Under legal requirements, Title 22, California Code of Regulations (CCR) Sections, 53876(a)(4), 53876(c), 53851(b)(2), 53851(e), 53853(d), 53910.5(a)(2); Title 28, CCR, Section 1300.67.04(c)(1)(A) through (B); and Title 42, Code of Federal Regulations (CFR), Sections 438.206(c)(2), 438.330(b)(4), 438.242(b)(2). This training is mandated by DHCS and the Federal CMS to ensure the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients. If you have any questions or concerns, please contact HPSJ Provider Services at (209) 942-6320.
Instructions: After watching the video above, please sign the form attesting to have received the annually required Network Provider Cultural Competency Training and resources for the Medi-Cal/Medicaid program. * Please fill out all required fields
You can also download a PDF form to download and fill out. If you choose to send the attestation this way, please email it to email@example.com.
Posted on September 5th, 2017 and last modified on July 29th, 2022.top