requesting a Medical Exemption APL 15-001 Attachment C: Report Template (Superseded by APL 17-007) | |
| APL 15-006 (PDF) | Reporting Requirements Related to Provider Preventable Conditions (Superseded by APL 16-011) |
| APL 15-011 (PDF) | Designated Public Hospitals: Billing for Beneficiaries with California Children’s Services Eligible Conditions and/or Medi-Cal Managed Care (Superseded by APL 16-007) |
| APL 15-014 (PDF) | Administrative and Financial Sanctions (Superseded by APL 18-003) |
| APL 15-016 (PDF) | Hepatitis C Virus Treatment Policy Update (Superseded by APL 18-013) |
| APL 15-017 (PDF) | Provision of Certified Nurse Midwife and Alternative Birth Center Facility Services (Superseded by APL 16-017) |
| APL 15-019 (PDF) | Continuity of Care for Medi-Cal Beneficiaries who Transition into Medi-Cal Managed Care (Superseded by APL 18-008) |
| APL 15-022 (PDF) | Memorandum of Understanding Requirements for Medi-Cal Managed Care Health Plans and Regional Centers (Superseded by APL 18-009) |
| APL 15-024 (PDF) | Quality and Performance Improvement Requirements (Superseded by APL 16-018) |
| APL 15-025 (PDF) | Responsibilities for Behavioral Health Treatment Coverage for Children Diagnosed with Autism Spectrum Disorder (Superseded by APL 18-006) |
| DPL 15-002 (PDF) | Reporting Requirements Related to Provider Preventable Conditions (Superseded by DPL 17-002) |
| DPL 15-003 (PDF) | Continuity of Care (Superseded by DPL 16-002) |
| DPL 15-005 (PDF) | Health Risk Assessment and Risk Stratification Requirements for Cal MediConnect (Superseded by DPL 17-001) |
2014
| Letter Number | Title (Subject) of Letter |
| APL 14-003 (PDF) | Quality and Performance Improvement Program Requirements for 2014 (Superseded by APL 15-024) |
| APL 14-004 (PDF) | Screening, Brief Intervention, and Referral to Treatment for Misuse of Alcohol (Superseded by APL 17-016) |
| APL 14-005 (PDF) | New Benefit – Voluntary Inpatient Detox (Superseded by APL 18-001) |
| APL 14-006 (PDF) | Ongoing Provider File Submission Requirements (Superseded by APL 16-019) |
| APL 14-008 (PDF) | Standards for Determining Threshold Languages (Superseded by APL 17-011) |
| APL 14-010 (PDF) | Care Coordination Requirements for Managed Long-Term Services and Supports (Superseded by APL 17-012) |
| APL 14-011 (PDF) | Interim Policy for the Provision of Behavioral Health Treatment Coverage for Children Diagnosed with Autism Spectrum Disorder (Superseded by APL 15-025) |
| Requirements for Coverage of Early and Periodic Screening, Diagnostic, and Treatment Services for Medi-Cal Beneficiaries under the Age of Twenty One (Superseded by APL 18-007) | |
| APL 14-021 (PDF) | Continuity of Care for Medi-Cal Beneficiaries Who Transition into Medi-Cal Managed Care (Superseded by APL 15-019) |
| DPL 14-003 (PDF) | Crossover Claiming Responsibility for Mental Health Services Provided to Cal MediConnect Beneficiaries (Superseded by DPL 15-006) |
| DPL 14-004 (PDF) | Continuity of Care (Superseded by DPL 15-003) |
| PL 14-005 (PDF) | Requirements for Health Risk Assessment for Seniors and Persons with Disabilities PL 14-005 Attachment: Reporting Instructions (PDF) PL 14-005 Attachment: Reporting Template (MS Excel) (Superseded by APL 17-013) |
| PL 14-006 (PDF) | Comprehensive Tobacco Cessation Services for Medi-Cal Members: Preventing Tobacco use in Children and Adolescents (Superseded by APL 16-014) |
2013
| Letter Number | Title (Subject) of Letter |
| APL 13-001 (PDF) | Coordination of Benefits: Medicare and Medi-Cal(Superseded by APL 13-003) |
| APL 13-005 (PDF) | Quality & Performance Improvement Program Requirements for 2013 (Superseded by APL 14-003) |
| APL 13-006 (PDF) | Encounter Data Element for Medi-Cal Managed Care Health Plans, Version 2.0. (Superseded by APL 14-019) |
| APL 13-007 (PDF) | Reporting Encounter Data Related to Provider Preventable Conditions Secure Online Reporting Portal (Superseded by APL 15-006) |
| APL 13-011 (PDF) | Ensuring Access to Transgender Services (Superseded by APL 15-019) |
| APL 13-012 (PDF) | Diagnosis Related Groups: Billing for Beneficiaries with California Children’s Services Eligible Conditions and/or Medi-Cal Managed Care (Superseded by APL 16-008) |
| APL 13-013 (PDF) | Continuity of Care for New Enrollees Transitioned to Managed Care after Requesting a Medical Exemption APL 13-013 Attachment C MER Denial and Continuity of Care (Excel) (Superseded by APL 15-001) |
| APL 13-016 (PDF) | Proper use of and Billing for Makena (Superseded by APL 15-009) |
| APL 13-021 (PDF) | Medi-Cal Managed Care Plan Responsibilities for Outpatient Mental Health Services (Superseded by APL 17-018) |
| APL 13-023 (PDF) | Continuity of Care for Medi-Cal Beneficiaries who Transition from Fee-For-Service Medi-Cal into Medi-Cal Managed Care (Superseded by APL 14-021) |
| DPL 13-002 (PDF) | Health Risk Assessment and Risk Stratification Requirements for Dual Demostration Plans Under The Coordinated Care Intiative (Superseded by DPL 15-005) |
| DPL 13-003 (PDF) | Facility Site Review / Physical-Accessibility Reviews (Superseded by DPL 14-005) |
| DPL 13-004 (PDF) | Interdisciplinary Care Team and Individual Care Plan Requirements for Medicare-Medicaid Plans (Superseded by DPL 15-001) |
| DPL 13-005 (PDF) | Continuity of Care (Superseded by DPL 14-004) |
| PL 13-002 (PDF) | Dental Services-General Anesthesia Coverage (Superseded by APL 15-012) |
2012
| Letter Number | Title (Subject) of Letter |
| APL 12-002 (PDF) | 2012-13 Rates For Post-Stabilization Inpatient Services Provided By Out-Of-Network Acute Care Hospitals (Superseded by APL 12-004) |
| PL 12-001 (PDF) | Obstetrical Care-Perinatal Services (Superseded by PL 12-003) |
| PL 12-002 (PDF) | Non-Monetary Member Incentive Guidelines Addendum to Policy Letter 09-005 PL 12-002 Attachment: Member Incentive Program, Request for Approval Form PL 12-002 Attachment: Member Incentive Program, Plan Update Form (Superseded by APL 16-005) |
| PL 12-004 (PDF) | Requirements for Health Risk Assessment of Medi-Cal Seniors and Persons with Disabilities (Superseded by PL 14-005) |
2011
| Letter Number | Title (Subject) of Letter |
| APL 11-002 (PDF) | Quality and Performance Improvement Program Requirements for 2011 (Superseded by APL 11-021) |
| APL 11-020 (PDF) | Medi-Cal Managed Care Plan Ongoing Provider File Submission Requirements (Superseded by APL 14-006) |
| APL 11-021 (PDF) | Quality and Performance Improvement Program Requirements for 2012 (Superseded by APL 13-005) |
| PL 11-001 (PDF) | Requirements for Health Risk Assessment of Medi-Cal Seniors and Persons with Disabilities (Superseded by 11-007) |
| PL 11-003 (PDF) | Member-Specific Data Files To Be Provided To Plans For New Medi-Cal Only SPD Members (Superseded by PL 14-001) |
| PL 11-007 (PDF) | Revision To Policy Letter 11-001 Regarding Requirements for Health Risk Assessment of Medi-Cal Seniors and Persons with Disabilities (Superseded by PL 12-004) |
| PL 11-013 (PDF) | Revised Facility Site Review (FSR) Tool (Superseded by PL 12-006) |
2010
| Letter Number | Title (Subject) of Letter |
| APL 10-001 (PDF) | Quality and Performance Improvement Program Requirements for 2010 (Superseded by APL 11-002) |
| APL 10-006 (PDF) | Medi-Cal Managed Care Plan Ongoing Provider File Updates (Superseded by APL 11-020) |
| PL 10-012 (PDF) | Health Education and Cultural and Linguistic Group Needs Assessment (GNA) (Superseded by APL-17-002) |
| PL 10-013 (PDF) | Data Request CHDP (Child Health Disability Prevention) Report for FY 2007-2008 and FY 2008-2009 (Superseded by APL 15-005) |
2009
| Letter Number | Title (Subject) of Letter |
| APL 09-007 (PDF) | List of Contracted Hospitals and Bed Days (Superseded by APL 09-011) |
| PL 09-005 (PDF) | Non-Monetary Member Incentive Guidelines (Superseded by APL 16-005) |
| PL 09-006 (PDF) | Timeframes For Member Grievances (Superseded by APL 17-006) |
2008
| Letter Number | Title (Subject) of Letter |
| APL 08-009 (PDF) | Quality and Performance Improvement Requirements for 2009 (Superseded by APL 10-001) |
2007
| Letter Number | Title (Subject) of Letter |
| APL 07-014 (PDF) | Hospice Services and Medi-Cal Managed Care (Superseded by APL 13-014) |
| APL 07-015 (PDF) | Human Papillomavirus Vaccine (Superseded by APL 18-004) |
| PL 07-006 (PDF) | Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (Superseded by PL 12-005) |
| PL 07-016 (PDF) | Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (Superseded by PL 12-005) |
2006
| Letter Number | Title (Subject) of Letter |
| APL 06-007 (PDF) | Termination of Subcontracting Relationships (Superseded by APL 16-001) |
2005
| Letter Number | Title (Subject) of Letter |
| APL 05-003 (PDF) | Hospice Services and Medi-Cal Managed Care(Superseded by APL 07-014) |
| APL 05-005 (PDF) | All Plan Letter 04006 Regarding Senate Bill 59 Notice of Action Letters (Superseded by APL 17-006) |
2004
| Letter Number | Title (Subject) of Letter |
| APL 04-004 (PDF – 4.9MB) | Workers’ Compensation (WC)- Notice Award of New Workers’ Compensation Recovery Program (WCRP) Contractor; Reporting and Other Requirements(Superseded by APL 17-021) |
| APL 04-005 (PDF – 4.3MB) | Implementation of New Enrollment Forms(Superseded by APL 04-007) |
| APL 04-006 (PDF) | SB 59 (Stats. 1999, Chapter 539) Required Notices of Action (Superseded by APL 17-006) |
2003
| Letter Number | Title (Subject) of Letter |
| APL 03-003 (PDF – 4.2MB) | LTC Guidelines/Policy Letters GMC/Two Plan Letter (Superseded by APL 17-017) |
| APL 03-004 (PDF – 4.9MB) | Medi-Cal Managed Care Health Plan Capitated and Non Capitated Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) and Antipsychotic Drugs (Superseded by APL 16-004) |
2002
| Letter Number | Title (Subject) of Letter |
| Cultural and Linguistic Contractual Requirements: Threshold and Concentration Standard Languages Update (Superseded by APL 14-008) | |
| PL 02-002 (PDF 28.2MB) | Site Review (Superseded by PL 14-004) |
| Credentialing & Re-Credentialing: Time Line Change, New Primary Source Verification Requirements and Verification of Credentials of Non-Physician Practitioners (Superseded by APL 16-012) |
2000
| Letter Number | Title (Subject) of Letter |
| Dental Services—Anesthesia Coverage(Superseded by PL 13-002) | |
| Managed Care Relationships with Local Education Agency Providers (Superseded by APL 14-017) |
1999
| Letter Number | Title (Subject) of Letter |
PL 99-002 (PDF) | Health Education and Cultural and Linguistic Group Needs Assessment (Superseded by PL 10-012) |
| PL 99-007 (PDF – 2.1MB) | Individual Health Education Behavioral Assessment(Superseded by PL 13-001) |
| PL 99-008 (PDF) | Abortion Services (Superseded by APL 15-020) |
1998
| Letter Number | Title (Subject) of Letter |
| PL 98-005 (PDF – 9.4MB) | Enrollment of Medi-Cal/ Medicare Dual Eligibles and Medi-Cal Beneficiaries with Commercial Health Maintenance Coverage(Superseded by APL 13-001) |
1996
| PL 96-013 (PDF) | Immunization Services in Medi-Cal Managed Care (Superseded by APL 18-004) |