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Dmhc technical assistance guides: >> http://zdf.cloudz.pw/download?file=dmhc+technical+assistance+guides << (Download)
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Oct 27, 2015 Technical Assistance Guide (TAG). CAL MEDICONNECT ACCESS & AVAILABILITY TAG. ACCESS AND AVAILABILITY OF SERVICES REQUIREMENTS. TABLE OF CONTENTS. Requirement AA-001: The Health Plan ensures timely access and availability of all covered. Medicaid-based services for Cal
Nov 1, 2005 This Technical Assistance Guide for Assessment of Health Plan Management of Claims. (“Claims TAG") is to be used by the Department of Managed Health Care (“DMHC") to measure health plans' performance against relevant Knox Keene requirements. This document contains procedures performed for
Feb 11, 2015 Technical Assistance Guide (TAG). 1115 WAIVER QUALITY IMPROVEMENT (QI) SYSTEM TAG. QUALITY IMPROVEMENT (QI) SYSTEM REQUIREMENTS. TABLE OF CONTENTS. Requirement QI-001: Verify that the Health Plan maintains a system of accountability for quality improvement within the
Technical Assistance Guides. The DMHC utilizes detailed audit tools when conducting medical surveys of both licensed full service and specialty plans in order to ensure compliance with the Knox-Keene Act (Act), Title 28 of the California Code of Regulations and other applicable laws and regulations. This protocol
How to file reports with the DMHC. Health care service plans electronically submit Knox-Keene Act compliance documents and reports to the DMHC via the eFiling webportal pursuant to Rule 1300.41.8. There are three different Resources available to assist health plans with understanding the examination process:.
Feb 11, 2015 Technical Assistance Guide (TAG). UM-001. 1115 WAIVER UTILIZATION MANAGEMENT (UM) TAG. B. There is a set of written criteria or guidelines for Utilization Review that is based on sound medical evidence, is consistently applied, regularly reviewed, and updated. CA Health and Safety Code section
Oct 27, 2015 Technical Assistance Guide (TAG). CC-001. CAL MEDICONNECT CONTINUITY OF CARE (CC) TAG. CONTINUITY OF CARE REQUIREMENTS. Table of Contents. Requirement CC-001: The Health Plan ensures the coordination of Medicaid-based services within its own provider network and with
Oct 27, 2015 TECHNICAL ASSISTANCE GUIDE. UTILIZATION MANAGEMENT. ROUTINE MEDICAL SURVEY. OF. PLAN NAME. DATE OF SURVEY: Issuance of this October 27, 2015 Technical Assistance Guide renders all other versions obsolete. PLAN COPY. DEPARTMENT OF MANAGED HEALTH CARE.
Feb 11, 2015 Technical Assistance Guide (TAG). AA-001. 1115 WAIVER ACCESS & AVAILABILITY TAG. Requirement AA-001: The Health Plan Ensures the Availability of Primary Care. Services. CONTRACT/STATUTORY/REGULATORY CITATIONS. DHCS Two-Plan and GMC Contracts, Exhibit A, Attachment 6
Feb 11, 2015 Issuance of this February 11, 2015 Technical Assistance Guide renders all other versions obsolete. PLAN COPY. DEPARTMENT OF MANAGED HEALTH . that is required by and submitted to the DMHC as set forth in Title 28, CCR, Section 1300.68(f). 1) In addition to the types or nature of grievances
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