Advance Notice of Possible Site Reviews – 2018 DHCS Audit
| Date: | August 13, 2018 |
| To: | Health Plan of San Joaquin (HPSJ Primary Care Providers (PCP) and Specialists |
| From: | Compliance Department |
| Subject: | Advance Notice of Possible Site Reviews – 2018 DHCS Audit |
| Business: | Medi-Cal |
California’s Department of Health Care Services (DHCS) has scheduled a routine annual medical audit of Health Plan of San Joaquin (HPSJ). The medical audit will consist of an evaluation of the Plan’s compliance with its contract and regulations.
Auditors will be on-site at HPSJ from August 13 – August 31, 2018. As a courtesy, we want to let you know that you may be contacted by DHCS for a site visit.
Helpful information –
- The audit will involve facility site visits and medical records review by DHCS.
- DHCS auditors will conduct interviews with some of our HPSJ providers at their practice locations.
- Providers selected by DHCS for a site visit will be contacted directly by a DHCS Nurse Evaluator to schedule the on-site visit.
Should you have any further questions, please contact our Customer Services Department at (209) 942-6320.
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