NCQA - Quality Improvement

Provider Notifications/Updates

NCQANCQA Annual Notifications
Ensuring Our Physicians are Informed – You are Key to providing quality healthcare to our members! 's Quality Improvement Department is committed to continuously meeting the needs of our members and practitioners. Additionally, is required to annually inform you of National Committee for Quality Assurance (NCQA) notification requirements.

Hours of Operation Parity NCQA Standard MED 1 Element E – Hours of Operation Parity
Medi-Cal Laws requires organizations to ensure that the network providers offer hours of operation that are no less (in number or scope) than the hours of operation offered to commercial enrollees. If the Provider serves only Medi-Cal recipients, hours offered to Medi-Cal manage care enrollee must be comparable to those for Medi-Cal fee-for service members. You can also find this reference in your Provider Manual.

Providers taking Quality Initiatives to a new level!
A key component of the Quality Outreach process is to develop a strong and collaborative relationship with Providers and their office staff. By providing Quality Outreach at the “point of care”, this will in turn cultivate an essential element for improving HEDIS rates.