Current All Plan and Policy Letters
Listed below are current All Plan Letters (APLs) and Policy Letters (PLs) applicable to contractors. Superseded letters are moved to the “Archived All Plan, Duals Plan and Policy Letters” web page when the information is no longer current.
Note: PLs were not issued between 2003 and 2006, and have not been issued since 2014.
2019
APL 19-001 (PDF) | Medi-Cal Managed Care Health Plan Guidance on Network Provider Status | 01/17/2019 |
APL 19-002 (PDF) | Network Certification Requirements (Supersedes APL 18-005) APL 19-002 Attachments: | 01/30/2019 |
2018
APL 18-001 (PDF) | Voluntary Inpatient Detoxification (Supersedes APL 14-005) | 01/11/2018 |
APL 18-002 (PDF) | 2018-2019 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Schedule | 01/11/2018 |
APL 18-003 (PDF) | Administrative and Financial Sanctions (Supersedes APL 15-014) | 01/25/2018 |
APL 18-004 (PDF) | Immunization Requirements (Supersedes PL 96-013 and APL 07-015) | 01/31/2018 |
APL 18-005 (PDF) | Network Certification Requirements | 02/16/2018 |
APL 18-006 (PDF) | Responsibilities for Behavioral Health Treatment Coverage for Members Under the Age of 21 (Supersedes APL 15-025) | 03/02/2018 |
APL 18-007 (PDF) | Requirements for Coverage of Early and Periodic Screening, Diagnostic, and Treatment Services for Medi-Cal Members Under the Age of 21 (Supersedes APL 14-017) | 03/02/2018 |
APL 18-008 (Revised) (PDF) | Continuity of Care for Medi-Cal Members Who Transition into Medi-Cal Managed Care (Supersedes APL 15-019) | 03/02/2018 Revised 07/10/2018 |
APL 18-009 (PDF) | Memorandum of Understanding Requirements for Medi-Cal Managed Care Health Plans and Regional Centers (Supersedes APL 15-022) | 03/02/2018 |
APL 18-010 (PDF) | Proposition 56 Directed Payment Expenditures for Specified Services for State Fiscal Year 2017-18 | 05/01/2018 |
APL 18-011 (PDF) | California Children’s Services Whole Child Model Program | 06/07/2018 |
APL 18-012 (PDF) | Health Homes Program Requirements | 06/28/2018 |
APL 18-013 (PDF) | Hepatitis C Virus Treatment Policy Update (Supersedes APL 15-016) | 08/14/2018 |
APL 18-014 (PDF) | Alcohol Misuse: Screening and Behavioral Counseling Interventions in Primary Care (Supersedes APL 17-016) | 09/14/2018 |
APL 18-015 (PDF) | Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans APL 18-015 Attachments: | 09/19/2018 |
APL 18-016 (PDF) | Readability and Suitability of Written Health Education Materials (Supersedes APL 11-018) APL 18-016 Attachments: | 10/05/2018 |
2017
APL 17-001 (PDF) | 2017-2018 Medi-Cal Managed Care Health Plan Meds/834 Cutoff And Processing Schedule | 01/03/2017 |
APL 17-002 (PDF) | Health Education and Cultural and Linguistic Group Needs Assessment (Supersedes PL 10-012) | 02/03/2017 |
APL 17-003 (PDF) | Treatment of Recoveries Made by the Managed Care Health Plan of Overpayments to Providers | 03/30/2017 |
APL 17-004 (PDF) | Subcontractual Relationships and Delegation | 04/18/2017 |
APL 17-005 (PDF) | Certification of Document and Data Submissions | 05/02/2017 |
APL 17-006 (PDF) | Grievance and Appeal Requirements and Revised Notice Templates and “Your Rights” Attachments APL 17-006 Member Notices: 1557 Notices Notice of Action (NOA) Notice of Appeal Resolution (NAR) (Supersedes APL 04-006, APL 05-005, and PL 09-006) | 05/09/2017 |
APL 17-007 (PDF)
| Continuity of Care for New Enrollees Transitioned to Managed Care After Requesting a Medical Exemption and Implementation of Monthly Medical Exemption Review Denial Reporting (Supersedes APL 15-001) | 05/11/2017 |
APL 17-008 (PDF) | Requirement to Participate in the Medi-Cal Drug Utilization Review Program | 05/10/2017 |
APL 17-009 (PDF) | Reporting Requirements Related To Provider Preventable Conditions (Supersedes APL 16-011) | 05/23/2017 |
APL 17-010 (Revised) (PDF) | Non-Emergency Medical and Non-Medical Transportation Services | 06/29/2017 Revised 07/17/2017 |
APL 17-011 (PDF) | Standards for Determining Threshold Languages and Requirements for Section 1557 of the Affordable Care Act (Supersedes APL 14-008) | 06/30/2017 |
APL 17-012 (PDF) | Care Coordination Requirements for Managed Long - Term Services and Supports (Supersedes APL 14-010) | 07/11/2017 |
APL 17-013 (PDF) | Requirements for Health Risk Assessment of Medi-Cal Seniors and Persons with Disabilities(Supersedes PL 14-005) | 07/11/2017 |
APL 17-014 (PDF) | Quality and Performance Improvement Requirements (Supersedes APL 16-018) | 09/11/2017 |
APL 17-015 (PDF) | Palliative Care and Medi-Cal Managed Care | 10/19/2017 |
APL 17-017 (PDF) | Long Term Care Coordination and Disenrollment (Supersedes APL 03-003) | 10/27/2017 |
APL 17-018 (PDF) | Medi-Cal Managed Care Health Plan Responsibilities for Outpatient Mental Health Services(Supersedes APL 13-021) | 10/27/2017 |
APL 17-019 (PDF) | Provider Credentialing / Recredentialing and Screening / Enrollment (Supersedes APL 16-012) | 11/14/2017 |
APL 17-020 (PDF) | American Indian Health Programs | 12/15/2017 |
APL 17-021 (PDF) | Workers’ Compensation – Notice of Change to Workers’ Compensation Recovery Program; Reporting and Other Requirements (Supersedes APL 04-004) | 12/26/2017 |
2016
APL 16-001 (PDF) | Medi-Cal Provider and Subcontract Suspensions, Terminations, and Decertifications (Supersedes APL 06-007) | 01/08/2016 |
APL 16-002 (PDF) | 2016-2017 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Schedule | 01/19/2016 |
APL 16-003 (PDF) | Family Planning Services Policy for Contraceptive Supplies | 02/05/2016 Revised 12/23/2016 |
APL 16-004 (PDF) | Medi-Cal Managed Care Health Plans Carved-Out Drugs (Supersedes APL 03-004) | 02/19/2016 |
APL 16-005 (PDF) | Requirements for Use of Non-Monetary Member Incentives for Incentive Programs, Focus Groups, and Member Surveys (Supersedes PL 09-005 and PL 12-002) | 02/25/2016 Revised 11/23/2016 |
APL 16-006 (PDF) | End of Life Option Act | 06/08/2016 |
APL 16-007 (PDF) | Designated Public Hospitals: Billing for Beneficiaries with California Children's Services Eligible Conditions and/or Medi-Cal Managed Care (Supersedes APL 15-011) | 07/18/2016 |
APL 16-008 (PDF) | Diagnosis Related Groups: Billing for Beneficiaries with California Children's Services Eligible Conditions and/or Medi-Cal Managed Care (Supersedes APL 13-012) | 07/18/2016 |
APL 16-009 (PDF) | Adult Immunizations as a Pharmacy Benefit | 08/31/2016 Revised 12/23/2016 |
APL 16-010 (PDF) | Medi-Cal Managed Care Health Plan Pharmaceutical Formulary Comparability Requirement | 09/06/2016 |
APL 16-012 (PDF) | Provider Credentialing and Recredentialing (Supersedes PL 02-003) | 09/27/2016 |
APL 16-013 (PDF) | Ensuring Access to Medi-Cal Services for Transgender Beneficiaries (Supersedes APL 13-011) | 10/06/2016 |
APL 16-014 (PDF) | Comprehensive Tobacco Prevention and Cessation Services for Medi-Cal Beneficiaries (Supersedes PL 14-006) | 11/30/2016 |
APL 16-015 (PDF) | Acupuncture Services | 12/01/2016 |
APL 16-016 (PDF) | Rate Changes for Emergency and Post-Stabilization Services Provided by Out-of-Network “Border” Hospitals Under the Diagnosis Related Group Payment Methodology | 12/07/2016 |
APL 16-017 (PDF) | Provision of Certified Nurse Midwife and Alternative Birth Center Facility Services (Supersedes APL 15-017) | 12/09/2016 |
APL 16-018 (PDF) | Quality and Performance Improvement Requirements (Supersedes APL 15-024) | 12/22/2016 |
APL 16-019 (PDF) | Managed Care Provider Data Reporting Requirements (Supersedes APL 14-006) | 12/28/2016 |
2015
APL 15-002 (PDF) | Multipurpose Senior Services Program Complaint, Grievance, Appeal, and State Hearing Responsibilities in Coordinated Care Initiative Counties | 01/22/2015 |
APL 15-003 (PDF) | Podiatric and Chiropractic Services at Federally Qualified Health Centers and Rural Health Clinics | 01/26/2015 |
APL 15-004 (PDF) | Medi-Cal Managed Care Health Plan Requirements for Nursing Facility Services in Coordinated Care Initiative Counties For Beneficiaries not Enrolled in Cal MediConnect | 02/12/2015 |
APL 15-005 (PDF) | Data Request Requirements for Child Health Disability Prevention Report Contained in Policy Letter 10-013 (Supersedes PL 10-013) | 02/12/2015 |
APL 15-007 (PDF) | Dispute Resolution Process for Mental Health Services | 04/01/2015 |
APL 15-008 (PDF) | Professional Fees for Office Visits Associated with Alcohol and Substances Use Disorder Treatment Services | 04/16/2015 |
APL 15-009 (PDF) | Proper Use and Billing for Makena (Supersedes APL 13-016) | 04/16/2015 |
APL 15-010 (PDF - 3.6MB) | Affordable Care Act Section 1202 Increased Payments for Medi-Cal Primary Care Services – Revised Guidance and Contractual Requirements | 05/01/2015 |
APL 15-012 (PDF) | Dental Services - Intravenous Sedation and General Anesthesia Coverage (Supersedes PL 13-002) | 05/12/2015 Revised 08/21/2015 |
APL 15-013 (PDF) | Requirements for Medi-Cal Managed Care Health Plans and Qualified Agency Contract | 05/22/2015 |
APL 15-015 (PDF) | Physical Health Care Covered Services Provided for Members Who Are Admitted to Inpatient Psychiatric Facilities | 06/12/2015 |
APL 15-016 (PDF) | Hepatitis C Virus Treatment Policy Update | 06/29/2015 |
APL 15-018 (PDF) | Criteria for Coverage of Wheelchairs and Applicable Seating and Positioning Components | 07/09/2015 |
APL 15-020 (PDF) | Abortion Services (Supersedes PL 99-008) | 09/30/2015 |
APL 15-021 (PDF) | General Acute Care Inpatient Services: Claiming for Beneficiaries Covered by Medi-Cal Managed Care and Medi-Cal Diagnosis Related Group Fee-For-Service | 10/01/2015 |
APL 15-023 (PDF) | Facility Site Review Tools for Ancillary Service and Community-Based Adult Services Providers | 10/28/2015 |
APL 15-026 (PDF) | Actions Required Following Notice of a Credible Allegation of Fraud | 12/30/2015 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
2014-2015 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Schedule |
01/03/2014 |
|
Summary of 2013 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Health Plans |
01/13/2014 |
|
Dual-Eligible Special Needs Plans |
06/26/2014
Revised
07/11/14 |
|
Transition of Encounter Data Submission to National Standard Transactions (ASC X12 837 5010, NCPDP 2.2 or 4.2) |
07/30/2014 |
|
Call Center Report Template |
09/25/2014 |
|
Grievance Report Template |
09/25/2014
Revised
11/03/2014 |
|
Enrollment Requirements for Dual-Eligible Special Needs Plans in Alameda and Orange Counties
(Supersedes APL 14-007 for Alameda and Orange Counties) |
10/10/2014 |
|
Primary Care Provider Assignment in Medi-Cal Managed Care for Dual-Eligible Beneficiaries |
11/24/2014 |
|
Summary of 2014 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Health Plans |
11/24/2014 |
|
2015-2016 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Schedule |
12/19/2014 |
|
Encounter Data Submission Requirements
(Supersedes APL 13-006) |
12/19/2014 |
|
Quality Measures for Encounter Data |
12/23/2014 |
|
Changes to the Historical Utilization Data Provided to Medi-Cal Managed Care Health Plans for Seniors and Persons with Disabilities Effective February 1, 2014
(Supersedes PL 11-003) |
01/03/2014 |
|
Provides guidance to the Geographic Managed Care (GMC) plans on the distribution of funds received after September 2013 capitation payments related to Chapter 286, Statutes of 2011 (SB 335, Hernandez). |
01/07/2014 |
|
Requirement to Use Food and Drug Administration Approved Drugs, Rather Than Compounded Alternatives |
02/19/2014 |
|
Enteral Nutrition Products |
04/11/2014 |
|
Site Reviews: Facility Site Review and Medical Record Review
(Supersedes PL 02-002) |
05/22/2014 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Processing Errors Related to Denied Medical Exemption Requests Regarding Mandatory Enrollment into a Medi-Cal Managed Care Plan |
01/23/2013 |
|
Coordination of Benefits: Medicare and Medi-Cal
(Supersedes APL 13-001) |
02/08/2013 |
|
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 |
|
Contracts with Dual-Eligible Special Needs Plans |
07/12/2013 |
|
Affordable Care Act (ACA) Section 1202 Final Rule on Increased Payments for Medi-Cal Primary Care Services |
10/04/2013
Revised 12/24/13 |
|
Managed Care Compliance Plan for Section 1202 of the Affordable Care Act |
10/04/2013
Revised 12/24/13 |
|
Hospice Services and Medi-Cal Managed Care
(Supersedes APL 07-014) |
10/28/2013 |
|
Marketing Requirements for Medi-Cal and Covered California |
10/29/2013
Revised 10/30/13 |
|
Staying Healthy Assessment/Individual Health Education Behavioral Assessment for Enrollees from Low-Income Health Program |
11/18/2013 |
|
Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans |
11/27/2013 |
|
Utilization Data File to be Provided to Medi-Cal Managed Care Health Plans for Transitioning Low-Income Health Program Beneficiaries |
11/27/2013 |
|
Open Authorization and Scheduled Service Information for New Beneficiaries Transitioning from The Low-Income Health Program |
12/04/2013 |
|
Medi-Cal Managed Care Health Plan Implementation of Primary Care Provider Assignment and Reimbursement for New Adult Expansion Members |
12/24/2013
Revised 07/25/2014 |
|
Designating Non-Qualified Health Plan Medi-Cal Managed Care Plans as Medicaid Certified Application Counselors |
12/30/2013
Revised 04/03/14 |
|
Requirements for Staying Healthy Assessment/Individual Health Education Behavioral Assessment
(Supersedes PL 99-007) |
06/28/2018
Revised
10/08/2013 |
|
Assembly Bill 97 Implementation
|
08/28/2013 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Contracts with Dual-Eligible Special Needs Plans |
04/18/2012 |
|
2012-13 Rates For Emergency-Based Inpatient Services Provided By Out-Of-Network Acute Care Hospitals |
07/13/2012
Revised |
|
2012-13 Rates For Post-Stabilization Inpatient Services Provided By Out-Of-Network Acute Care Hospitals
(Supersedes APL 12-002) |
07/13/2012 |
|
2013-2014 Managed Care Plan MEDS/834 Cutoff and Processing Schedule |
12/27/2012 |
|
Obstetrical Care-Perinatal Services
(Supersedes PL 12-001 and 96-001) |
06/26/2012 |
|
Enteral Nutrition Products
(Supersedes PL 07-006 and 07-016) |
07/13/2012 |
|
Revised Facility Site Review Tool
(Supersedes PL 11-013) |
08/09/2012 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
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 |
|
Disclosure of Select Provider Contracting Program Rates |
02/10/2011 |
|
Aid Code 4T: Aid Code to Identify Children in the New Federal KIN-GAP Program |
03/08/2011 |
|
Competency and Sensitivity Training Required In Serving The Needs of Seniors and Persons with Disabilities |
05/12/2011 |
|
Reporting Responsibilities Regarding Third-Party Tort Liability
(Supersedes PL 96-17) |
05/23/2011 |
|
Transition to Update HIPAA Transactions for Enrollment and Premium Payments |
06/10/2011 |
|
Rate Setting: Increased Percentage of Countywide Rates |
06/20/2011 |
|
2011-2012 Rates for Emergency-Based Inpatient Services Provided by Out-of-Network Acute Care Hospitals |
07/18/2011 |
|
2011-2012 Rates for Post-Stabilization Inpatient Services Provided by Out-of-Network Acute Care Hospitals |
07/18/2011 |
|
Readability and Suitability of Written Health Education Materials |
08/19/2011 |
|
Extended Continuity of Care for Seniors and Persons with Disabilities |
09/21/2011 |
|
Six New Derivative Foster Care Aid Codes |
12/06/2011 |
|
Aid Code 0W |
12/06/2011 |
|
2012-2013 Managed Care Plan MEDS/FAME/5010 834 Cutoff and Processing Schedule |
12/27/2011 |
|
The Implementation of Section 2302 of the Affordable Care Act, Entitled "Concurrent Care For Children." |
02/10/2011 |
|
Update to Health Plan Provider Directory Policy and Guidelines |
4/14/2011 |
|
Reporting On The Distribution Of Funds Pursuant To Assembly Bill 1653
|
5/23/2011 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Rogers Amendment Data Request |
03/22/2010 |
|
Augmented Reimbursement for Family Planning Services |
06/22/2010 |
|
Financial Reporting Requirements |
06/22/2010 |
|
2010-11 Rates for Emergency Inpatient Services Provided by Out-Of-Network Acute Care Hospitals |
07/06/2010 |
|
2010-11 Rates for Post-Stabilization Inpatient Services Provided by Out-of-Network Acute Care Hospitals |
07/06/2010 |
|
Utilization and Payment Data for Safety-Net Providers |
07/13/2010 |
|
Reinstatement of Optometry Services |
07/15/2010 |
|
The Rogers Amendment and Tertiary Hospitals |
09/02/2010 |
|
Correction to All Plan Letter 10-003 Regarding Augmented Reimbursement for Family Planning Services |
12/28/2010 |
|
2011-2012 Managed Care Plans MEDS/FAME/834+Supplemental Cutoff and Processing Schedule |
12/28/2010 |
|
Revised Facility Site Review Tool
(Supersedes PL 02-002) |
12/31/2010 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
2008 Chaptered Legislation Affecting, or of Interest to Medi-Cal Managed Care Plans |
01/14/2009 |
|
Aid Codes 06 and 46 |
01/28/2009 |
|
Medi-Cal Managed Care Capitation Report |
01/28/2009 |
|
Aid Code 6G |
03/16/2009 |
|
Procedures for Submitting QIP Documents and New Resources for Plans (Includes changes to APL 08-009) |
06/09/2009 |
|
Indian Health Services |
06/11/2009 |
|
Aid Code 2H |
06/22/2009 |
|
List of Contracted Hospitals and Bed Days
(Supersedes APL 09-007) |
06/22/2009 |
|
2009-10 Rates For Non-Contracted Hospital Emergency Inpatient Services |
06/29/2009 |
|
2009-10 Rates For Hospital Payment for Medi-Cal Post-Stabilization Services |
06/29/2009 |
|
Exhibit G, Health Insurance Portability and Accountability Act (HIPAA) |
09/29/2009 |
|
2010-2011 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule |
12/29/2009 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Summary of 2007 Chaptered Legislation Affecting, or of Interest to Medi-Cal Managed Care Plans |
02/05/2008 |
|
Managed Care Rate Reductions for FY 2008-09 |
05/12/2008 |
|
Managed Care Rate Reductions for FY 2008-09; Technical Clarification to All Plan Letter NO. 08-004 |
06/18/2008 |
|
Interim Procedures Until Execution of New EQRO Contract |
06/30/2008 |
|
Requirements for Employee Education Regarding False Claims Recovery |
07/01/2008 |
|
Reimbursement for Non-contracted Hospital Emergency Inpatient Services |
10/02/2008 |
|
Hospital Payment for Post Medi-Cal Post-Stabilization Services |
11/10/2008 |
|
2009-2010 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule |
12/08/2008 |
|
Payment of Invoices Beyond the Six-Month Billing Limit
(Supersedes PL 98-11) |
04/16/2008 |
|
Initial Comprehensive Health Assessment |
05/05/2008 |
|
Cost Avoidance and Post-Payment Recovery for Other Health Coverage |
11/26/2008 |
|
Pharmacy Prior Authorization Requests by California Licensed Pharmacists |
12/16/2008 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Conversion to Electronic Filing of Financial Reports |
05/18/2007 |
|
Conlan v. Bonta: Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process |
01/31/2007 |
|
Federal Deficit Reduction Act of 2005 (Reimbursement for Non-Contracted Emergency Services Providers) |
03/16/2007 |
|
Summary of 2006 Chaptered Legislation Affecting, or of Interest to, Medi-Cal Managed Care Plans |
02/13/2007 |
|
Implementation of NPI Update |
05/18/2007 |
|
Federal Deficit Reduction Act of 2005 (Employee Education About False Claims) |
03/09/2007 |
|
Topical Fluoride Varnish |
04/18/2007 |
|
New Financial Reporting Requirements |
05/14/2007 |
|
Update on California Department of Health Services Reorganization |
06/06/2007 |
|
Identification of Regional Center Consumers |
08/24/2007 |
|
Quality and Performance Improvement Program Requirements for 2008 |
09/25/2007 |
|
Federal Deficit Reduction Act of 2005, Section 6036 (Citizenship Verification Requirement) |
11/06/2007 |
|
2008-2009 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule |
12/20/2007 |
|
Medi-Cal Billing Restriction on the Use of Social Security Numbers |
12/26/2007 |
|
Senate Bill (SB) 94 - Family Planning Services |
12/21/2007 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
HIPAA Requirements: Notice of Privacy Practices and Notification of Breaches |
04/13/2006 |
|
MEDICARE PART D UPDATE |
06/21/2006 |
|
MEDICARE PART D UPDATE |
06/21/2006 |
|
National Provider Identifier (NPI) |
06/14/2006 |
|
Protected Health Information (PHI) and Notification of Breaches |
08/03/2006 |
|
Update to All Plan Letter 06-04 re: Implementation of the National Provider Identifier (NPI) |
09/08/2006 |
|
Contraceptive Devices |
10/26/2006 |
|
Supplemental Data Request
|
10/23/2006 |
|
Quality and Performance Improvement Requirements for 2007 |
11/30/2006 |
|
Same Day Banking |
11/01/2006 |
|
2007-2008 Managed Care Plan MEDS/FAME Cutoff and Processing Schedule |
12/06/2006 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Summary of 2003 and 2004 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
01/06/2005 |
|
New Process for Transmitting Enrollment/Disenrollment Data |
03/28/2005 |
|
Personal Injury Inquiry Letter |
04/11/2005 |
|
HIPAA Requirements: Plans’ Reporting Responsibilities |
05/02/2005 |
|
Erectile Dysfunction Treatment for Known Sex Offenders |
06/13/2005 |
|
Review and Analysis of Financial Status of Health Plans Proposed Request for Funding Augmentations |
10/18/2005 |
|
Carve out Erectile Dysfunction Drugs |
11/18/2005 |
|
Advance Directive Form |
11/23/2005 |
|
2005-2006 Managed Care Plan (MCP) MEDS/FAME Cutoff and Processing Schedule |
no date |
|
Medicare Modernization Act; Medicare Part D Prescription Drug Plan |
12/14/2005 |
|
Medicare Modernization Act; Medicare Part D Implementation System Changes |
12/29/2005 |
|
Summary of 2005 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
12/30/2005 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
2004 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
02/02/2004 |
|
Recovery of Capitation Paid to Health Care Plans for Deceased Beneficiaries |
04/27/2004 |
|
Medi-Cal Providers on Probation |
04/30/2004 |
|
Implementation of New Enrollment Forms
(Supersedes APL 04-005) |
10/29/2004 |
|
2004-2005 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
12/16/2004 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Default Assignment of Beneficiaries |
01/17/2003 |
|
SB 87 Medi-Cal Contact Information Release Form |
01/31/2003 |
|
Medi-Cal Intercounty Transfers |
05/20/2003 |
|
Facility Site Review Clarification #2 |
06/23/2003 |
|
Certified Quality Provider Site Certificate |
06/23/2003 |
|
Quarterly Submission of Grievance Logs |
07/07/2003 |
|
Implementation of Expedited State Hearings |
08/27/2003 |
|
Medi-Cal Managed Care Plan Requirements for Provision of Contraceptive Drug Services and Supplies |
09/12/2003 |
|
Fraud Referral Procedure to Audits and Investigations (A&I) |
10/22/2003 |
|
Medi-Cal Providers on Probation |
10/24/2003 |
|
Non Contracted Emergency Room Rate Schedule |
12/12/2003 |
|
Delmarva Foundation for Medical Care, Inc. |
12/12/2003 |
|
Use of Services Measures |
12/17/2003 |
|
Quality and Performance Improvement Program |
06/05/2003 |
|
Certification of Managed Care Plan Staff Responsible for the Conduct of Primary Care Provider Site Reviews |
06/23/2003 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Medi-Cal HIV/AIDS Home and Community Based Services Waiver Program |
07/19/2002 |
|
Possible Movement of Fame Files from the CA Health and Human Services (CHHS) Data Center to the Medi-Cal Web Site |
03/15/2002 |
|
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 |
|
Emergency Services Medical Claim Coding and Documentation Guidelines |
08/07/2002 |
|
Implementation of Medi-Cal Managed Care Policy Letter 02-02 |
09/25/2002 |
|
Summary of 2002 Chaptered Legislation for Medi-Cal Managed Care Plans |
11/12/2002 |
|
External Accountability Set (EAS) Performance Measure Audits |
11/26/2002 |
|
2003 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
12/27/2002 |
|
Blood Lead Screening of Young Children |
02/22/2002 |
|
Health Education |
06/21/2002 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Summary of 2000 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
01/16/2001 |
|
Reporting and Other Requirements Regarding Workers’ Compensation Recovery |
02/21/2001 |
|
Mifepristone (RU-486) As a Medi-Cal Benefit |
07/25/2001 |
|
Health Plan Choice Reminders (Annual Renotifications) |
08/21/2001 |
|
Implementation of a New Process Which Will Reject Encounter Data At Record Level |
11/26/2001 |
|
2002 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
12/24/2001 |
|
Summary of 2001 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
12/17/2001 |
|
Breast and Cervical Cancer Treatment Program |
12/17/2001 |
|
Corrective Action Plan (CAP) Standardized Format
(Supersedes PL 92-020) |
02/13/2001 |
|
Conversion of MESH to the Medi-Cal Web Site |
11/09/2001 |
|
Errata of Policy Letter 01-01 Dated October 30, 2001 |
11/09/2001 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
2000 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
02/03/2000 |
|
Medi-Cal Managed Care Medical Exemptions |
02/29/2000 |
|
Policy and Procedure Revisions |
03/07/2000 |
|
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 |
|
Invitation to All Plan Meeting on Year 2000 Proposed Contract Amendments |
05/09/2000 |
|
Maximus Warehouse Relocation |
06/05/2000 |
|
Potential Increase in New Enrollees Due to Changes in the Section 1931(b) Program |
07/05/2000 |
|
Importance of Increased Outreach to New Eligibles Under the Section 1931(b) Program |
08/15/2000 |
|
Percent of Poverty Population |
09/15/2000 |
|
Draft 2000 Medi-Cal Managed Care Contract Amendments Package 00-01 |
09/13/2000 |
|
Ensuring Beneficiaries Receive Laboratory Services From CLIA Certified Laboratories |
10/17/2000 |
|
Utilization Review of Initial Risk Assessments for Pregnant Women |
12/22/2000 |
|
Amended Regulations for Enrollment and Disenrollment for Two-Plan Model Plans |
12/28/2000 |
|
2001 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
12/29/2000 |
|
Medi-Cal Managed Care Plan Responsibilities Under the Medi-Cal Specialty Mental Health Services Consolidation Program |
03/16/2000 |
|
Health Plan Provider Directory Policy, Guidelines and Delivery Standards
(Supersedes PL 97-009) |
04/13/2000 |
|
Change of Children in Percent of Poverty Aid Categories to Mandatory Enrollment for Medi-Cal Managed Care |
07/05/2000 |
|
Plan-Paid Advertising Extended Until January 31, 2001 |
09/25/2000 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Managed Care Plan Utilization of Therapeutic Pharmaceutical Agents-Certified Optometrists |
01/21/1999 |
|
1999 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
01/21/1999 |
|
Year 2000 Readiness Certification and Business Continuation Plan |
01/27/1999 |
|
New Laws from the 1997-98 Session of the California Legislature Affecting the Medi-Cal Program |
02/17/1999 |
|
Cultural Competency in Health Care - Meeting the Needs of a Culturally and Linguistically Diverse Population |
04/02/1999 |
|
Encounter Data Work Group |
4/28/1999 |
|
Medi-Cal Managed Care Health Education Work Group and the “Staying Healthy” Assessment Subcommittee |
06/01/1999 |
|
Updates to Managed Care Data Dictionary |
07/14/1999 |
|
Draft 1999 Medi-Cal Managed Care Contract Amendments |
07/26/1999 |
|
Status of the Conversion to the Fiscal Intermediary Access to Medi-Cal Eligibility |
08/03/1999 |
|
New Medi-Cal Managed Care Exemption Forms |
08/03/1999 |
|
Revision to All Plan Letter 99003 Re: Year 2000 Readiness (Revises APL 99-003) |
10/08/1999 |
|
Concurrent Participation in the Medi-Cal Managed Care Program and the Multipurpose Senior Services Program |
10/20/1999 |
|
Summary of 1999 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans |
12/01/1999 |
|
Emergency Services Claims |
12/06/1999 |
|
Year 2000 Contingency Plan Update |
12/16/1999 |
|
Community Advisory Committee (CAC) |
04/02/1999 |
|
Cultural and Linguistics |
04/02/1999 |
|
Translation of Written Informing Materials |
04/02/1999 |
|
Addendum to Policy Letter 98-03-Conversion to New Eligibility Reporting System |
05/07/1999 |
|
Date for Conversion to Fiscal Intermediary Access to Medi-Cal Eligibility Data |
08/20/1999 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
1998 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
02/20/1998 |
|
California Children Services Numbered Letters 01-0298 and 09-0598 |
07/28/1998 |
|
Recombinant Growth Hormone Injections |
03/27/1998 |
|
AID Code 38 |
11/25/1998 |
|
Newborns’ and Mothers’ Health Act of 1997 |
01/16/1998 |
|
Certificates of Creditable Coverage Under the Health Insurance Portability and Accountability Act of 1996 |
01/27/1998 |
|
Conversion to New Eligibility Reporting System. |
02/20/1998 |
|
Enrollment Forms is Primary Care Provider Offices and Enrollment Packet Material Distribution |
02/20/1998 |
|
Newborn and Prenatal Genetic Screening Services |
03/20/1998 |
|
Refugee Health Care |
04/17/1998 |
|
Fee-For-Service Reimbursement Rate Assistance |
04/27/1998 |
|
Facilities Excluded from the Medi-Cal Program |
12/10/1998 |
|
Breastfeeding Promotion |
12/10/1998 |
|
Family Planning Services in Medi-Cal Managed Care
(Supersedes PL 94-13 and PL 95-03) |
12/28/1998 |
|
Primary Care Physician Selection and Assignment Policy |
12/30/1998 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
HIV Counseling and Testing Policy
(Supersedes PL 94-13 and PL 96-09) |
08/13/1997 |
Letter Number |
Title (Subject) of Letter |
Date of Issue |
|
Sexually Transmitted Disease Services in Medi-Cal Managed Care |
09/26/1996 |
