California Department Of Health Care Services Medical Review Branch

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Medical Review Audits and Corrective Action Plans

https://www.dhcs.ca.gov/services/Pages/MedRevAuditsCAP.aspx

The medical survey is a comprehensive evaluation of the MCP's compliance with managed health care law Period(Knox-Keene Health Care Service Plan Act). DHCS’ Managed Care Quality and Monitoring Division (MCQMD) is responsible for ensuring …

DHCS Homepage - California

https://www.dhcs.ca.gov/

The budget for DHCS supports vital services that reinforce the state’s commitment to preserve and improve the overall health and well-being of all Californians while …

Department of Health Care Services Contacts - California

https://www.dhcs.ca.gov/Pages/dhcs_contact.aspx

Jun 9, 2022

Medical Review Branch - Payment Error Rate …

https://www.dhcs.ca.gov/individuals/Pages/AI_MRB_PERM.aspx

PERM is comprised of three review components: Fee-for-Service (FFS) paid claims, Managed Care (MC) capitation payments, and Eligibility. For the FFS review …

Audits & Investigations - California

https://www.dhcs.ca.gov/individuals/Pages/AuditsInvestigations.aspx

Missio n. Audits and Investigations Division (A&I) is the designated Program Integrity Unit (PIU) for the Medi-Cal program. A&I’s mission is protect and …

Division Directory | DHCS - California

https://www.dhcs.ca.gov/Pages/DivisionDirectory.aspx

California Behavioral Health Planning Council Clinical Assurance Community Services Contracts Health Information Management Legislative & …

About the Department of Health Care Services - California

https://www.dhcs.ca.gov/Pages/AboutUs.aspx

Services. Individuals. . About the Department of Health Care Services. Welcome to the California Department of Health Care Services (DHCS). DHCS is the backbone of California’s health care safety net, …

Eligibility Contacts - California

https://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/MCED_Contact.aspx

Medi-Cal Eligibility Contacts . If you would like apply for health coverage or have questions regarding eligibility, please contact your Local County Office. If we are …

California Department of Public Health

https://www.cdph.ca.gov/

Environmental Health Laboratory Branch. Air Quality Section; Biochemistry Section; About the Environmental Health Laboratory; CDPH-Approved Cholinesterase Laboratories; …

Behavioral Health Care Compliance - California …

https://dmhc.ca.gov/LicensingReporting/HealthPlanComplianceMedicalSurvey/BehavioralHealthCareCompliance.aspx

Behavioral Health Care Compliance. Ensuring access to behavioral health services, including health plan compliance with state and federal laws is a significant priority for the …

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