Provider Alerts
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2025
2024
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Calendar Year (CY) 2024 Medi-Cal Targeted Rate Increases (TRI) and Impact to Proposition 56 Directed Payments
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Enhanced Care Management Presumptive Authorization – Live as of 01/01/2025
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Updates – DHCS APL 24-009 (Skilled Nursing Facilities), APL 24-010 (Subacute Care Facilities), APL 24-011 (Intermediate Care Facilities)
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Medicare Dual Special Needs Plan (D-SNP)
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Update – Calendar Year (CY) 2024 Medi-Cal Targeted Rate Increases (TRI) and Changes to PCP Capitation Rates
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How to refer for Behavioral Health Services and Case Management
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Medi-Cal Pharmacy (Rx) Update – Pediatric Integration
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Newborn Gateway- Reminder on How to Inform Families
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HEDIS Preseason Reminder for Measurement Year 2024 – Reporting Year 2025
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Provider Satisfaction Survey is Here
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After Hours Survey is Here
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Claims Editing System (CES)- Quarterly Update
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Cultural and Linguistic Service Updates
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Lead Screening in Children (LSC)
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Changes to PCP Capitation Rates- Effective December 1, 2024
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Retrospective Review Update
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Case Management referral through New Medical Management System (Jiva)
Posted on July 17th, 2015 and last modified on January 22nd, 2025.
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