Timely Access Survey – Start January 1, 2022
| Date: | January 5, 2022 |
| To: | HPSJ Contracted Provider Network |
| Provider Alert Type: | Regulatory/Informational |
| From: | Health Plan of San Joaquin |
| Subject: | Timely Access Survey – Start January 1, 2022 |
| Business: | Medi-Cal |
The Department of Health Care Services (DHCS) conducts an annual Timely Access Study to monitor member timely access to care. DHCS will start the annual Timely Access Survey on January 1, 2022.
WHAT TO EXPECT:
Your office may receive a call from a DHCS auditor from January 10, 2022 through March 31, 2022. DHCS will ask questions around the Timely Access Standards to your office staff who answers the phone.
CALLS TO PROVIDERS:
All Network Providers- Phone calls will be made during standard operating hours (e.g., 9:00 a.m. – 5:00 p.m. PST) and a maximum of three call attempts to reach a provider will
be made to complete the survey.
Please reference the following resources to prepare for the Timely Access Survey:
- Access Standards – Health Plan of San Joaquin (hpsj.com)
(https://www.hpsj.com/access-standards) - Timely Access to Care
(https://www.dmhc.ca.gov/healthcareincalifornia/yourhealthcarerights/timelyaccesstocare.aspx)
Page Two of this Provider Alert can be posted as a reminder for your practice, scheduling staff and/or include the table in your clinic workflow. Also, please take note of in-office wait times for scheduled appointments.
DHCS Access Standards for Medi-Cal
Per DMHC, non-physician mental health providers include counseling professionals,
substance abuse professionals, and qualified autism service providers. Access the Timely Access to Care Fact Sheet by visiting the following URL: https://dmhc.ca.gov/Portals/0/Docs/DO/TAC_accessible.pdf
If you have questions, contact our Provider Services Department at 209.942.6340.