A – D​​   |  E – H​​   |  I – L​​   |  M – P​​   |  Q – T​​   |  U – Z​​    

Note: Please check back periodically as new letters are added. Policy Letters are preceded by ‘PL’.  Policy Letters were not issued from 2003 – 2006.​​ 

Cov kev pab cuam rho menyuam​​ 

• Abortion Services APL 22-022 (PDF) (Supersedes APL 15-020)
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• Abortion Services APL 15-020 (PDF) (Supersedes PL 99-08)​​   
• Abortion Services  PL 99-08 (PDF)​​ 
• Mifepristone (RU-486) as a Medi-Cal Benefit  APL 01-003 (PDF)​​ 

Acquired Immune Deficiency Syndrome/Acquired Immunodeficiency Virus AIDS/HIV​​ 

• Medi-Cal HIV/AIDS Kev Pabcuam Hauv Tsev thiab Zej Zog Waiver Program APL 02-001 (PDF)​​ 
• Medi-Cal Managed Care Health Plan Capitated and Non-Capitated Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) and Antipsychotic Drugs  APL 03-004 (PDF – 4.9MB)​​    

Kev Pabcuam Acupuncture​​ 

•  Acupuncture Services APL 16-015 (PDF)
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Kev Loj Hlob​​ 

• Extension ntawm Adult Expansion Risk Corridor rau Xeev Lub Xyoo Nyiaj Txiag 2017-18 APL 20-005 (PDF)
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Advanced Cov Lus Qhia​​ 

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

Affordable Care Act​​ 

• Affordable Care Act (ACA) Tshooj 1202 Txoj Cai Kawg ntawm Kev Them Nyiaj Ntxiv rau Medi-Cal Cov Kev Pabcuam Ntiag Tug  APL 13-009 (PDF)​​ 
• Kev Tswj Xyuas Kev Ua Raws Li Txoj Cai rau Tshooj 1202 ntawm Txoj Cai Saib Xyuas Nqis Phem  APL 13-010 (PDF)​​     
• Affordable Care Act Section 1202 Increased Payments for Medi-Cal Primary Care Services – Revised Guidance and Contractual Requirements APL 15-010 (PDF – 3.6MB)​​  

Kev Pabcuam Laus-Senior​​ 

• Kev koom tes nrog Medi-Cal Managed Care Program thiab Multipurpose Senior Services Program  APL 99-013 (PDF)​​ 

Aid Codes​​ 

• Six New Derivative Foster Care Aid Codes APL 11-022 (PDF)​​     
• Aid Code 0W APL 11-023 (PDF)​​     
• Aid Codes 06 thiab 46  APL 09-002 (PDF)​​ 
• Aid Code 2H  APL 09-010 (PDF)​​ 
• Aid Code 38  APL 98-009 (PDF)​​    
• Aid Codes 4H thiab 4L APL 11-005 (PDF)​​   
• Aid Code 4T  APL 11-008 (PDF)​​ 
• Aid Code 6G  APL 09-004 (PDF)​​ 

Kev hloov kho​​ 

• Draft 2000 Medi-Cal Managed Care Contract Amendments Package 00-01 APL 00-010 (PDF)​​ 
• Draft 1999 Medi-Cal Managed Care Contract Amendments APL 99-009 (PDF)​​ 
• Caw rau Txhua Lub Rooj Sib Tham Txog Kev Npaj rau Xyoo 2000 Daim Ntawv Cog Lus Hloov Kho APL 00-005 (PDF)​​  

Kev tshuaj xyuas​​ 

• Kho kom raug Action Plan (CAP) Standardized Format (Supersedes PL 92-20) PL 01-001 (PDF)​​ 
• External Accountability Set (EAS) Performance Measure Audits APL 02-008 (PDF)​​  

Kev txhab nyiaj​​ 

• Tib hnub Banking  APL 06-011 (PDF)​​  

Kev Kho Mob Cwj Pwm​​ 

• Dyadic Services thiab Family Therapy Benefit APL 22-029 (PDF)
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• Txoj Cai Lij Choj Ib ntus rau Kev Muab Kev Pabcuam Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv rau Cov Menyuam Mob Autism Spectrum Disorder APL 14-011 (PDF)​​    
• Medi-Cal Managed Care Health Plan muaj lub luag haujlwm los muab kev pabcuam rau cov tswvcuab uas muaj teebmeem kev noj qab haus huv APL 22-003 (PDF)
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• Lub luag haujlwm rau Kev Kho Tus Cwj Pwm Kev Noj Qab Haus Huv Kev Pabcuam rau Cov Menyuam Yaus Tus Mob Autism Spectrum Disorder (Supersedes APL 14-011) APL 15-025 (PDF)​​    

• Lub luag haujlwm rau Kev Kho Tus Cwj Pwm Kev Noj Qab Haus Huv Kev Pabcuam rau Cov Tswvcuab Hnub nyoog qis dua 21 xyoos (Supersedes APL 19-014) APL 23-010 (PDF)​​ 

• R​​ Lub luag haujlwm rau Kev Pabcuam Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv rau Cov Tswvcuab Hnub nyoog qis dua 21 xyoos (Supersedes APL 18-006)​​  APL 19-014 (PDF)​​ 
  

• Lub luag haujlwm rau Kev Pabcuam Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv rau Cov Tswvcuab Hnub nyoog qis dua 21 xyoos (Supersedes APL 15-025)​​  APL 18-006 (PDF)​​ 
  

• Tub Kawm Txuj Ci Kev Cuam Tshuam Txog Kev Noj Qab Haus Huv APL 23-035 (PDF)
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• Voluntary Inpatient Detoxification (Supersedes APL 14-005) APL 18-001 (PDF)
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Cov Ntawv Ceeb Toom Tau Txais​​ 

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

Kev them nqi​​ 

• Designated Public Hospitals: Billing for Beneficiaries with California Children’s Services Eligible Conditions and/or Medi-Cal Managed Care APL 16-007 (PDF) (Supersedes APL 15-011)​​ 
• Diagnosis Related Groups: Billing for Beneficiaries with California Children’s Services Eligible Conditions and/or Medi-Cal Managed Care APL 16-008 (PDF) (Supersedes APL 13-012)
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• Diagnosis Related Groups: Billing for Beneficiaries with California Children’s Services Eligible Conditions and/or Medi-Cal Managed Care APL 13-012 (PDF)​​  
• Medi-Cal txwv kev siv tus lej Xaus Saus  APL 07-020 (PDF)​​ 
• Kev Them Nyiaj Them Nqi Tshaj Tawm Txog Rau Lub Hlis Them Nqi Limit  PL 08-002 (PDF)​​  
• Cov Nqi Tshaj Lij Tshaj Lij rau Kev Mus Saib Xyuas Chaw Ua Haujlwm Koom Tes Nrog Cawv thiab Tshuaj Siv Tshuaj Kho Mob APL 15-008 (PDF)​​   
• Kev Siv thiab Kev Them Nqi rau Makena APL 15-009 (PDF)  (Supersedes APL 13-016)​​ 
• Kev Siv thiab Kev Them Nqi rau Makena APL 13-016 (PDF)​​ 
• Yuav Tsum Tau Them Them Sijhawm Ntawm Kev Thov APL 23-020 (PDF)
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• Kev kho mob rov qab los ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv Plan ntawm Kev them nyiaj tshaj rau cov kws kho mob (Supersedes APL 17-003) APL 23-011 (PDF)
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• Kev kho mob rov qab los ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv Plan ntawm Kev them nyiaj tshaj rau cov kws kho mob APL 17-003 (PDF)​​ 

Kev kho mob cancer mis thiab ncauj tsev menyuam​​ 

• Kev kho mob cancer mis thiab Cervical  APL 01-008 (PDF)​​  

Kev pub niam mis​​ 

• Kev pub niam mis rau menyuam  PL 98-010 (PDF)
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CAHPS Survey​​ 

• Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2007  APL 06-010 (PDF) 
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CalAIM​​ 

• California Advancing and Innovating Medi-Cal Incentive Payment Program (Supersedes APL 21-016) APL 23-003
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• California Advancing and Innovating Medi-Cal Incentive Payment Program APL 21-016, Daim ntawv txuas 1: Measures Reporting Template​​ 
• Zej Zog Txhawb Kev Xav Tau APL 21-017 (PDF)
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• Intermediate Care Facilities for Individuals with Developmental Disabilities — Long Term Care Benefit Standardization and Transition of Members to Managed Care APL 23-023 (PDF)
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• Interoperability thiab Patient Access Final Rule APL 22-026(PDF)
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• Medi-Cal Kev Ncaj Ncees-Involved Reentry Initiative-Related State Guidance APL 23-030 (PDF)
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• Skilled Nursing Facilities — Long Term Care Benefit Standardization and Transition of Members to Managed Care (Supersedes APL 22-018) APL 23-004 (PDF)
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• Skilled Nursing Facilities — Long Term Care Benefit Standardization and Transition of Members to Managed Care APL 22-018 (PDF)​​ 
• Subacute Care Facilities — Long Term Care Benefit Standardization and Transition of Members to Managed Care APL 23-027 (PDF) ​​ 

Hu rau Center​​ 

• Cov Kev Xav Tau rau Kev Tshaj Tawm Cov Ntaub Ntawv Kev Tswj Xyuas Kev Tswj Xyuas Cov Ntaub Ntawv (Supersedes APLs 14-013 (Revised) thiab 14-012) APL 20-017 (PDF)
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• Hu rau Center Daim Ntawv Qhia Template APL 14-012 (PDF)  
       APL 14-012 Daim ntawv txuas: Hu rau Center Report Template (MS Excel)​​    

Cal MediConnect​​  

• Care Plan Option Services (Supersedes DPL 13-006) DPL 18-003 (PDF)​​ 
• Care Plan Option Services DPL 13-006 (PDF)​​    
• Kev tsis txaus siab thiab kev daws teeb meem nrhiav DPL 14-001 (PDF)    
     DPL 14-001 Txuas B lwm hom ntawv (Excel)​​      
• Kev Npaj Tawm rau Cal Mediconnect DPL 16-003 (PDF)​​ 
• Kev Qhia Txog Kev Sib Tham Cov Ntaub Ntawv ntsig txog Tus Muab Kev Tiv Thaiv Kev Tiv Thaiv DPL 15-002 (PDF)​​  
• Kev Qhia Txog Cov Cai Hais Txog Tus Muab Kev Tiv Thaiv Cov Cai (Supersedes DPL 15-002) DPL 17-002 (PDF)​​ 
• Cov Kev Xav Tau rau Cal MediConnect Medicare-Medicaid Plans thiab Lub Chaw Haujlwm Tsim Nyog Daim Ntawv Cog Lus DPL 15-004 (PDF)​​ 

Capitation​​ 

• Medi-Cal Managed Care Capitation Report  APL 09-003 (PDF)​​ 
• Recovery of Capitation Paid to Health Care Plans for Deceased Beneficiaries  APL 04-002 (PDF – 4.1MB)​​ 
• Tib hnub Banking  APL 06-011 (PDF)​​ 
• Thib Peb Cov Cai Qhia Txog Kev Ua Txhaum Cai (Supersedes APLs 01-002, 11-012 Thiab 17-021)​​  APL 21-007 (PDF)​​ 
  
  • Attachment A: MCP Attestation​​ 
  • Attachment B: Secure File Transfer Protocol (SFTP) User Manual​​ 
• Hloov mus rau HIPAA Hloov Kho Kev Ua Lag Luam rau Kev Sau Npe thiab Nyiaj Them Nqi APL 11-014 (PDF)​​      
• Workers’ Compensation – Notice of Change to Workers’ Compensation Recovery Program; Reporting and Other Requirements (Supersedes APL 04-004) APL 17-021 (PDF)​​ 
• Workers’ Compensation (WC)- Notice Award of New Workers’ Compensation Recovery Program (WCRP) Contractor; Reporting and Other Requirements  APL 04-004 (PDF – 4.9MB)    ​​ 

Certified Nurse Midwife​​ 

• Access Requirements for Freestanding Birth Centers and the Provision of Midwife Services (Supersedes APL 16-017) APL 18-022 (PDF)​​ 
• Kev Pab Certified Nurse Midwife thiab Alternative Birth Center Facility Services (Supersedes APL 15-017) APL 16-017 (PDF)​​    

Children’s Services​​ 

• Ntshav Lead Screening of Young Children (Supersedes APL18-017) APL 20-016 (Revised) (PDF)
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• Ntshav Lead Screening of Young Children (Supersedes PL 02-01) APL 18-017 (PDF)​​ 
• Ntshav Lead Screening of Young Children  PL 02-01 (PDF)​​ 
• California Cov Kev Pabcuam Menyuam Yaus (CCS) Txoj Cai Hais Txog Kev Xav Kom Txhua Tus Neeg Thov CCS Yuav Tsum Ua Daim Ntawv Thov rau Medi-Cal Program (Health and Safety Code Section 123995)  APL 00-004 (PDF)​​ 
• California Cov Kev Pabcuam Menyuam Yaus Tus lej 01-0298 thiab 09-0598  APL 98-006 (PDF)​​ 
• California Children's Services Whole Child Model Program (Supersedes APL 21-005) APL 23-034 (PDF)
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• California Children's Services Whole Child Model Program (Supersedes APL 18-023) APL 21-005 (PDF)
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• California Children's Services Whole Child Model Program APL 18-011 (PDF)​​  
• California Children's Services Whole Child Model Program (Supersedes APL 18-011) APL 18-023 (PDF)​​    
• Cov Ntaub Ntawv Thov CHDP (Child Health Disability Prevention) Daim Ntawv Qhia Txog FY 2007-2008 thiab FY 2008-2009 PL 10-013 (PDF)​​  
• Cov Ntaub Ntawv Thov Kev Pabcuam Txog Kev Tiv Thaiv Kev Noj Qab Haus Huv Me Me Me Me Cov Kev Pabcuam Tsis Muaj Peev Xwm Muaj nyob rau hauv Tsab Cai Tsab Cai 10-013 (Supersedes PL 10-013)
  APL 15-005 (PDF)​​   
• Designated Public Hospitals: Billing for Beneficiaries with California Children’s Services Eligible Conditions and/or Medi-Cal Managed Care APL 16-007 (PDF) (Supersedes APL 15-011)​​  
• Designated Public Hospitals: Billing for Beneficiaries with California Children’s Services Eligible Conditions and/or Medi-Cal Managed Care APL 15-011 (PDF)​​   
• Private Duty Nursing Case Management Responsibilities to Medi-Cal Tsim Nyog Cov Tswv Cuab Hauv Qab Hnub nyoog 21 APL 20-012 (PDF)
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Clinical Laboratories Improvement Amendments of 1988​​ 

• Xyuas kom cov neeg tau txais txiaj ntsig tau txais kev pabcuam hauv chaw kuaj mob los ntawm Chaw Kho Mob Kev Kho Mob Kho Kom Zoo Dua ntawm 1988 (CLIA) Certified Laboratories APL 00-011 (PDF) 
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Community Advisory Committee​​ 

• Pawg Neeg Tawm Tswv Yim Hauv Zej Zog (CAC)  PL 99-001 (PDF)​​  

Community-Based Adult Services​​  

• Community-Based Adult Services Emergency Remote Services (Supersedes APL 20-007) APL 22-020 (PDF)
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• Txoj Cai Qhia Txog Kev Pab Cuam Rau Cov Neeg Laus Hauv Zej Zog Hauv Kev Teb rau COVID-19 Pej Xeem Kev Noj Qab Haus Huv Emergency APL 20-007 (Tshuaj Kho) (PDF)
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Conlan Tsev Hais Plaub Txiav Txim Siab​​ 

• Conlan v. Bonta; Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process  APL 07-002 (PDF – 5.5MB) 
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Kev saib xyuas txuas ntxiv​​ 

• Kev Kho Mob Ntxiv rau Medi-Cal Cov Neeg Tau Txais Kev Pab Cuam Tshuam Tshiab uas nyuam qhuav cuv npe hauv Medi-Cal Kev Tswj Xyuas Kev Kho Mob los ntawm Medi-Cal Fee-For-Service, nyob rau lossis Tom Qab Lub Ib Hlis 1, 2023 (Supersedes APL 22-032) APL 23-022 ( PDF)
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• Kev Pabcuam Ntxiv rau Medi-Cal Cov Tswvcuab uas hloov mus rau Medi-Cal Kev Tswj Xyuas Kev Tswj Xyuas (Supersedes APL 15-019) APL 18-008 (Revised) (PDF)​​ 
• Kev Txuas Ntxiv Kev Pabcuam rau Medi-Cal Cov Neeg Tau Txais Kev Pabcuam uas hloov mus rau Medi-Cal Managed Care (Supersedes APL 14-021) APL 15-019 (PDF)​​  
• Kev Kho Mob Ntxiv rau Medi-Cal cov neeg tau txais txiaj ntsig uas hloov los ntawm Tus Nqi-For-Service Medi-Cal mus rau Medi-Cal Managed Care APL 13-023 (PDF) hloov los ntawm APL 14-021 (PDF)     
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• Kev saib xyuas txuas ntxiv rau cov neeg sau npe tshiab hloov mus rau Kev Tswj Xyuas Kev Kho Mob tom qab thov Kev Zam Txim Kho Mob APL 13-013 (PDF).       
  APL 13-013 Attachment C MER Tsis kam lees thiab Kev Kho Mob Ntxiv (Excel)​​        
• Kev saib xyuas txuas ntxiv rau cov neeg sau npe tshiab hloov mus rau Kev Tswj Xyuas Kev Kho Mob Tom qab thov kev zam kev kho mob thiab ua raws li Kev Zam Txim Kho Mob Txhua hli Kev Tshaj Tawm Kev Tsis Pom Zoo (Supersedes All Plan Letter 15-001) APL 17-007 (PDF)​​  
  APL 17-007 Daim ntawv txuas B: Daim Ntawv Qhia Tsis Txaus Siab Txhua hli MER (MS Excel)​​ 
• Continuity of Care DPL 13-005 (PDF)​​   
• Continuity of Care DPL 14-004 (PDF) (Supersedes DPL 13-005)​​  
• Continuity of Care DPL 15-003 (PDF) (Supersedes DPL 14-004)​​ 
• Continuity of Care DPL 16-002 (PDF) Revised (Supersedes DPL 15-003)​​ 
• Kev Pabcuam Ntxiv rau Medi-Cal Cov neeg tau txais txiaj ntsig uas hloov mus rau Medi-Cal Managed Care (Supersedes APL 13-023) APL 14-021 (PDF)​​ 
• Kev saib xyuas txuas ntxiv rau cov neeg sau npe tshiab hloov mus rau Kev Tswj Xyuas Kev Kho Mob Tom Qab Thov Kev Zam Kev Kho Mob (Supersedes APL 13-013) APL 15-001 (PDF)    
  APL 15-001 Txuas C Daim Ntawv Qhia Template (Excel)​​     
• Kev Npaj Tawm rau Cal Mediconnect DPL 16-003 (PDF)
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• Managed Care Health Plan Transition Policy Guide APL 23-018 (PDF)
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Cov khoom siv tshuaj tiv thaiv kab mob​​ 

• Contraceptive Devices  APL 06-008 (PDF) 
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Kho Kev Npaj Ua Haujlwm​​ 

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

 COVID 19​​ 

• COVID-19 Kev taw qhia rau Medi-Cal Managed Care Health Plans APL 22-009 (PDF)
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• Medi-Cal Qhov Kev Pabcuam Tiv Thaiv-19 Txhaj Tshuaj Tiv Thaiv-19 APL 21-010 (Rov Kho) (PDF), Daim Ntawv Txuas Ntxiv Ib Qhov Kev Pabcuam Txhaj Tshuaj Txhaum Cai Tau Txais Metrics (PDF)
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• Kev taw qhia xwm txheej kub ntxhov rau Medi-Cal Cov Kev Npaj Khomob Tswjhwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Kev Teb rau COVID-19 Txhua Daim Ntawv Npaj 20-004 (Tshuaj Kho) (PDF)
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• Governor’s Executive Order N-55-20 in Response to COVID-19 APL 20-011 (PDF) (Revised)
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• Tsev Kho Mob Mob Mob Hauv Tsev APL 20-021 (PDF) (Revised)
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• COVID-19 Vaccine Administration APL 20-022 (PDF)
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Kev lees paub​​ 

• Daim Ntawv Pov Thawj & Rov Ua Daim Ntawv Pov Thawj: Lub Sijhawm Hloov Kho, Kev Tshawb Fawb Tseem Ceeb Tshiab thiab Kev Tshawb Fawb Txog Cov Ntawv Pov Thawj ntawm Cov Kws Kho Mob Tsis Yog Tus Kws Kho Mob  PL 02-003 (PDF)​​  
• Provider Credentialing/Re-Credentialing and Screening/Enrollment (Supersedes APL 19-004) APL 22-013 (PDF) APL 22-013 Frequently Asked Questions
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• Tus Muab Kev Pov Hwm Pov Hwm / Kev lees paub thiab Kev Ntsuam Xyuas / Kev Sau Npe (Supersedes APL 17-019) APL 19-004 (PDF) Medi-Cal Tus Kws Kho Mob Sau Npe Cov Lus Nug Nquag (PDF)
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• Tus kws kho mob daim ntawv pov thawj / Kev lees paub thiab kev tshuaj ntsuam xyuas / Kev Sau Npe (Supersedes APL 16-012) APL 17-019 (PDF) Medi-Cal Tswj Xyuas Tus Kws Kho Mob Sau Npe Cov Lus Nug Nquag (FAQs) (PDF)​​ 
• Kev lees paub tus neeg muab kev lees paub thiab kev lees paub (Supersedes PL 02-003) APL 16-012 (PDF)
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Cultural thiab Linguistics​​ 

• Pawg Neeg Tawm Tswv Yim Hauv Zej Zog (CAC)  PL 99-001 (PDF)​​ 
• Cultural Competency in Health Care – Meeting the Needs of a Culturally and Linguistically Diverse Population   APL 99-005 (PDF)​​ 
• Cultural and Linguistic Contractual Requirements: Threshold and Concentration Standard Languages Update   APL 02-003 (PDF)​​ 
• Cultural and Linguistic Contractual Requirements: Threshold and Concentration Standard Languages Update (Supersedes APL 02-003)   APL 14-008 (PDF)​​ 
• Diversity, Equity, thiab Inclusion Training Program Requirements (Supersedes APL 99-005) APL 23-025 (PDF)
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• Kev Kawm Txuj Ci Kev Noj Qab Haus Huv thiab Kev Cai Lij Choj thiab Kev Sib Tham Txog Cov Pej Xeem xav tau kev soj ntsuam (Supersedes APL 17-002) APL 19-011 (PDF)
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• Kev Kawm Txuj Ci Kev Noj Qab Haus Huv thiab Pawg Cultural and Linguistic Xav Tau Kev Ntsuam Xyuas (Supersedes Txoj Cai Tsab Ntawv 10-012) APL 17-002 (PDF)​​ 
• Kev Kawm Txuj Ci Kev Noj Qab Haus Huv thiab Pab Pawg Cultural thiab Linguistic Xav Tau Kev Ntsuam Xyuas (GNA)  PL 10-012 (PDF)​​    
• Kev Kawm Txuj Ci Kev Noj Qab Haus Huv thiab Pawg Cultural thiab Linguistic Xav Tau Kev Ntsuam Xyuas PL 99-002 (PDF) hloov los ntawm PL 10-012 (PDF)​​ 
• Linguistic Services  PL 99-003 (PDF – 8.4MB)​​ 
• Population Needs Assessment and Population Health Management Strategy (Supersedes APL 19-011) APL 23-021 (PDF)
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• Cov txheej txheem rau Kev Txiav Txim Cov Lus Nug, Cov Lus Qhia Tsis Muaj Kev Cai Lij Choj, thiab Kev Pabcuam Lus (Supersedes APL 17-011 thiab Tsab Cai Txoj Cai 99-003 thiab 99-004) APL 21-004 (PDF)
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• Cov qauv rau Kev Txiav Txim Cov Lus Qhia thiab Cov Lus Qhia rau Tshooj 1557 ntawm Txoj Cai Saib Xyuas Nqis Nqis (Supersedes Txhua Daim Ntawv Npaj 14-008) APL 17-011 (PDF)
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• Lub Xeev Kev Tsis Sib Haum Xeeb thiab Kev Pab Hais Lus APL 20-015 (PDF)
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• Kev txhais cov ntaub ntawv sau qhia  PL 99-004 (PDF)
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Cov ntaub ntawv​​ 

• Certification of Document and Data Submissions APL 17-005 (PDF)
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• Sau Social Determinants of Health Data APL 21-009 (PDF)
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• Hloov pauv ntawm MESH mus rau Medi-Cal Lub Vev Xaib  PL 01-002 (PDF)​​ 
• Cov ntaub ntawv hloov dua siab tshiab rau Kev Siv Nyiaj Txiag Intermediary Nkag mus rau Medi-Cal Kev Tsim Nyog Cov Ntaub Ntawv  PL 99-006 (PDF)​​ 
• Cov Ntaub Ntawv Thov CHDP (Child Health Disability Prevention) Daim Ntawv Qhia Txog FY 2007-2008 thiab FY 2008-2009 PL 10-013 (PDF)​​  
• Cov Ntaub Ntawv Thov Kev Pabcuam Txog Kev Tiv Thaiv Menyuam Kev Noj Qab Haus Huv Disability Report muaj nyob rau hauv Tsab Cai Tsab Cai 10-013  APL 15-005 (PDF)​​   
• Ntsib Cov Ntaub Ntawv Cov Ntsiab Lus rau Medi-Cal Cov Kev Npaj Kho Mob Tswj Xyuas Kev Noj Qab Haus Huv, Version 2.0. APL 13-006 (PDF)​​   
• Tau Txais Cov Ntaub Ntawv Xa Khoom  APL 14-019 (PDF)​​   
• Encounter Data Work Group  APL 99-006 (PDF)​​ 
• Errata of Policy Letter 01-01 hnub tim 30, 2001  PL 01-002 Rev (PDF)​​ 
• Kev Npaj Khomob Tus Tswv Cuab Cov Ntaub Ntawv thiab Cov Ntaub Ntawv Teeb (HEDIS) thiab Cov Kev Ntsuam Xyuas Cov Kev Npaj Khomob (CAHPS) Cov Lus Qhia Tam sim no muaj nyob rau ntawm DHCS lub vev xaib  APL 02-004 (PDF)​​ 
• Implementation of a New Process Which Will Reject Encounter Data At Record Level  APL 01-005 (PDF – 6.2MB)​​ 
• Daim Ntawv Teev Npe Tsev Kho Mob thiab Hnub Npuag APL 09-011 (PDF)​​ 
• Yuav tsum tau kos npe rau California Health and Human Services Agency Data Exchange Framework APL 23-013 (PDF)
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• Medi-Cal Managed Care Plan Tus Muab Kev Pab Cuam Ntxiv Cov Ntaub Ntawv Hloov Kho APL 10-006 (PDF)​​   
• New Process for Transmitting Enrollment/Disenrollment Data  APL 05-002 (PDF – 2.1MB)​​ 
• Kev txav mus los ntawm FAME Cov Ntaub Ntawv los ntawm CA Health and Services Data Center mus rau Medi-Cal Lub Vev Xaib  APL 02-002 (PDF)​​ 
• Quality Measures for Encounter Data APL 14-020 (PDF)    
      1.  DHCS Quality Measures for Encounter Data (PDF – 3.0MB)​​ 
• Kev Qhia Txog Kev Sib Tham Cov Ntaub Ntawv ntsig txog Tus Muab Kev Pabcuam Tiv Thaiv APL 16-011 (PDF)
  (supersedes APL 15-006)​​ 
• Kev Qhia Txog Kev Sib Tham Cov Ntaub Ntawv ntsig txog Tus Muab Kev Tiv Thaiv Kev Tiv Thaiv APL 15-006 (PDF) 
  (supersedes APL 13-007)​​   
• Kev Qhia Txog Kev Sib Tham Cov Ntaub Ntawv ntsig txog Tus Muab Kev Tiv Thaiv Kev Tiv Thaiv APL 13-007 (PDF)​​     
  1. Ruaj Ntseg Hauv Online Kev Tshaj Tawm Portal​​ 
• Kev Qhia Txog Kev Sib Tham Cov Ntaub Ntawv ntsig txog Tus Muab Kev Tiv Thaiv Kev Tiv Thaiv DPL 15-002 (PDF)​​  
• Kev Qhia Txog Cov Cai Hais Txog Tus Muab Kev Pabcuam Kev Tiv Thaiv (Supersedes Txhua Daim Ntawv Npaj 16-011) APL 17-009 (PDF)​​ 
• Kev Qhia Txog Cov Cai Hais Txog Tus Muab Kev Tiv Thaiv Cov Cai (Supersedes Duals Plan Letter 15-002) DPL 17-002 (PDF)​​ 
• Rogers Kev Hloov Kho thiab Tsev Kho Mob Thib Ob APL 10-011 (PDF)​​     
• Rogers Hloov Cov Ntaub Ntawv Thov APL 10-002 (PDF)​​  
• Cov xwm txheej ntawm kev hloov pauv mus rau Cov Nyiaj Txiag Nruab Nrab Kev Nkag Mus Rau Medi-Cal Kev Tsim Nyog Tau Txais APL 99-010 (PDF)​​ 
• Cov ntaub ntawv ntxiv thov  APL 06-009 (PDF)​​ 
  1. APL 06-009 Daim ntawv txuas: California Cov Ntaub Ntawv Thov (Excel)​​ 
  2. APL 06-009 Daim ntawv txuas: Nrhiav Cov Lus (Excel)​​ 
• Kev hloov pauv ntawm Kev Sib Tham Cov Ntaub Ntawv Xa mus rau Kev Lag Luam Hauv Tebchaws (ASC X12 837 5010, NCPDP 2.2 lossis 4.2) APL 14-009 (PDF)​​ 
• Hloov tshiab rau Managed Care Data Dictionary APL 99-008 (PDF)​​ 
• Kev Siv Cov Ntaub Ntawv los muab rau Medi-Cal Managed Care Health Plans for Transitioning Low-Income Health Program Beneficiaries APL 13-019 (PDF)​​ 
• Kev Siv thiab Kev Them Nyiaj Cov Ntaub Ntawv rau Kev Nyab Xeeb-Net Cov Chaw Kho Mob APL 10-009 (PDF)   
  ​​ 

Kev kho hniav​​ 

• Dental Services – Anesthesia Coverage  PL 00-005 (PDF – 2.1MB)​​ 
• Cov Kev Pab Kho Hniav-General Anesthesia Coverage PL 13-002 (PDF)​​ 
• Kev Kho Hniav – Intravenous Moderate Sedation and Deep Sedation/General Anesthesia Coverage (Supersedes APL 15-012) APL 23-028 (PDF)
  ​​ 
• Dental Services – Intravenous Sedation and General Anesthesia Coverage APL 15-012 (PDF)  (Supersedes Policy Letter 13-002)​​ 
• Tshuaj pleev xim Fluoride Varnish  APL 07-008 (PDF)
  ​​ 

DFMC – Delmarva Foundation for Medical Care Inc.​​ 

• Delmarva Foundation rau Kev Kho Mob Inc.  APL 03-014 (PDF)
  ​​ 

Dual-tsim nyog​​ 

• Kev sib koom tes ntawm Cov Nyiaj Pab: Medicare thiab Medi-Cal APL 13-001 (PDF)​​     
• Kev Sib Koom Tes ntawm Cov Nyiaj Pab: Medicare thiab Medi-Cal (Supersedes APL 13-001) APL 13-003 (PDF)​​ 
• Daim ntawv cog lus nrog Dual-Eligible Special Needs Plans  APL 12-001 (PDF)​​ 
• Daim ntawv cog lus nrog Dual-Eligible Special Needs Plans  APL 13-008 (PDF)​​   
• Kev Npaj Tawm rau Cal Mediconnect DPL 16-003 (PDF)​​ 
• Dual-Eligible Special Needs Plans  APL 14-007 (PDF)​​   
• Kev Nkag Mus Kawm Rau Ob Txoj Kev Tsim Nyog Tshwj Xeeb Cov Kev Pabcuam hauv Alameda thiab Orange County APL 14-014 (PDF)​​      
• Pab Pawg Saib Xyuas Kev Sib Koom Tes thiab Kev Pabcuam Rau Tus Kheej rau Kev Npaj Kho Mob rau Medicare-Medicaid Plans (Supersedes DPL 13-004) DPL 15-001 (PDF)​​   
• Pab Pawg Saib Xyuas Kev Sib Koom Tes thiab Kev Pabcuam Rau Tus Kheej rau Medicare-Medicaid Plans DPL 13-004 (PDF)​​   
• Kev Ua Haujlwm Txhim Kho Qhov Kev Xav Tau (Supersedes DPL 16-001) DPL 18-002 (PDF)​​ 
• Kev Ua Haujlwm Txhim Kho Qhov Kev Xav Tau DPL 16-001 (PDF)​​ 
• Txoj Haujlwm Pabcuam Kev Khomob Ntiag Tug hauv Medi-Cal Kev Tswj Xyuas Kev Khomob rau ob tus neeg tau txais txiaj ntsig APL 14-015 (PDF)​​     
• Cov Kev Xav Tau rau Cal MediConnect Medicare-Medicaid Plans thiab Lub Chaw Haujlwm Tsim Nyog Daim Ntawv Cog Lus DPL 15-004 (PDF)​​ 
• Cov Kev Xav Tau rau Medi-Cal Managed Care Health Plans thiab Lub Chaw Haujlwm Tsim Nyog Daim Ntawv Cog Lus APL 15-013 (PDF)​​ 

Cov khoom siv kho mob ntev​​  

•  Cov txheej txheem rau kev them cov rooj zaum hauv lub log thiab siv tau qhov rooj thiab qhov chaw ntawm qhov chaw APL 15-018 (PDF)​​   

Kev kuaj mob thaum ntxov thiab ntu ntu thiab kev kho mob​​ 

• Ntshav Lead Screening of Young Children (Supersedes PL 02-01) APL 18-017 (PDF)​​ 
• Ntshav Lead Screening of Young Children  PL 02-01 (PDF)​​   
• Cov Kev Xav Tau Rau Kev Pabcuam Kev Tshuaj Ntsuam Xyuas Thaum Ntxov thiab Lub Sij Hawm, Kev kuaj mob, thiab Kev Kho Mob rau Medi-Cal Cov Tswv Cuab Hauv Hnub nyoog qis dua 21 xyoos (Supersedes APL 19-010) APL 23-005 (PDF)
  ​​ 
• Requirements for Coverage of Early and Periodic Screening, Diagnostic, and Treatment Services for  Medi-Cal Members Under the Age of 21 (Supersedes APL 18-007 and 07-008) APL 19-010 (PDF)
  ​​ 
• Yuav tsum muaj kev pab them nqi kho mob thaum ntxov thiab ncua sij hawm, kuaj mob, thiab kev kho mob rau Medi-Cal cov tswv cuab hauv hnub nyoog qis dua 21 xyoos (Supersedes APL 14-017) APL 18-007 (PDF)​​ 
• Yuav tsum muaj kev pab them nqi kho mob thaum ntxov thiab ib ntus, kuaj mob, thiab kev kho mob rau Medi-Cal cov neeg tau txais txiaj ntsig hauv qab hnub nyoog nees nkaum ib APL 14-017 (PDF)
  ​​ 

Kev tsim nyog​​ 

• Addendum to Policy Letter 98-03 – Conversion to New Eligibility Report System  PL 99-005 (PDF – 3.0MB)​​ 
• California Housing and Homelessness Incentive Program APL 22-007 (PDF)
  ​​ 
• Conlan v. Bonta; Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process  APL 07-002 (PDF – 5.5MB)​​ 
• Hloov mus rau Kev Tshaj Tawm Txog Kev Tsim Nyog Tshiab  PL 98-003 (PDF)​​ 
• Txhim Kho Kev Tswj Xyuas Kev Ruaj Ntseg (Supersedes APL 21-012) APL 23-032 (PDF)
  ​​ 
• Enhanced Care Management Requirements APL 21-012 (PDF), Txuas 1: Txhim Kho Kev Tswj Xyuas Cov Pej Xeem ntawm Kev Tsim Nyog Kev Pom Zoo
  ​​ 
• General Acute Care Inpatient Services: Kev thov rau cov neeg tau txais kev pab them los ntawm Medi-Cal Managed Care thiab Medi-Cal Diagnosis Related Group Fee-For-Service  APL 15-021 (PDF)​​   
• Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans (Supersedes APL 13-018) APL 18-015 (PDF)​​ 
  • Daim ntawv txuas 1: Title 9 – Cov Kev Pab Kho Mob Kho Mob thiab Kev Loj Hlob, Tshooj 11 – Medi-Cal Cov Kev Pabcuam Kev Puas Siab Puas Ntsws (PDF)​​ 
  • Daim ntawv txuas 2: Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and County Mental Health Plans (PDF)​​ 
• Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans APL 13-018 (PDF)​​ 
• Memorandum of Understanding Requirements for Medi-Cal Managed Care Health Plans and Regional Centers (Supersedes APL 15-022) APL 18-009 (PDF)​​ 
• Memorandum of Understanding Requirements for Medi-Cal Managed Care Health Plans and Regional Centers APL 15-022 (PDF)​​   
• Medi-Cal Intercounty Transfers  APL 03-005 (PDF – 5.3MB)​​ 
• Refugee Health Care  PL 98-007 (PDF)​​ 
• Cov xwm txheej ntawm kev hloov pauv mus rau Cov Nyiaj Txiag Nruab Nrab Kev Nkag Mus Rau Medi-Cal Cov Ntaub Ntawv Tsim Nyog Cov Ntaub Ntawv  APL 99-010 (PDF) 
  ​​ 
• Cov tswv yim zoo rau kev siv los ntawm Kev Tswj Xyuas Kev Npaj Ua Haujlwm kom ua tiav qhov kev pabcuam txuas ntxiv raws li kev tsim nyog tau txais thiab kev tso npe kawm rov qab APL 22-004 (PDF)
  ​​ 

Emergency Services (ER Care)​​ 

• Emergency Services Medical Claim Coding and Documentation Guidelines  APL 02-005 (PDF)​​ 
• Kev Pabcuam Thaum Muaj Xwm Ceev  APL 99-015 (PDF)​​ 
• Tsis-Tsab Ntawv Teev Xwm Txheej Ceev Tus Nqi Teem Sij Hawm  APL 03-013 (PDF)
  ​​ 

End of Life Option Act​​ 

• End of Life Option Act APL16-006 (PDF)​​    

Kev tso npe kawm thiab rho npe​​ 

• 2009-2010 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule  APL 09-015 (PDF – 2MB)​​ 
• 2008-2009 Managed Care Plan MEDS/FAME/834+ Supplemental Cutoff and Processing Schedule  APL 07-019 (PDF)​​ 
• 2007-2008 Managed Care Plan MEDS/FAME Cutoff and Processing Schedule  APL 06-012 (PDF)​​ 
• Kev Hloov Kho Cov Cai rau Kev Sau Npe thiab Kev Tso Npe Rau Ob Txoj Kev Npaj Qauv  APL 00-013 (PDF)​​ 
• Kev Pabcuam Kev Pabcuam Kev Pabcuam thiab Kev Pabcuam Menyuam Menyuam Yaus Cov Kev Pabcuam ntawm California Advancing thiab Innovating Medi-Cal Initiative APL 21-015 (PDF), Daim ntawv txuas 1: Cov Kev Pabcuam Menyuam Menyuam Yaus yuav tsum tau ua, Daim ntawv txuas 2: Cov Lus Cog Tseg Loj Loj
  ​​ 
• Kev Hloov Cov Menyuam hauv Feem Xyuam Ntawm Cov Pabcuam Kev Txom Nyem rau Kev Nkag Mus Kawm Rau Medi-Cal Managed Care  PL 00-003 (PDF)​​ 
• Kev sib koom tes ntawm Cov Nyiaj Pab: Medicare thiab Medi-Cal APL 13-001 (PDF)​​     
• Kev Sib Koom Tes ntawm Cov Nyiaj Pab: Medicare thiab Medi-Cal (Supersedes APL 13-001) APL 13-003 (PDF)​​          
• Default Assignment for Beneficiaries  APL 03-001 (PDF)​​ 
• Daim Ntawv Teev Npe nyob rau hauv Cov Chaw Pabcuam Kev Khomob Ntiag Tug thiab Kev Sau Npe Cov Khoom Muag Khoom Muag  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)​​ 
• Kev Ceeb Toom Txog Kev Npaj Khomob (Health Renotifications)  APL 01-004 (PDF)​​ 
• Kev Siv Daim Ntawv Teev Npe Tshiab  APL 04-007 (PDF)​​ 
• Implementation of New Enrollment Forms  APL 04-005 (PDF – 4.3MB)​​ 
• Kev Koom Tes Saib Xyuas Lub Sij Hawm Ntev thiab Kev Txiav Txim Siab (Supersedes APL 03-003) APL 17-017 (PDF)​​ 
• LTC Guidelines/Policy Letters GMC/Two-Plan Letter  APL 03-003 (PDF – 4.2MB)​​ 
• Maximus Warehouse Relocation  APL 00-006 (PDF)​​ 
• Medi-Cal Managed Care Medical Exempions  APL 00-002 (PDF)​​ 
• New Medi-Cal Managed Care Exemption Forms  APL 99-011 (PDF – 12.9MB)​​ 
• New Process for Transmitting Enrollment/Disenrollment Data  APL 05-002 (PDF – 2.1MB)​​ 
• Feem pua ntawm cov neeg txom nyem  APL 00-009 (PDF)​​ 
• Muaj peev xwm nce ntxiv rau cov neeg sau npe tshiab Vim muaj kev hloov pauv hauv Tshooj 1931(b) Txoj Haujlwm  APL 00-007 (PDF)​​   
• Kev ua yuam kev cuam tshuam txog Kev Tsis Pom Zoo Kev Kho Mob Thov Hais Txog Kev Nkag Mus Nkag Rau Hauv Medi-Cal Managed Care Plan APL 13-002 (PDF)​​   
• Kev hloov pauv mus rau HIPAA Hloov Kho Kev Ua Lag Luam rau Kev Sau Npe thiab Nyiaj Them Nqi APL 11-014 (PDF)   
  ​​ 

Lub Xeev Lub Rooj Sib Hais Ncaj Ncees​​ 

• Kev nqis tes ua ntawm Expedited State Hearings  APL 03-009 (PDF) 
  ​​ 

Sab nraud Accountability Set​​ 

• Cov txheej txheem ib ntus Kom txog rau thaum ua tiav daim ntawv cog lus tshiab EQRO APL 08-006 (PDF)​​ 
• External Accountability Set (EAS) Performance Measure Audits  APL 02-008 (PDF)​​ 
• Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2007  APL 06-010 (PDF)
  ​​ 

FAME​​ 

• Kev hloov pauv mus rau HIPAA Hloov Kho Kev Ua Lag Luam rau Kev Sau Npe thiab Nyiaj Them Nqi APL 11-014 (PDF)   
  ​​ 

Kev Npaj Tsev Neeg​​ 

• Augmented Reimbursement for Family Planning Services  APL 10-003 (PDF) – RETIRED
  ​​ 
• Contraceptive Devices  APL 06-008 (PDF)​​ 
• Correction to All Plan Letter 10-003 Regarding Augmented Reimbursement for Family Planning Services APL 10-014 (PDF) – RETIRED​​   
• Family Planning Services in Medi-Cal Managed Care  PL 98-011 (PDF – 31.9MB)​​ 
• Family Planning Services Policy for Contraceptive Supplies APL 16-003 Revised (PDF)​​ 
• Family Planning Services Policy for Self-Administered Hormonal Contraceptives (Supersedes APL 16-003) APL 18-019 (PDF)​​ 
• Medi-Cal Managed Care Plan Requirements for Provision of Contraceptive Drug Services and Supplies  APL 03-010 (PDF)​​ 
• Nqe Lus Qhia 56 Cov Nyiaj Them Qhia Txog Kev Npaj Rau Tsev Neeg (Supersedes APL 22-011) APL 23-008 (PDF)
  ​​ 
• Nqe Lus Qhia 56 Cov Nyiaj Them Qhia Txog Kev Npaj Rau Tsev Neeg (Supersedes APL 20-013) APL 22-011 (PDF)
  ​​ 
• Nqe Lus Qhia 56 Cov Nyiaj Them Qhia Txog Kev Npaj Rau Tsev Neeg APL 20-013 (PDF)
  ​​ 
• Txoj Haujlwm 56 Txoj Haujlwm Them Nqi Raws Li Tus Nqi Them Qhia Kev Them Nyiaj (Supersedes APL 22-019) APL 23-014 (PDF)
  ​​ 
• Proposition 56 Qhov Kev Pab Them Nqi Raws Li Tus Nqi Them Qhia Kev Them Nqi (Supersedes APL 20-014) APL 22-019 (PDF)
  ​​ 
• Nqe Lus Nug 56 Txoj Haujlwm Them Nqi Raws Li Tus Nqi Them Qhia Kev Them Nqi APL 20-014 (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)  APL 07-003 (PDF)​​ 
• Federal Deficit Reduction Act of 2005 (Employee Education About False Claims)  APL 07-007 (PDF)​​ 
• Federal Deficit Reduction Act of 2005, Seem 6036 (Citizenship Verification Requirement)  APL 07-017 (PDF)​​    
• Kev Tshaj Tawm Txog Kev Xaiv Tus Muab Kev Cog Lus (SPCP) Tus Nqi APL 11-006 (PDF)​​   
• Cov Kev Xav Tau rau Cov Neeg Ua Haujlwm Kev Kawm Txog Kev Thov Tsis Txaus Siab Rov Qab  APL 08-007 (PDF)​​  

Tsoom Fwv Teb Chaws Muaj Peev Xwm Saib Xyuas Kev Noj Qab Haus Huv thiab Chaw Kho Mob Hauv Nroog​​  

•  Podiatric thiab Chiropractic Services ntawm Federally Qualified Health Centers and Rural Health Clinics  APL 15-003 (PDF)
  ​​ 

Nyiaj txiag​​ 

• Txoj Cai Tswjfwm thiab Nyiaj Txiag (Supersedes APL 15-014) APL 18-003 (PDF)​​ 
• Txoj Cai Tswjfwm thiab Nyiaj Txiag APL 15-014 (PDF)​​    
• Kev hloov pauv mus rau Electronic Filing of Financial Reports  APL 07-001 (PDF)​​ 
• Txoj Cai Lij Choj: Txoj Cai Tswjfwm thiab Nyiaj Txiag (Supersedes APL 22-015) APL 23-012 (PDF)
  ​​ 
• Txoj Cai Lij Choj: Kev Tswj Xyuas Nyiaj Txiag thiab Nyiaj Txiag (Supersedes APL 18-003) APL 22-015 (PDF)
  ​​ 
• Kev Qhia Txog Nyiaj Txiag APL 10-005 (PDF)​​  
• Kev Qhia Txog Nyiaj Txiag Tshiab  APL 07-009 (PDF)​​ 
• Kev tshuaj xyuas thiab kev txheeb xyuas txog cov nyiaj txiag ntawm Cov Kev Npaj Khomob uas tau thov rau Kev Pab Nyiaj Txiag  APL 05-008 (PDF)​​ 
• Tib Hnub Kev Lag Luam  APL 06-011 (PDF)
  ​​ 

Kev Kho Mob​​ 

• Kev hloov pauv mus rau Electronic Filing of Financial Reports  APL 07-001 (PDF)​​ 
• Six New Derivative Foster Care Aid Codes  APL 11-022 (PDF) 
  ​​ 

Kev dag​​ 

• Yuav Tsum Tau Ua Raws Li Daim Ntawv Ceeb Toom Txog Kev Ruaj Ntseg Ntawm Kev Txhaum Cai APL 15-026 (PDF)​​    
• Kev xa mus tsis ncaj ncees rau Kev Tshawb Fawb thiab Kev Tshawb Fawb (A&I)  APL 03-011 (PDF)
  ​​ 

Kev tsis txaus siab​​ 

• Cov Kev Xav Tsis Txaus Siab thiab Kev Thov Rov Hais Dua, Daim Ntawv Ceeb Toom thiab "Koj Cov Cai" Cov Qauv (Supersedes APL 17-006) APL 21-011 (PDF)
  ​​ 
• Cov Kev Xav Tsis Txaus Siab thiab Kev Thov Thov Kev Pab Cuam Tshuam thiab Hloov Cov Ntawv Ceeb Toom thiab "Koj Txoj Cai" Txuas Ntxiv (Supersedes Txhua Daim Ntawv Npaj 04-006 thiab 05-005 thiab Tsab Cai 09-006) APL 17-006 (PDF)​​ 
• Daim Ntawv Qhia Txog Kev Tsis Txaus Siab Template APL 14-013 (PDF)  
       APL 14-013 Daim ntawv txuas: Daim Ntawv Qhia Tsis Txaus Siab (MS Excel)​​   
• Cov Kev Xav Tau rau Kev Tshaj Tawm Cov Ntaub Ntawv Kev Tswj Xyuas Kev Tswj Xyuas Cov Ntaub Ntawv (Supersedes APLs 14-013 (Revised) thiab 14-012) APL 20-017 (PDF)
  ​​ 
• Kev Xa Ntawv Tsis Txaus Siab Peb Hlis  APL 03-008 (PDF)​​ 
• Timeframes For Member Grievances PL 09-006 (PDF)
  ​​ 

Kev ntsuas kev noj qab haus huv​​ 

• Kev soj ntsuam cov neeg laus thiab cov hluas thiab kev hloov pauv ntawm Cov Cuab Yeej Kho Mob rau Medi-Cal Kev Pabcuam Kev Puas Siab Puas Ntsws APL 22-028 (PDF)
  ​​ 
• Kev kuaj dej cawv thiab tshuaj yeeb, kev ntsuam xyuas, kev cuam tshuam luv luv thiab xa mus rau kev kho mob (Supersedes APL 18-014) APL 21-014 (PDF)
  ​​ 
• Kev siv dej cawv tsis raug: Kev tshuaj ntsuam xyuas thiab kev coj tus cwj pwm kev cuam tshuam hauv Kev Kho Mob Ntiag Tug (Supersedes APL 17-016) APL 18-014 (PDF)​​ 
• Kev Siv Dej Cawv: Kev Tshuaj Ntsuam Xyuas thiab Kev Pab Cuam Kev Coj Tus Cwj Pwm Hauv Kev Pabcuam Thaum Ntxov (Supersedes APL 14-004) APL 17-016 (PDF)
  ​​ 
• Cancer Biomarker Testing APL 22-010 (PDF)
  ​​ 
• Kev Ntsuam Xyuas Kev Nyab Xeeb Kev Nyab Xeeb thiab Kev Nyab Xeeb Kev Nyab Xeeb rau Cal Mediconnect (Supersedes DPL 15-005) DPL 17-001 (PDF)​​ 
• Kev Ntsuam Xyuas Kev Nyab Xeeb Kev Nyab Xeeb thiab Kev Nyab Xeeb Kev Nyab Xeeb rau Cal MediConnect (supersedes DPL 13-002) DPL 15-005 (PDF)​​    
• Kev soj ntsuam kev pheej hmoo ntawm kev noj qab haus huv thiab kev pheej hmoo stratification yuav tsum muaj rau ob txoj kev npaj ua qauv qhia nyob rau hauv Txoj Kev Coordinated Care Initiative DPL 13-002 (PDF)​​               
• Individual Health Education Behavioral Assessment PL 99-007 (PDF – 2.1MB)​​ 
• Initial Comprehensive Health Assessment  PL 08-003 (PDF)​​    
• Initial Health Appointment (Supersedes APL 13-017 and Policy Letters 13-001 and 08-003) APL 22-030 (PDF)​​ 
• Hloov Kho Rau Txoj Cai Tsab Ntawv 11-001 Hais Txog Cov Kev Xav Tau Rau Kev Ntsuam Xyuas Kev Nyab Xeeb Kev Nyab Xeeb ntawm Medi-Cal Cov Neeg Laus thiab Cov Neeg Tsis Muaj Peev Xwm PL 11-007 (PDF)​​   
• Cov Kev Xav Tau rau Kev Ntsuam Xyuas Kev Nyab Xeeb ntawm Medi-Cal Cov Neeg Laus thiab Cov Neeg Tsis Muaj Peev Xwm PL 12-004 (PDF)​​  
• Yam Yuav Tsum Tau Ua Rau Kev Soj Ntsuam Kev Noj Qab Haus Huv / Ib Tus Neeg Saib Xyuas Kev Noj Qab Haus Huv Kev Ntsuam Xyuas Tus Cwj Pwm PL 13-001 Hloov Kho (PDF)​​    
• Kev tshuaj xyuas, Kev cuam tshuam luv luv, thiab xa mus rau Kev Kho Mob Rau Kev Siv Dej Haus (SBIRT) APL 14-004 (PDF)​​   
• Kev Soj Ntsuam Kev Noj Qab Haus Huv / Ib Tus Neeg Saib Xyuas Kev Noj Qab Haus Huv Kev Ntsuam Xyuas Tus Cwj Pwm rau Cov Neeg Sau Npe los ntawm Kev Pabcuam Nyiaj Tau Los Tsawg APL 13-017 (PDF)              
  ​​ 

Kev Kawm Kev Noj Qab Haus Huv​​ 

• Diabetes Prevention Program APL 18-018 (PDF)​​ 
• Health Education  PL 02-004 (PDF)​​ 
• Kev Kawm Txuj Ci Kev Noj Qab Haus Huv thiab Pawg Cultural and Linguistic Xav Tau Kev Ntsuam Xyuas (Supersedes Txoj Cai Tsab Ntawv 10-012) APL 17-002 (PDF)​​ 
• Kev Kawm Txuj Ci Kev Noj Qab Haus Huv thiab Pawg Cultural thiab Linguistic Xav Tau Kev Ntsuam Xyuas PL 99-002 (PDF) hloov los ntawm PL 10-012 (PDF)​​ 
• Kev Kawm Txuj Ci Kev Noj Qab Haus Huv thiab Pab Pawg Cultural thiab Linguistic Xav Tau Kev Ntsuam Xyuas (GNA)  PL 10-012 (PDF)​​      
• Medi-Cal Managed Care Health Education Work Group thiab Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Ntsuam Xyuas "Kev Noj Qab Haus Huv" Subcommittee  APL 99-007 (PDF)​​  
• Cov Tswvcuab Tsis-Monetary Incentive Guidelines  PL 09-005 (PDF)​​     
• Non-Monetary Member Incentive Guidelines Addendum to Policy Letter 09-005  PL12-002 (PDF)      
      PL 12-002 Attachment: Member Incentive Program, Request for Approval Form   
      PL 12-002 Attachment: Member Incentive Program, Plan Hloov daim ntawv​​ 
• Readability thiab Suitability of Written Health Education Materials (Supersedes APL 11-018) APL 18-016 (PDF)
      Document A: Definitions and Requirements (PDF)
      Document B: Readability and Suitability Checklist for Written Health Education Materials ( PDF)​​ 
• Kev nyeem tau thiab tsim nyog ntawm Cov Ntaub Ntawv Kev Noj Qab Haus Huv Sau Ntawv APL 11-018 (PDF)​​    
• Cov Kev Xav Tau Rau Kev Siv Cov Tswvcuab Tsis-Monetary Incentives rau Incentive Programs, Focus Groups, thiab Member Surveys (Supersedes Policy Letters 09-005 and 12-002) APL 16-005 Revised (PDF)
  ​​ 

Kab mob siab C​​ 

• Txoj Cai Kho Kab Mob Kab Mob Kab Mob C Hloov Kho APL 18-013 (PDF) (Supersedes APL 15-016)​​ 
• Txoj Cai Kho Kab Mob Kab Mob Kab Mob C Hloov Kho APL 15-016 (PDF)​​  

HIPAA – Health Insurance Portability and Accountability Act​​ 

• Certificates of Creditable Coverage Under the Health Insurance Portability and Accountability Act of 1996  PL 98-002 (PDF – 3.6MB)​​ 
• Exhibit G, Health Insurance Portability And Accountability Act (HIPAA)  APL 09-014 (PDF)​​ 
• HIPAA Requirements: Daim Ntawv Ceeb Toom Txog Kev Tiv Thaiv Tus Kheej thiab Kev Ceeb Toom Txog Kev Ua Phem  APL 06-001 (PDF)​​ 
• HIPAA Requirements: Plans’ Reporting Responsibilities  APL 05-006 (PDF)​​ 
• Cov Ntaub Ntawv Tiv Thaiv Kev Noj Qab Haus Huv (PHI) thiab Kev Ceeb Toom Txog Kev Ua Phem APL 06-005 (PDF)​​  
• Kev hloov pauv mus rau HIPAA Hloov Kho Kev Ua Lag Luam rau Kev Sau Npe thiab Nyiaj Them Nqi APL 11-014 (PDF)   
  ​​ 

 Kev Sib Tham thiab Kev Xeem HIV​​  

• Txoj Cai Kev Sib Tham thiab Kev Xeem HIV APL 97-008 (PDF)    
  ​​ 

Tsev kho mob​​ 

• Hospice Services thiab Medi-Cal Managed Care APL 13-014 (PDF)​​             
• Hospice Services thiab Medi-Cal Managed Care APL 07-014 (PDF)​​ 
• Hospice Services thiab Medi-Cal Managed Care APL 05-003 (PDF)​​   
• The Implementation of Section 2302 of the Affordable Care Act, Entitled “Concurrent Care for Children.” PL11-004 (PDF)  
  ​​ 

Indian Kev Noj Qab Haus Huv​​ 

• American Indian Health Programs APL 17-020 (Revised) (PDF)​​ 
  • APL 17-020 Daim ntawv txuas # 1: Daim Ntawv Teev Npe ntawm Cov Neeg Pabcuam Kev Noj Qab Haus Huv Indian (PDF)​​ 
  • APL 17-020 Daim ntawv txuas # 2: Tus Nqi rau Asmeskas Cov Neeg Kho Mob Indian (PDF)​​ 
• Indian Health Services APL 09-009 (PDF) 
  ​​ 
• Medi-Cal Managed Care Plan Lub luag hauj lwm rau Cov Neeg Kho Mob Khab Khab thiab Cov Neeg Qhab Asmeskas (Supersedes APL 09-009) APL 24-002
  ​​ 
• Tribal Federally Qualified Health Center Providers APL 21-008 (PDF)
  ​​ 
  • Daim ntawv txuas # 1: Tus nqi rau Tribal Federally Qualified Health Centers​​ 
  • Daim ntawv txuas # 2: Daim ntawv teev npe ntawm Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv uas tsim nyog hauv Tsoom Fwv Teb Chaws
    ​​ 

Kev pab txhaj tshuaj​​ 

• Kev txhaj tshuaj rau cov neeg laus raws li Pharmacy Benefit APL 16-009 (Revised) (PDF)​​ 
• Kev Tiv Thaiv Kev Tiv Thaiv (Supersedes PL 96-013 thiab APL 07-015) APL 18-004 (PDF)​​ 
• Kev Pabcuam Tiv Thaiv Kab Mob hauv Medi-Cal Managed Care PL 96-013 (PDF) 
  ​​ 

Kev cai lij choj​​ 

• 2008 Tshooj Cai Muaj Kev cuam tshuam, lossis kev txaus siab rau Medi-Cal Managed Care Plans  APL 09-001 (PDF)​​  
• Assembly Bill 97 Implementation PL AB 97 (PDF)      
       PL AB 97 Attachment: Specialty Physician Services (PDF)​​    
• Erectile Dysfunction Treatment for Known Sex Offenders  APL 05-007 (PDF)​​ 
• Cov Kev Xav Tsis Txaus Siab thiab Kev Thov Rov Hais Dua, Daim Ntawv Ceeb Toom thiab "Koj Cov Cai" Cov Qauv (Supersedes APL 17-006) APL 21-011 (PDF)
  ​​ 
• Cov Kev Xav Tsis Txaus Siab thiab Kev Thov Thov Kev Pab Cuam Tshuam thiab Hloov Cov Ntawv Ceeb Toom thiab "Koj Txoj Cai" Txuas Ntxiv (Supersedes Txhua Daim Ntawv Npaj 04-006 thiab 05-005 thiab Tsab Cai 09-006) APL 17-006 (PDF)​​ 
• Daim Ntawv Teev Npe Tsev Kho Mob thiab Hnub Npuag  APL 09-007 (PDF)​​ 
• Daim Ntawv Teev Npe Tsev Kho Mob thiab Hnub Npuag APL 09-011 (PDF)​​ 
• New Benefit – Voluntary Inpatient Detox APL 14-005 (PDF)​​   
• Txoj Cai Tshiab los ntawm 1997-98 Session of California Legislature cuam tshuam rau Medi-Cal Program APL 99-004 (PDF)​​  
• Newborns’ and Mothers’ Health Act of 1997  PL 98-001 (PDF)​​ 
• Kev Tshaj Tawm Txog Kev Tshaj Tawm Ntawm Cov Nyiaj Txiag Raws Li Kev Sib Koom Tes Bill 1653 PL 11-011 (PDF)         
       PL 11-011 Txuas ntxiv: AB 1653 Cov Txheej Txheem Saib Xyuas Kev Npaj (MS Excel)​​ 
• SB 59 (Stats. 1999, Tshooj 539) Daim Ntawv Ceeb Toom Txog Kev Ua Haujlwm  APL 04-006 (PDF)​​ 
• SB 87 Medi-Cal Contact Information Release Form  APL 03-002 (PDF – 2.5 MB)​​ 
• Cov ntsiab lus ntawm 2007 Tshooj Txoj Cai cuam tshuam, lossis kev txaus siab rau Medi-Cal Kev Tswj Xyuas Kev Kho Mob  APL 08-001 (PDF)​​ 
• Cov ntsiab lus ntawm 2006 Tshooj Txoj Cai cuam tshuam, lossis kev txaus siab rau Medi-Cal Cov Kev Npaj Kho Mob  APL 07-004 (PDF)​​ 
• Summary of 2005 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans  APL 05-014 (PDF – 17.3MB)​​ 
• Summary of 2003 and 2004 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans  APL 05-001 (PDF – 2.0MB)​​ 
• Summary of 2002 Chaptered Legislation for Medi-Cal Managed Care Plans  APL 02-007 (PDF)​​ 
• Summary of 2001 Chaptered Legislation Impacting or of Interest to Medi-Cal Managed Care Plans  APL 01-007 (PDF – 21.7MB)​​ 
• Cov ntsiab lus ntawm 2000 Tshooj Txoj Cai cuam tshuam lossis kev txaus siab rau Medi-Cal Cov Kev Npaj Kho Mob  APL 01-001 (PDF)​​ 
• Cov ntsiab lus ntawm 1999 Tshooj Tshooj Cai cuam tshuam lossis kev txaus siab rau Medi-Cal Cov Kev Npaj Kho Mob  APL 99-014 (PDF)​​ 
• Cov ntsiab lus ntawm 2013 Tshooj Tshooj Cai cuam tshuam lossis kev txaus siab rau Medi-Cal Managed Care Plans  APL 14-002 (PDF)​​   
• Cov ntsiab lus ntawm 2014 Tshooj Tshooj Cai cuam tshuam lossis kev txaus siab rau Medi-Cal Managed Care Health Plans APL 14-016 (PDF)​​    
• Hloov tshiab ntawm California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Kho Dua Tshiab  APL 07-011 (PDF)
  ​​ 

Lub Chaw Saib Xyuas Kev Kawm Hauv Zos​​ 

• Kev Tswj Xyuas Kev Sib Raug Zoo nrog Cov Chaw Pabcuam Kev Kawm Hauv Zos Hauv Zos  PL 00-006 (PDF)
  ​​ 

Qhov Kev Pabcuam Nyiaj Tau Los Tsawg​​ 

• Qhib Kev Tso Cai thiab Daim Ntawv Qhia Txog Kev Pabcuam rau Cov Neeg Tau Txais Kev Pab Tshiab Hloov los ntawm Txoj Haujlwm Pabcuam Nyiaj Tau Los Tsawg APL 13-020 (PDF)
  ​​ 

Kev lag luam​​ 

• Kev Tsim Nyog Muaj Peev Xwm Muaj Peev Xwm Muaj Peev Xwm Muaj Peev Xwm Tshwj Xeeb Kev Npaj Ua Lag Luam thiab Kev Nkag Nkag Nkag Nkag DPL 13-001 (PDF)​​         
• Kev Yuav Tsum Ua Lag Luam rau Medi-Cal thiab Covered California APL 13-015 (PDF)
  ​​ 
• Kev Npaj Them Nqi Tshaj Tawm Tshaj Tawm Txog Lub Ib Hlis 31, 2001  PL 00-004 (PDF)
  ​​ 

MEDS – Medi-Cal Eligibility Data System​​ 

• 2024-2025 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Scedule APL 25-001 (PDF)
  ​​ 
• 2024-2025 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Schedule APL 23-033 (PDF)​​ 
• 2023-2024 Medi-Cal Managed Care Health Plan MEDS/834 Kev txiav tawm thiab ua tiav​​  APL 23-002 (PDF)​​ 
  
• 2022-2023 Medi-Cal Managed Care Health Plan Meds/834 Cutoff and Processing Schedule APL 22-001 (PDF)
  ​​ 
• 2021-2022 Medi-Cal Managed Care Health Plan Meds/834 Cutoff and Processing Schedule APL 21-001 (PDF)
  ​​ 
• 2020-2021 Medi-Cal Managed Care Health Plan Meds/834 Cutoff And Processing Schedule APL 20-001 (PDF)
  ​​ 
• 2019-2020 Medi-Cal Managed Care Health Plan Meds/834 Cutoff and Processing Schedule APL 18-021 (PDF)​​ 
• 2018-2019 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Schedule APL 18-002 (PDF)​​ 
• 2017-2018 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff And Processing Schedule APL 17-001 (PDF)​​ 
• 2016-2017 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Schedule APL 16-002 (PDF)​​   
• 2015-2016 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Schedule APL 14-018 (PDF)​​   
• 2014-2015 Medi-Cal Managed Care Health Plan MEDS/834 Cutoff and Processing Schedule APL 14-001 (PDF)​​    
• 2013-2014 Managed Care Plan MEDS/834 Cutoff and Processing Schedule APL 12-005 (PDF)​​    
• 2011-2012 Managed Care Plan MEDS/FAME/834+ Supplemental Cutoff and Processing Schedule  APL 10-015 (PDF)​​ 
• 2010-2011 Managed Care Plan MEDS/FAME/834+Supplemental Cutoff and Processing Schedule  APL 09-015 (PDF – 2MB)​​ 
• 2009-2010 Managed Care Plan MEDS/FAME/834+ Supplemental Cutoff and Processing Schedule  APL 08-012 (PDF)​​ 
• 2008-2009 Managed Care Plan MEDS/FAME/834+ Supplemental Cutoff and Processing Schedule  APL 07-019 (PDF)​​ 
• 2007-2008 Managed Care Plan MEDS/FAME Cutoff and Processing Schedule  APL 06-012 (PDF)​​ 
• 2005-2006 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  APL 05-011 (PDF – 2.3MB)​​ 
• 2004-2005 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  APL 04-008 (PDF)​​ 
• 2004 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  APL 04-001 (PDF)​​ 
• 2003 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  APL 02-009 (PDF)​​ 
• 2002 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  APL 01-006 (PDF)​​ 
• 2001 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  APL 00-014 (PDF)​​ 
• 2000 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  APL 00-001 (PDF – 10.2MB)​​ 
• 1999 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  APL 99-002 (PDF)​​ 
• 1998 Managed Care Plan (MCP) MEDS/FAME Cut-Off and Processing Schedule  APL 98-003 (PDF)​​ 
• Hloov pauv cov ntaub ntawv siv keeb kwm muab rau Medi-Cal Cov Kev Npaj Kho Mob Tswj Xyuas Kev Noj Qab Haus Huv rau Cov Neeg Laus thiab Cov Neeg Tsis Muaj Peev Xwm Pib Pib Lub Ob Hlis 1, 2014 PL 14-001 (PDF)​​   
• Medicare Modernization Act; Medicare Part D Kev Hloov Kho Qhov Kev Hloov Pauv  APL 05-013 (PDF)​​ 
• Medicare Part D Update  APL 06-002 (PDF – 4.0MB), APL 06-003 (PDF – 2.4MB)​​ 
• Cov ntaub ntawv tshwj xeeb rau cov tswv cuab yuav tsum tau muab los npaj rau Medi-Cal Tshiab Tsuas yog SPD Cov Tswv Cuab  PL 11-003 (PDF)​​ 
• Muaj peev xwm txav mus los ntawm FAME Cov Ntaub Ntawv los ntawm CA Health and Human Services (CalHHS) Data Center mus rau Medi-Cal Web Site  APL 02-002 (PDF)
  ​​ 

Kev puas hlwb​​ 

• Crossover Claiming Responsibility for Mental Health Services muab rau Cal MediConnect Cov neeg tau txais txiaj ntsig  DPL 15-006 (PDF) 
  (Supersedes DPL 14-003)​​  
• Crossover Claiming Responsibility for Mental Health Services muab rau Cal MediConnect Beneficiaries  DPL 14-003 (PDF)​​   
• Cov txheej txheem daws teeb meem tsis sib haum xeeb nruab nrab ntawm Cov Kev Npaj Kho Mob Puas Hlwb thiab Medi-Cal Managed Care Health Plans (Supersedes APL 15-007) APL 21-013 (PDF)
  ​​ 
• Kev daws teeb meem kev tsis sib haum xeeb rau Kev Pabcuam Kev puas hlwb APL 15-007 (PDF)​​    
• Medi-Cal Managed Care Health Plan Lub luag haujlwm rau Kev Pabcuam Kev Puas Siab Puas Ntsws Tshwj Xeeb (Supersedes APL 17-018) APL 22-006 (PDF)
  ​​ 
• Medi-Cal Managed Care Health Plan Lub luag hauj lwm rau Kev Pab Kho Mob Sab Nraud (Supersedes APL 13-021) APL 17-018 (PDF)​​ 
• 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 Lub luag hauj lwm raws li Medi-Cal Specialty Mental Health Services Consolidation Program  PL 00-001 (PDF)​​       
• Medi-Cal Managed Care Plan Lub luag hauj lwm rau Kev Pab Kho Mob Mob Sab Nraud  APL 13-021 (PDF)​​    
• Mitigating Health Impacts of Secondary Stress due to the COVID-19 Emergency APL 20-008 (PDF)
  Attachment A: Cov peev txheej siv rau cov txiaj ntsig tsis zoo raws li qhov tshwm sim ntawm Qhov Kev Mob Siab Thib Ob
  ​​ 
• Tsis Muaj Qhov Rooj Tsis Zoo rau Txoj Cai Pabcuam Kev Puas Siab Puas Ntsws APL 22-005 (PDF)
  ​​ 
• Kev Pabcuam Kev Noj Qab Haus Huv Lub Cev Muaj Kev Pabcuam Rau Cov Tswvcuab Cov Neeg Tau Txais Kev Pabcuam Hauv Psychiatric APL 15-015 (PDF) 
  ​​ 

MLTSS – Managed Long-Term Services and Supports​​ 

• Lub luag haujlwm rau Kev Ntsuam Xyuas Kev Noj Qab Haus Huv Txhua Xyoo rau Cov Tswv Cuab Tsim Nyog 65 Xyoos Hnub nyoog lossis laus dua APL 22-025(PDF)
  ​​ 
• Phau Ntawv Qhia Kev Tswj Xyuas Kev Noj Qab Haus Huv Pej Xeem (Supersedes APLs 17-012 thiab 17-013) APL 22-024 (PDF)
  ​​ 
• Kev Pabcuam Kev Saib Xyuas Kev Ruaj Ntseg rau Kev Tswj Xyuas Lub Sijhawm Ntev thiab Kev Txhawb Nqa (Supersedes APL 14-010) APL 17-012 (PDF)​​ 
• Kev Pabcuam Saib Xyuas Kev Ruaj Ntseg rau Kev Tswj Xyuas Lub Sijhawm Ntev thiab Txhawb  APL 14-010 (PDF)​​   
• Kev Npaj Tawm rau Cal Mediconnect DPL 16-003 (PDF)​​ 
• Health Homes Program Requirements APL 18-012 (PDF)
  ​​ 

MSSP – Multipurpose Senior Services Program​​  

•  Multipurpose Senior Services Program complaint, Grievance, Appeal, and State Hearing Responsibilities in Coordinated Care Initiative Counties  APL 15-002 (PDF)​​  

National Provider Identifier​​ 

• Kev nqis tes ua ntawm National Provider Identifier (NPI) Hloov Kho  APL 07-005 (PDF)​​ 
• Hloov tshiab rau Txhua Daim Ntawv Npaj Ua Haujlwm 06-004 re: Kev Ua Raws Li Tus Neeg Muab Kev Pabcuam Hauv Tebchaws (NPI)  APL 06-006 (PDF)​​ 
• National Provider Identifier (NPI)  APL 06-004 (PDF)
  ​​ 

Daim Ntawv Ceeb Toom Txog Kev Ua​​ 

• Lwm hom kev xaiv rau cov tswv cuab nrog qhov muag tsis pom kev APL 22-002 (PDF)
  ​​ 
• Timeframes For Member Grievances PL 09-006 (PDF)
  ​​ 

Kev Pabcuam Nursing Facility​​ 

• Kev Npaj Tawm rau Cal Mediconnect DPL 16-003 (PDF)​​ 
• Cov Kev Xav Tau rau Kev Pabcuam Nursing Facility DPL 14-002 (PDF)​​    
• Medi-Cal Managed Care Health Plan Requirements for Nursing Facility Services in Coordinated Care Initiative Counties rau cov neeg tau txais txiaj ntsig tsis muaj npe hauv Cal Mediconnect  APL 15-004 (PDF)
  ​​ 

Kev Pabcuam Optometry​​ 

• Reinstatement of Optometry Services APL 10-010 (PDF)
  ​​ 

Lwm yam kev pab them nqi kho mob​​ 

• Kev zam tus nqi thiab kev them nyiaj rov qab rau lwm qhov kev pab them nqi kho mob (Supersedes APL 21-002) APL 22-027 (PDF)​​ 
  • Cov ntawv ntxiv A​​ 
  • Cov ntawv ntxiv B​​  
  • FAQs​​ 
• Kev zam kev them nqi thiab kev them nyiaj tom qab them rov qab rau lwm qhov kev pab them nqi kho mob (Supersedes Txoj Cai Tsab Ntawv 08-011) APL 21-002 (PDF)
  ​​ 
  • Cov ntawv ntxiv A​​ 
    
  • Cov ntawv ntxiv B​​ 
    
  • FAQs​​ 
    
• Kev zam tus nqi thiab kev them nyiaj tom qab them rov qab rau lwm qhov kev pab them nqi kho mob PL 08-011 (PDF)
  ​​ 

Kev nthuav qhia​​ 

• Qhov tseem ceeb ntawm Kev Tshaj Tawm Ntxiv rau Cov Neeg Tsim Nyog Tshiab Raws Li Tshooj 1931(b) Txoj Haujlwm  APL 00-008 (PDF)​​   
• Tsim Cov Kev Npaj Kho Mob Tsis Tsim Nyog Medi-Cal Tswj Kev Npaj Kho Mob raws li Medicaid Certified Application Counselors APL 13-024 (PDF)​​   
• Tiv thaiv kev cais thiab txhawb cov laus thiab lwm tus neeg muaj kev pheej hmoo kom nyob hauv tsev thiab noj qab haus huv thaum lub sij hawm KEVID-19 Kev Ua Haujlwm APL 20-009 (PDF)
  ​​ 

Palliative Care​​ 

• Palliative Care (Supersedes APL 17-015) APL 18-020 (PDF)
  ​​ 
• Palliative Care thiab Medi-Cal Managed Care APL 17-015 (PDF)​​ 

Feem pua ntawm Kev Txom Nyem​​ 

• Feem pua ntawm cov neeg txom nyem  APL 00-009 (PDF)
  ​​ 

Tus kheej raug mob​​ 

• Daim Ntawv Qhia Txog Tus Kheej Kev Raug Mob  APL 05-004 (PDF)
  ​​ 

Tsev muag tshuaj​​ 

• Carve out Erectile Dysfunction Drugs  APL 05-009 (PDF)​​ 
• Contraceptive Devices  APL 06-008 (PDF)​​ 
• Khoom noj khoom haus Enteral (supersedes PL 07-006 thiab PL 07-016) PL 12-005 (PDF)​​      
• Enteral Nutrition Products PL 14-003 (PDF) ​​ 
• Tus Thawj Kav Tebchaws Txoj Cai Tswjfwm N-01-19, Hais Txog Kev Hloov Kho Medi-Cal Pharmacy Cov txiaj ntsig los ntawm Managed Care mus rau Medi-Cal RX (Supersedes APL 20-020) APL 22-012 (PDF)
  ​​ 
• Tus Thawj Kav Tebchaws Txoj Cai Tswjfwm N-01-19, Hais Txog Kev Hloov Kho Medi-Cal Pharmacy Cov txiaj ntsig los ntawm Managed Care mus rau Medi-Cal Rx APL 20-020 (PDF)
  ​​ 
• Managed Care Plan Siv Cov Tshuaj Kho Mob-Certified Optometrist  APL 99-001 (PDF)​​ 
• Medi-Cal Managed Care Plan Requirements for Provision of Contraceptive Drug Services and Supplies  APL 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  APL 03-004 (PDF – 4.9MB)​​ 
• Medi-Cal Managed Care Health Plan Pharmaceutical Formulary Comparability Requirement APL 16-010 (PDF)​​ 
• Medicare Modernization Act; Medicare Part D Txoj Kev Npaj Tshuaj Tshuaj APL 05-012 (PDF)​​ 
• Mifepristone (RU-486) as a Medi-Cal Benefit  APL 01-003 (PDF)​​ 
• Lub Tsev Muag Tshuaj Thov Kev Tso Cai Ua Ntej los ntawm California Cov Kws Tshuaj Tso Cai APL 08-013 (PDF)​​ 
• Recombinant Loj hlob Hormone Txhaj  APL 98-007 (PDF)​​ 
• Yuav tsum tau koom nrog Medi-Cal Kev Siv Tshuaj Ntsuam Xyuas Kev Siv Tshuaj APL 17-008 (PDF)​​ 
• Yuav Tsum Siv Cov Khoom Siv Khoom Noj thiab Tshuaj Pom Zoo Pom Zoo Tshuaj, Tsis Yog Cov Khoom Siv Ntxiv PL 14-002 (PDF)​​   
• Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (Note: revised 11/07/07, saib APL 07-016)  PL 07-006 (PDF)​​ 
• Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (revised) Tsab Cai Tsab Cai 07-006 hnub tim 2, 2007  PL 07-016 (PDF)
  ​​ 

Txoj cai thiab txheej txheem​​ 

• Delegation thiab Subcontractor Network Certification (Supersedes APL 17-004) APL 23-006 (PDF)
  ​​ 
  • Daim ntawv txuas A: Subcontractor Network Certification Instruction Manual
    ​​ 
  • Daim ntawv txuas B: Subcontractor Network Exemptions Thov
    ​​ 
  • Daim ntawv txuas C: Network Adequacy thiab Access Assurances Report
    ​​ 
• Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Third-Party Entities APL 23-029 (PDF)
  ​​ 
• Txoj Cai thiab Txheej Txheem Hloov Kho APL 00-003 (PDF)​​ 
• Subcontractual Relationships and Delegation APL 17-004 (PDF)
  ​​ 

Post Stabilization​​ 

• Kev tso cai rau Cov Kev Pabcuam Tom Qab Kev Tiv Thaiv Kev Ruaj Ntseg APL 23-009 (PDF)
  ​​ 
• Txoj Cai thiab Txheej Txheem Hloov Kho APL 08-010 (PDF)​​ 
• Rogers Kev Hloov Kho thiab Tsev Kho Mob Thib Ob APL 10-011 (PDF)​​     
• Rogers Hloov Cov Ntaub Ntawv Thov APL 10-002 (PDF)
  ​​ 

Kev saib xyuas ua ntej yug menyuam​​ 

• Pub mis niam Promotion  PL 98-010 (PDF)​​ 
• Doula Services (Supersedes APL 22-031) APL 23-024 (PDF)
  ​​ 
• Doula Services APL 22-031 (PDF)
  ​​ 
• Newborn and Prenatal Genetic Screening Services PL 98-006 (PDF – 38.2MB)​​      
• Obstetrical Care-Perinatal Services PL 12-001 (PDF) ​​      
• Obstetrical Care-Perinatal Services (supersedes PL 12-001 thiab PL 96-01) PL 12-003 (PDF)​​                                         
• Kev Siv Tshuaj Ntsuam Xyuas Kev Ntsuam Xyuas Kev Nyab Xeeb Thaum Ntxov rau Cov Poj Niam Cev Xeeb Tub  APL 00-012 (PDF)
  ​​ 

Tus Kws Kho Mob Ntiag Tug​​ 

• Txoj Cai Xaiv Tus Kws Khomob Ntiag Tug thiab Kev Ua Haujlwm  PL 98-012 (PDF)​​    
• Txoj Haujlwm Pabcuam Kev Khomob Ntiag Tug hauv Medi-Cal Managed Care rau Cov Neeg Tau Txais Kev Tsim Nyog Ob Leeg APL 14-015 (PDF)
  ​​ 

Cov tshuaj (Rx)​​ 

• Carve out Erectile Dysfunction Drugs  APL 05-009 (PDF)​​ 
• Contraceptive Devices  APL 06-008 (PDF)​​ 
• Khoom noj khoom haus Enteral (supersedes PL 07-006 thiab PL 07-016) PL 12-005 (PDF)​​          
• Tus Thawj Kav Tebchaws Txoj Cai Tswjfwm N-01-19, Hais Txog Kev Hloov Kho Medi-Cal Pharmacy Cov txiaj ntsig los ntawm Managed Care mus rau Medi-Cal Rx APL 20-020 (PDF)
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• Managed Care Plan Siv Cov Tshuaj Kho Mob-Certified Optometrist  APL 99-001 (PDF)​​ 
• Medi-Cal Managed Care Plan Requirements for Provision of Contraceptive Drug Services and Supplies  APL 03-010 (PDF)​​ 
• Medi-Cal Managed Care Health Plans Carved-Out Drugs  APL 16-004 (PDF) ​​ 
• Medi-Cal Managed Care Health Plan Capitated and Non-Capitated Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) and Antipsychotic Drugs  APL 03-004 (PDF – 4.9MB)​​ 
• Medi-Cal Managed Care Health Plan Pharmaceutical Formulary Comparability Requirement APL 16-010 (PDF)​​ 
• Medicare Modernization Act; Medicare Part D Txoj Kev Npaj Tshuaj Tshuaj APL 05-012 (PDF)​​ 
• Mifepristone (RU-486) as a Medi-Cal Benefit  APL 01-003 (PDF)​​ 
• Lub Tsev Muag Tshuaj Thov Kev Tso Cai Ua Ntej los ntawm California Cov Kws Tshuaj Tso Cai APL 08-013 (PDF)​​ 
• Recombinant Loj hlob Hormone Txhaj  APL 98-007 (PDF)​​ 
• Yuav tsum tau koom nrog Medi-Cal Kev Siv Tshuaj Ntsuam Xyuas Kev Siv Tshuaj APL 17-008 (PDF)​​ 
• Yuav Tsum Siv Cov Khoom Siv Khoom Noj thiab Tshuaj Pom Zoo Pom Zoo Tshuaj, Tsis Yog Cov Khoom Siv Ntxiv PL 14-002 (PDF)​​   
• Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (Note: revised 11/07/07, saib APL 07-016)  PL 07-006 (PDF)​​ 
• Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (revised) Tsab Cai Tsab Cai 07-006 hnub tim 2, 2007  PL 07-016 (PDF)
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Kev txiav txim siab​​ 

• Medi-Cal Cov Kws Kho Mob ntawm Kev Txiav Txim Siab  APL 03-012 (PDF)​​ 
• Medi-Cal Providers on Probation  APL 04-003 (PDF – 7.6MB)
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Tus neeg muab kev pab Directory & Networks​​ 

• Txoj Cai Tswjfwm Saib Xyuas Kev Npaj Khomob Kev Noj Qab Haus Huv Txoj Cai, Cov Txheej Txheem thiab Kev Xa Khoom PL 00-002 (PDF)​​ 
• Medi-Cal Managed Care Health Plan Kev taw qhia ntawm Network Provider Status APL 19-001 (PDF)
  Txuas A: Network Provider Agreement Boilerplate Checklist (PDF)​​ 
• Cov Ntaub Ntawv Qhia Txog Tus Kws Kho Mob Managed Care (Supersedes APL 14-006) APL 16-019 (PDF)​​     
• Medi-Cal Managed Care Plan Tus Muab Kev Pab Cuam Ntxiv Cov Ntaub Ntawv Hloov Kho APL 10-006 (PDF)​​  
• Medi-Cal Managed Care Plan Tus Muab Kev Pab Cuam Tsis tu ncua Cov ntaub ntawv xa mus rau APL 14-006 (PDF)​​     
• Medi-Cal Managed Care Plan Tus Muab Kev Pab Cuam Tsis tu ncua Cov ntaub ntawv xa tuaj APL 11-020 (PDF)​​            
• Network Certification Requirements (Supersedes APL 21-006) APL 23-001 (PDF)
  ​​ 
  • Daim ntawv txuas A: Network Adequacy Standards (PDF)​​ 
  • Daim ntawv txuas B: Phau Ntawv Qhia Ntawv Pov Thawj Network Txhua Xyoo (PDF)​​ 
  • Daim ntawv txuas C: Alternative Access Standard (AAS) Thov Template (.xls)
    ​​ 
• Network Certification Requirements (Supersedes APL 20-003) APL 21-006 (PDF)
  ​​ 
  • Daim ntawv txuas A: Network Adequacy Standards (PDF)​​ 
  • Daim ntawv txuas B: Phau Ntawv Qhia Ntawv Pov Thawj Network Txhua Xyoo (PDF)​​ 
  • Daim ntawv txuas C: Alternative Access Standard (AAS) Thov Template (.xls)​​ 
• Network Certification Requirements (Supersedes APL 19-002) APL 20-003 (PDF)
  Attachment A: Network Adequacy Standards (PDF)
  Attachment B: Annual Network Certification Instruction Manual (PDF)
  Attachment C: Alternative Access Standards Request Template (MS Excel)
  ​​ 
• Network Certification Requirements (Supersedes APL 18-005) APL 19-002 (PDF)
  Attachment A: Network Adequacy Standards (PDF)
  Attachment B: Annual Network Certification Checklist (PDF)
  Attachment C: Alternative Access Standards Request Template (MS Excel)
  Attachment D: Alternative Access Standard Renewal Template (MS Excel)​​ 
• Network Certification Requirements APL 18-005 (PDF)​​ 
• Hloov tshiab rau Kev Pabcuam Kev Npaj Khomob Txoj Cai thiab Cov Lus Qhia PL 11-009 (PDF)​​    
• Muab cov ntaub ntawv qhia rau Medi-Cal cov neeg tau txais txiaj ntsig hauv hom Electronic APL 19-003 (PDF)
  ​​ 

Kev koom tes nrog tus kws kho mob​​ 

• Community Health Worker Services Benefit APL 22-016 (PDF)
  ​​ 
• Cov Kev Pab Cuam Tsis suav nrog Medi-Cal Program  PL 98-009 (PDF)​​        
• Medi-Cal Cov Kws Kho Mob ntawm Kev Txiav Txim Siab  APL 03-012 (PDF)​​ 
• Medi-Cal Providers on Probation  APL 04-003 (PDF – 7.6MB)​​    
• Medi-Cal Network Tus Muab Kev Pabcuam thiab Kev Txiav Txim Rau Tus Kheej (Supersedes APL 16-001) APL 21-003 (PDF)
  ​​ 
  • Daim ntawv txuas A: Exclusionary Databases thiab Lists​​ 
  • Daim ntawv txuas B: Facility Decertification Member Notice Template​​ 
• Medi-Cal Tus Muab Kev Pabcuam thiab Subcontract Suspensions, Kev Txiav Txim, thiab Kev Txiav Txim Siab (Supersedes APL06-007) APL 16-001 (PDF)​​ 
• Tus Kws Kho Mob Txoj Kev: Cov Lus Txhais thiab Kev Koom Tes Hauv Kev Tswj Xyuas (Supersedes APL 22-023) APL 24-001 (PDF)
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• Txoj Kev Kho Mob: Cov Lus Txhais thiab Kev Koom Tes Hauv Kev Tswj Xyuas Kev Tswj Xyuas APL 22-023 (PDF)
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• Kev Txiav Txim ntawm Kev Sib Tham Sib Tham  APL 06-007 (PDF)
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Kev Ua Haujlwm Zoo thiab Kev Txhim Kho Kev Ua Haujlwm​​ 

• Daim ntawv pov thawj ntawm Managed Care Plan Cov neeg ua haujlwm muaj lub luag haujlwm rau kev coj ua ntawm Chaw Pabcuam Thawj Saib Xyuas Kev Khomob  PL 03-002 (PDF)​​ 
• Certified Quality Provider Site Certificate APL 03-007 (PDF)​​ 
• Daim Ntawv Pov Thawj & Rov Ua Daim Ntawv Pov Thawj: Lub Sijhawm Hloov Kho, Kev Tshawb Fawb Tseem Ceeb Tshiab thiab Kev Tshawb Fawb Txog Cov Ntawv Pov Thawj ntawm Cov Kws Kho Mob Tsis Yog Tus Kws Kho Mob  PL 02-003 (PDF)​​ 
• Lub Chaw Saib Xyuas Qhov Chaw Tshaj Tawm #2  APL 03-006 (PDF)​​ 
• Kev Siv Medi-Cal Daim Ntawv Qhia Txog Kev Kho Mob 02-002  APL 02-006 (PDF)​​ 
• Cov txheej txheem xa cov ntaub ntawv QIP thiab cov peev txheej tshiab rau Kev Npaj APL 09-008 (PDF)​​ 
• Kev Ua Haujlwm Zoo thiab Kev Txhim Kho Kev Ua Haujlwm  PL 03-001 (PDF)​​ 
• Kev Txhim Kho Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2007  APL 06-010 (PDF)​​ 
• Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2008  APL 07-013 (PDF)​​ 
• Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2009  APL 08-009 (PDF)​​ 
• Kev Txhim Kho Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2010  APL 10-001 (PDF)​​ 
• Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2011  APL 11-002 (PDF)​​ 
• Kev Txhim Kho Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2012  APL 11-021 (PDF)​​     
• Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau xyoo 2013 (Supersedes APL 11-021) APL 13-005 (PDF)​​      
• Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau xyoo 2014 (supersedes APL 13-005) APL 14-003 (PDF)​​    
• Cov Kev Xav Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm (Supersedes APL 14-003) APL 15-024 Revised (PDF)​​     
• Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm (Supersedes APL 15-024) APL 16-018 (PDF)​​ 
• Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm (Supersedes APL 16-018) APL 17-014 (PDF)​​  
• Kev Txhim Kho Kev Ua Haujlwm Zoo thiab Kev Txhim Kho Kev Ua Haujlwm (Supersedes APL 17-014) APL 19-017 (PDF)
  Ntxiv rau APL 19-017: Kev Kho Kom Zoo thiab Kev Txhim Kho Kev Ua Haujlwm Zoo Vim yog COVID-19 (PDF)
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• Site Review  PL 02-002 (PDF – 28.4MB)​​ 
• Kev Siv Kev Ntsuas Kev Ntsuas APL 03-015 (PDF)
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Kev Txhim Kho Kev Ua Haujlwm Zoo​​ 

1. Kev Txhim Kho Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2007  APL 06-010 (PDF)​​ 
2. Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2008  APL 07-013 (PDF)​​ 
3. Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2009  APL 08-009 (PDF)​​ 
4. Kev Txhim Kho Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2010  APL 10-001 (PDF)​​ 
5. Kev Ua Tau Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2011  APL 11-002 (PDF)​​       
6. Kev Txhim Kho Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau 2012  APL 11-021 (PDF)​​     
7. Kev Ua Tau Zoo & Kev Txhim Kho Kev Ua Haujlwm Zoo rau xyoo 2013 (Supersedes APL 11-021) APL 13-005 (PDF)​​      
8. Kev Txhim Kho Kev Ua Haujlwm Zoo thiab Kev Txhim Kho Kev Ua Haujlwm rau xyoo 2014 (supersedes APL 13-005) APL 14-003 (PDF)
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Tus nqi​​ 

• 2009-10 Tus Nqi Rau Tsev Kho Mob Them Nqi rau Medi-Cal Post-Stabilization Services  APL 09-013 (PDF)​​ 
• 2009-10 Tus Nqi Rau Tsev Kho Mob Tsis Muaj Ntawv Cog Lus Emergency Inpatient Services  APL 09-012 (PDF)​​ 
• 2010-11 Tus Nqi rau Kev Pabcuam Neeg Mob Kub Ceev yog muab los ntawm Out-Of-Network Acute Care Hospitals APL 10-007 (PDF)​​  
• 2011-12 Tus Nqi rau Kev Pabcuam Tus Neeg Mob Kub Ceev Muab los ntawm Out-Of-Network Acute Care Hospitals APL 11-016 (PDF)​​    
• 2012-13 Tus Nqi rau Cov Kev Pabcuam Mob Kub Kub Kub Ceev yog muab los ntawm Out-Of-Network Acute Care Hospitals APL 12-003 Revised (PDF)​​  
• 2010-11 Tus Nqi rau Cov Kev Pabcuam Tom Qab Kev Kho Mob Hauv Tsev Kho Mob uas muab los ntawm Out-of-Network Acute Care Hospitals APL 10-008 (PDF)​​  
• 2011-12 Tus Nqi rau Cov Kev Pabcuam Tom Qab Kev Kho Mob Hauv Tsev Kho Mob uas muab los ntawm Out-of-Network Acute Care Hospitals APL 11-017 (PDF)​​  
• 2012-13 Tus Nqi rau Cov Kev Pabcuam Tom Qab Kev Kho Mob Hauv Tsev Kho Mob uas muab los ntawm Out-of-Network Acute Care Hospitals APL 12-002 (PDF)​​  
• 2012-13 Tus Nqi rau Cov Kev Pab Cuam Tom Qab Muaj Kev Ruaj Ntseg Hauv Tsev Kho Mob muab los ntawm Out-of-Network Acute Care Hospitals
  (Supersedes APL 12-002) APL 12-004 Revised (PDF)​​  
• Kev Them Nyiaj Them Ntxiv rau Kev Pabcuam Family Planning APL 10-003 (PDF)​​ 
• Kho rau Txhua Daim Ntawv Npaj 10-003 Hais Txog Kev Them Nyiaj Rov Qab Rau Tsev Neeg Planning Services APL 10-014 (PDF)​​    
• Kev Tshaj Tawm Txog Kev Xaiv Tus Muab Kev Cog Lus (SPCP) Tus Nqi APL 11-006 (PDF)​​    
• Tus Nqi-Rau-Service Reimbursement Rate Assistance  PL 98-008 (PDF)​​ 
• Kev Tswj Xyuas Tus Nqi txo qis rau FY 2008-09; Technical Clarification to All Plan Letter NO. 08-004  APL 08-005 (PDF)​​ 
• Kev Tswj Xyuas Tus Nqi txo qis rau FY 2008-09  APL 08-004 (PDF)​​ 
• Tsis-Tsab Ntawv Teev Xwm Txheej Ceev Tus Nqi Teem Caij APL 03-013 (PDF)​​ 
• Txoj Haujlwm 56 Kev Cuam Tshuam Txog Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv Kev Sib Koom Tes APL 22-021 (PDF)
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• Txoj Cai 56 Tus Kws Kho Mob Qhia Kev Them Nyiaj Rau Cov Kev Pabcuam Tshwj Xeeb rau Lub Xeev Lub Xyoo Nyiaj Txiag 2017-18 & 2018-19 (Supersedes APL 18-010) APL 19-006 (PDF)​​  
• Txoj Cai 56 Kev Them Nyiaj Qhia rau Cov Kws Kho Mob (Supersedes APL 19-015) APL 23-019 (PDF)
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• Txoj Cai 56 Tus Kws Kho Mob Qhia Kev Them Nyiaj Rau Cov Kev Pabcuam Tshwj Xeeb (Supersedes APL 19-006) APL 19-015 (PDF)​​ 
• Nqe Lus Nug 56 Cov Kev Them Nyiaj Qhia Txog Kev Them Nqi rau Cov Kev Pabcuam Tshwj Xeeb rau Lub Xeev Xyoo Xyoo 2017-18 APL 18-010 (PDF)Tus Nqi Hloov Kho rau Kev Pabcuam Thaum Muaj Xwm Ceev thiab Kev Ruaj Ntseg Tom Qab Muab Kev Pabcuam Los Ntawm Cov Tsev Khomob Ciam Teb Tsis Muaj Hauv Zej Zog Hauv Kev Tshawb Fawb Txog Pab Pawg Kev Them Nyiaj Them Nqi: Cov txiaj ntsig ntawm Tsoom Fwv Teb Chaws Kev Pabcuam Kev Txiav Txim Siab rau Kev Txiav Txim Siab 15-020 (Supersedes APL 16-016) APL 19-008 (PDF)​​ 
• Nqe Lus Qhia 56 Kev Them Nyiaj Qhia Rau Cov Kev Pabcuam Tshwj Xeeb (Supersedes APL 19-013) APL 23-015 (PDF)
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• Txoj Cai 56 Hyde Reimbursement Requirements for Specified Services APL 19-013 (PDF)​​ 
• Kev Them Nqi Qhia rau Kev Tshawb Fawb Kev Txhim Kho (Supersedes APL 19-016) APL 23-016 (PDF)
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• Txoj Cai 56 Kev Them Nqi Qhia rau Kev Tshawb Fawb Kev Txhim Kho APL 19-016 (PDF)​​  
• Kev Them Nqi Qhia rau Cov Kev Pab Cuam Tsis Zoo Me Nyuam Yaus Kev Ntsuam Xyuas (Supersedes APL 19-018) APL 23-017 (PDF)
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• Txoj Cai 56 Qhia Txog Kev Them Nyiaj rau Cov Kev Pab Cuam Me Nyuam Tsis Zoo rau Kev Tshawb Fawb Txog Kev Tshawb Fawb APL 19-018 (PDF)​​  
• Lub Tsev Kho Mob Pej Xeem thiab Tsev Kho Mob Qhia Txog Kev Them Nyiaj Rau Lub Xeev Xyoo 2017-18 thiab 2018-19, Lub Sijhawm Choj, thiab Xyoo 2021 APL 21-018 (PDF)
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• Tus nqi hloov pauv rau Kev Pabcuam Thaum Muaj Xwm Ceev thiab Kev Ruaj Ntseg Tom Qab Kev Pab Cuam Tshuam Muab los ntawm Cov Tsev Kho Mob Ciam Teb Sab Nraud Hauv Kev Tshawb Fawb Txog Cov Pab Pawg Kev Them Nyiaj: Cov txiaj ntsig ntawm Tsoom Fwv Teb Chaws Tsev Hais Plaub Tsis lees txais Kev Sib Tw rau Lub Xeev Txoj Kev Hloov Kho 15-020 (Supersedes APL 16-016) APL 19 -008 (PDF)
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• Tus nqi hloov pauv rau Kev Pabcuam Thaum Muaj Xwm Ceev thiab Kev Ruaj Ntseg Tom Qab Kev Pab Cuam Tshuam Los ntawm Cov Tsev Kho Mob Hauv Tsev Kho Mob "Tom Qab Ciam Teb" Hauv Kev Tshawb Fawb Txog Cov Pab Pawg Them Nqi Them Nqi APL 16-016 (PDF)​​ 
• Tus Nqi Rau Thaum Muaj Xwm Ceev Thiab Kev Ruaj Ntseg Tom Qab Cov Kev Pabcuam Tus Neeg Mob Tsis Txaus Siab Muab Los ntawm Cov Tsev Kho Mob Tsis Muaj Kev Pabcuam Hauv Tsev Kho Mob General Acute Care Raws li Kev Tshawb Fawb Txog Cov Pabcuam Pib Pib Lub Xya Hli 1, 2013 APL 13-004 (PDF)​​     
• Rate Setting: Nce feem pua ntawm Countywide Rates APL 11-015 (PDF)​​         
• Kev them nyiaj rov qab rau Tsev Kho Mob Tsis muaj ntawv cog lus Emergency Inpatient Services APL 08-008 (PDF)​​ 
• Senate Bill (SB) 94 – Family Planning Services  PL 07-018 (PDF)​​ 
• Cov ntaub ntawv ntxiv thov  APL 06-009 (PDF)​​ 
  1. APL 06-009 Daim ntawv txuas: California Cov Ntaub Ntawv Thov (Excel)​​ 
  2. APL 06-009 Daim ntawv txuas: Nrhiav Cov Lus (Excel)
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Regional Center Consumers​​ 

• Kev txheeb xyuas ntawm Regional Center Consumers  APL 7-012 (PDF)
  ​​ 

Kev them nyiaj rov qab​​ 

• Kev Them Nyiaj Them Ntxiv rau Kev Pabcuam Family Planning  APL 10-003 (PDF)​​ 
• Kho rau Txhua Daim Ntawv Npaj 10-003 Hais Txog Kev Them Nyiaj Rov Qab Rau Tsev Neeg Planning Services APL 10-014 (PDF)​​    
• Conlan v. Bonta; Conlan v. Shewry: Court Ordered Medi-Cal Beneficiary Reimbursement Process  APL 07-002 (PDF – 5.5MB)​​ 
• Medi-Cal Kev Tswj Xyuas Kev Noj Qab Haus Huv Kev Npaj Ua Haujlwm Kev Pabcuam Kev Khomob Ntiag Tug thiab Kev Them Nyiaj Them Rov Qab rau Cov Neeg Laus Tshiab Tshiab  APL 13-022 (PDF)​​  
• Kev them nyiaj rov qab rau Tsev Kho Mob Tsis muaj ntawv cog lus Emergency Inpatient Services APL 08-008 (PDF)
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Rogers Kev Hloov Kho​​ 

• Rogers Kev Hloov Kho thiab Tsev Kho Mob Thib Ob APL 10-011 (PDF)​​      
• Rogers Hloov Cov Ntaub Ntawv Thov APL 10-002 (PDF)​​   
• 2010-11 Tus Nqi rau Kev Pabcuam Neeg Mob Kub Ceev yog muab los ntawm Out-Of-Network Acute Care Hospitals APL 10-007 (PDF)​​  
• 2011-12 Tus Nqi rau Kev Pabcuam Tus Neeg Mob Kub Ceev Muab los ntawm Out-Of-Network Acute Care Hospitals APL 11-016 (PDF)​​    
• 2012-13 Tus Nqi rau Cov Kev Pabcuam Mob Kub Kub Kub Ceev yog muab los ntawm Out-Of-Network Acute Care Hospitals APL 12-003 Revised (PDF)​​  
• 2010-11 Tus Nqi rau Cov Kev Pabcuam Tom Qab Kev Kho Mob Hauv Tsev Kho Mob uas muab los ntawm Out-of-Network Acute Care Hospitals APL 10-008 (PDF)​​  
• 2011-12 Tus Nqi rau Cov Kev Pabcuam Tom Qab Kev Kho Mob Hauv Tsev Kho Mob uas muab los ntawm Out-of-Network Acute Care Hospitals APL 11-017 (PDF)​​  
• 2012-13 Tus Nqi rau Cov Kev Pabcuam Tom Qab Kev Kho Mob Hauv Tsev Kho Mob uas muab los ntawm Out-of-Network Acute Care Hospitals APL 12-002 (PDF)​​  
• 2012-13 Tus Nqi rau Cov Kev Pab Cuam Tom Qab Muaj Kev Ruaj Ntseg Hauv Tsev Kho Mob muab los ntawm Out-of-Network Acute Care Hospitals
  (Supersedes APL 12-002) APL 12-004 Revised (PDF) 
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Cov neeg laus thiab cov neeg xiam oob qhab​​ 

• Lub luag haujlwm rau Kev Ntsuam Xyuas Kev Noj Qab Haus Huv Txhua Xyoo rau Cov Tswv Cuab Tsim Nyog 65 Xyoos Hnub nyoog lossis laus dua APL 22-025(PDF)
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• Phau Ntawv Qhia Kev Tswj Xyuas Kev Noj Qab Haus Huv Pej Xeem (Supersedes APLs 17-012 thiab 17-013) APL 22-024 (PDF)
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• Hloov pauv cov ntaub ntawv siv keeb kwm muab rau Medi-Cal Cov Kev Npaj Kho Mob Tswj Xyuas Kev Noj Qab Haus Huv rau Cov Neeg Laus thiab Cov Neeg Tsis Muaj Peev Xwm Pib Pib Lub Ob Hlis 1, 2014 PL 14-001 (PDF)​​       
• Kev Npaj Tawm rau Cal Mediconnect DPL 16-003 (PDF)​​ 
• Txuas Ntxiv Kev Saib Xyuas rau Cov Neeg Laus thiab Cov Neeg Tsis Muaj Peev Xwm  APL 11-019 (PDF)​​     
• Cov ntaub ntawv tshwj xeeb rau cov tswv cuab yuav tsum tau muab los npaj rau Medi-Cal Tshiab Tsuas yog SPD Cov Tswv Cuab  PL 11-003 (PDF)​​ 
• Hloov Kho Rau Txoj Cai Tsab Ntawv 11-001 Hais Txog Cov Kev Xav Tau Rau Kev Ntsuam Xyuas Kev Nyab Xeeb Kev Nyab Xeeb ntawm Medi-Cal Cov Neeg Laus thiab Cov Neeg Tsis Muaj Peev Xwm PL 11-007 (PDF)​​       
• Cov Kev Xav Tau rau Kev Soj Ntsuam Kev Nyab Xeeb ntawm Medi-Cal Cov Neeg Laus thiab Cov Neeg Tsis Muaj Peev Xwm (Supersedes PL 14-005) APL 17-013 (PDF)​​ 
• Cov Kev Xav Tau rau Kev Ntsuam Xyuas Kev Nyab Xeeb ntawm Medi-Cal Cov Neeg Laus thiab Cov Neeg Tsis Muaj Peev Xwm PL 12-004 (PDF)​​    
• Cov Kev Xav Tau rau Kev Ntsuam Xyuas Kev Nyab Xeeb ntawm Medi-Cal Cov Neeg Laus thiab Cov Neeg Tsis Muaj Peev Xwm PL 14-005 (PDF)​​    
  • • • PL14-005 Daim ntawv txuas: Qhia Qhia (PDF)​​      
      • PL14-005 Daim ntawv txuas: Daim Ntawv Qhia Qhia (MS Excel)
        ​​ 

Kev Pabcuam Kab Mob Sib Kis​​ 

• Kev Pabcuam Kab Mob Sib Kis hauv Medi-Cal Managed Care APL 96-009 (PDF-2.2MB)
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Saib xyuas qhov chaw​​    

• Certified Quality Provider Site Certificate APL 03-007 (PDF)​​ 
• Kev Ntsuam Xyuas Qhov Chaw / Lub Cev-Accessibility Reviews DPL 13-003 (PDF)​​ 
• Facility Site Review / Physical-Accessibility Reviews DPL 14-005 (PDF) (Supersedes DPL 13-003)​​   
• Lub Chaw Saib Xyuas Qhov Chaw Tshaj Tawm #2  APL 03-006 (PDF)​​ 
• Cov cuab yeej tshuaj xyuas qhov chaw rau Chaw Pabcuam Ntxiv thiab Cov Chaw Pabcuam Rau Cov Neeg Laus Hauv Zej Zog APL 15-023 (PDF)​​    
• Cov Chaw Saib Xyuas Kev Kho Mob Ntiag Tug: Kev Ntsuam Xyuas Qhov Chaw Saib Xyuas thiab Kev Tshuaj Xyuas Cov Ntaub Ntawv Kho Mob (Supersedes APL 20-006) APL 22-017 (PDF) 
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  • Cov qauv tshuaj xyuas qhov chaw ntawm Chaw​​ 
  • Cov ntaub ntawv kho mob tshuaj xyuas cov qauv​​ 
    
• Hloov Kho Qhov Chaw Saib Xyuas Qhov Chaw PL 10-016 (PDF)​​     
• Revised Facility Site Review (FSR) Tool PL 11-013 (PDF)​​    
• Hloov Kho Qhov Chaw Saib Xyuas Qhov Chaw (supersedes PL 11-013) PL 12-006 (PDF)​​   
• Site Review  PL 02-002 (PDF – 28.4MB)​​   
• Kev txheeb xyuas qhov chaw: Chaw Saib Xyuas Chaw Saib Xyuas thiab Kev Tshawb Xyuas Cov Ntaub Ntawv Kho Mob (Supersedes PLs 14-004 thiab 03-002, thiab APL 03-007) APL 20-006 (PDF)
  Daim ntawv txuas A: Daim ntawv thov rau DHCS Site Review Master Trainer Certification
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• Kev txheeb xyuas qhov chaw: Chaw Saib Xyuas Chaw thiab Cov Ntaub Ntawv Kho Mob PL 14-004 (PDF)
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Xeev Lub Rooj Sib Hais​​ 

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

• Electronic Visit Verification Requirements APL 22-014 (PDF)
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• Telehealth Services Policy (Supersedes APL 19-009) APL 23-007 (PDF)
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• Telehealth Services Policy APL 19-009 (Revised) (PDF)
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• Ntxiv rau APL 19-009 (Hloov Kho): Kev Qhia Txog Xov Xwm Kub Ceev - COVID-19 Tus Kab Mob Sib Kis (PDF)
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Third Party Liability​​ 

• Reporting and Other Requirements Regarding Workers’ Compensation Recovery  APL 01-002 (PDF – 7.9MB)​​     
• Kev Qhia Txog Lub Luag Haujlwm Hais Txog Tus Neeg Thib Peb Tus Neeg Tuav Pov Hwm APL 11-012 (PDF)​​   
• Thib Peb Cov Kev Pab Cuam Tshaj Tawm Txog Kev Ruaj Ntseg (Supersedes APLs 01-002, 11-012 Thiab 17-021) APL 21-007 (PDF)​​ 
  • Attachment A: MCP Attestation​​ 
  • A​​ T​​ T​​ A​​ chment B: Secure File Transfer Protocol (SFTP) User Manual​​ 

Haus luam yeeb​​ 

• Kev Pab Cuam Tshuam Tobacco Cessation rau Medi-Cal Cov Tswv Cuab: Tiv Thaiv Kev Haus Luam Yeeb hauv Me Nyuam thiab Cov Hluas PL 14-006 (PDF)​​   
•  Kev Tiv Thaiv Kev Haus Luam Yeeb thiab Kev Cuam Tshuam Kev Pabcuam rau Medi-Cal Cov Neeg Tau Txais Kev Pab (Supersedes PL 14-006) APL 16-014 (PDF)
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Transgender Services​​  

• Xyuas kom nkag mus rau Transgender Services (Supersedes APL 16-013) APL 20-018 (PDF)
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• Ua kom muaj kev nkag mus rau Medi-Cal Cov Kev Pabcuam rau Cov Neeg Tau Txais Kev Pabcuam (Supersedes APL 13-011) APL 16-013 (PDF)​​ 
• Xyuas kom nkag mus rau Transgender Services APL 13-011 (PDF)​​    

Kev thauj mus los​​ 

• Non-Contract Ground Emergency Medical Transport Payment Obligations APL 20-002 (PDF) 
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• Tsis-Daim ntawv cog lus hauv av Emergency Medical Transportation Obligations for State Fiscal Year 2018-19 APL 19-007 (PDF)​​ 
• Kev Pabcuam Kev Khomob Tsis Muaj Xwm Ceev thiab Tsis Muaj Kev Khomob Tsis Muaj Kev Pabcuam Tsheb Thauj Mus Los thiab Cov Nqi Them Nqi Mus Los (Supersedes APL 17-010) APL 22-008 (PDF), Kev Pabcuam Kev Khomob Tsis Muaj Xwm Ceev thiab Tsis Muaj Kev Khomob thiab Cov Nqi Mus Los Muaj Feem Ntau Cov Lus Nug
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• Kev Pabcuam Kev Kho Mob Tsis Muaj Xwm Ceev thiab Tsis Muaj Kev Kho Mob Tsis Muaj Kev Thauj Mus Los DPL 18-001 (PDF)​​ 
• Kev Pabcuam Kev Khomob Tsis Muaj Xwm Ceev thiab Tsis Muaj Kev Khomob APL 17-010 (Revised) (PDF) 
  APL 17-010 Cov Lus Nug Nquag (PDF)​​ 

Kev tshuaj xyuas kev siv​​ 

• Kev Siv Tshuaj Ntsuam Xyuas Kev Ntsuam Xyuas Kev Nyab Xeeb Thaum Ntxov rau Cov Poj Niam Cev Xeeb Tub  APL 00-012 (PDF)​​ 
• Workers 'Compensation - Daim Ntawv Ceeb Toom Txog Kev Hloov Kho rau Cov Neeg Ua Haujlwm Cov Nyiaj Pab Nyiaj Rov Qab; Kev Qhia thiab Lwm Yam Yuav Tsum Tau (Supersedes APL 04-004) APL 17-021 (PDF)​​ 
• Workers’ Compensation (WC)- Notice Award of New Workers’ Compensation Recovery Program (WCRP) Contractor; Reporting and Other Requirements  APL 04-004 (PDF – 5.9MB)​​ 
• Tsoom Fwv Teb Chaws Kev Siv Tshuaj Ntsuam Xyuas Cov Cai Tsim los txo Opioid ntsig txog kev dag, kev siv tsis raug thiab kev tsim txom (Supersedes APL 19-012) APL 23-026 (PDF)
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• Tsoom Fwv Teb Chaws Kev Siv Tshuaj Ntsuam Xyuas Cov Cai Tsim los txo Opioid ntsig txog kev dag, kev siv tsis raug thiab kev tsim txom APL 19-012 (Tshiab) (PDF)
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Cov tshuaj tiv thaiv kab mob​​ 

• Tib neeg Papillomavirus Vaccine  APL 07-015 (PDF)​​ 
• Kev Tiv Thaiv Kev Tiv Thaiv (Supersedes PL 96-013 thiab APL 07-015) APL 18-004 (PDF)
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Xyoo 2000​​ 

• Xyoo 2000 Kev Npaj Kho Mob Hloov Kho  APL 99-016 (PDF)​​ 
• Revision to All Plan Letter 99-003 Re: Xyoo 2000 Readiness  APL 99-012 (PDF)​​ 
• Xyoo 2000 Daim Ntawv Pov Thawj Npaj Ua Lag Luam thiab Kev Npaj Ua Lag Luam txuas ntxiv  APL 99-003 (PDF)
  
  
  
  
  
  
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