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2025

Provider Manual Update 45 Day Notice

AlertsJanuary 2, 2025
Medical Benefit Update

AlertsJanuary 2, 2025

2024

Calendar Year (CY) 2024 Medi-Cal Targeted Rate Increases (TRI) and Impact to Proposition 56 Directed Payments

AlertsDecember 30, 2024
Enhanced Care Management Presumptive Authorization – Live as of 01/01/2025

AlertsDecember 30, 2024
Updates – DHCS APL 24-009 (Skilled Nursing Facilities), APL 24-010 (Subacute Care Facilities), APL 24-011 (Intermediate Care Facilities)

AlertsDecember 27, 2024
Medicare Dual Special Needs Plan (D-SNP)

AlertsDecember 18, 2024
Update – Calendar Year (CY) 2024 Medi-Cal Targeted Rate Increases (TRI) and Changes to PCP Capitation Rates

AlertsDecember 16, 2024
How to refer for Behavioral Health Services and Case Management

AlertsDecember 16, 2024
Medi-Cal Pharmacy (Rx) Update – Pediatric Integration

AlertsDecember 4, 2024
Newborn Gateway- Reminder on How to Inform Families

AlertsDecember 4, 2024
HEDIS Preseason Reminder for Measurement Year 2024 – Reporting Year 2025

AlertsNovember 27, 2024
Provider Satisfaction Survey is Here

AlertsNovember 11, 2024
After Hours Survey is Here

AlertsNovember 11, 2024
Claims Editing System (CES)- Quarterly Update

AlertsNovember 11, 2024
Cultural and Linguistic Service Updates

AlertsNovember 11, 2024
Lead Screening in Children (LSC)

AlertsNovember 11, 2024
Changes to PCP Capitation Rates- Effective December 1, 2024

AlertsNovember 1, 2024
Retrospective Review Update

AlertsOctober 30, 2024
Case Management referral through New Medical Management System (Jiva)

AlertsOctober 28, 2024
Chlamydia Screening in Women (CHL) – HEDIS Measure 2024

AlertsOctober 17, 2024

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Provider Alerts

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