Provider News

Welcome Providers

Become a paneled provider or approved facility for California Children's Services (CCS)
Join other network providers and facilities who participate in this Medi-Cal program designed to assist California's children under 21 years old who have eligible chronic, disabling, or life-threatening, medical conditions, and need specialty medical care.

Effective 1/1/2019 will no longer provide Remittance Advices on paper.
takes the protection of our members PHI/PII seriously. Remittance Advices associated with payments for patient care contain PHI/PII and could put that information at risk. Remittance Advices will be available only through SECURE electronic download.

Making Difficult Conversations About Palliative Care Easier
Identify the gaps between the way people experience end of life care and how they would like to experience the end of their life. Examine the barriers faced by culturally and linguistically diverse communities in discussing palliative care...

Announcing 's Behavioral Care Provider
is proud to announce that Beacon Health Strategies will be our sole managed behavioral health organization contracted with to provide behavioral care services effective April 1, 2016.

2012 Provider Satisfaction Surveys

Take a minute to complete the 2012 Provider Satisfaction Survey.
Your opinion matters to us!

For your convenience, the Provider Satisfaction Survey is available online via our website. We hope you take this opportunity to complete the online survey. It is a user-friendly survey and will only take few minutes of your time. Please go to survey

WILL PROVIDE A $50 GIFT CERTIFICATE TO 100 PROVIDERS who complete the online survey.

The providers will be randomly selected on July 26, 2013.

Make sure you submit your online survey before July 26, 2013, to become eligible to win.

(PLEASE COMPLETE ONE ONLINE SURVEY ONLY) If you are completing a survey for more than one provider, than you would select the multiple providers' option below.

  • If you are Specialist (i.e. Cardiologist, OB GYN, or any other specialty provider), you will complete a Specialist survey

If you need additional clarification on what survey tool you should complete, please contact the QI Department at 1-877-472-4332. We will gladly assist you.

To print a downloadable form, please click on the link below. You can fax the completed survey to our office:

PCP Survey FAX TO: (323) 889-6561
Specialist Survey FAX TO: (323) 889-6563

Join Provider Network or Change Your Provider Data via Email
Already part of the Provider Network? Need to report a change to your practice?...

L.A. Gay & Lesbian Center - TEEP Project Presentation - 08/27/2015
Established in 1971. Providing Culturally Competent Health Care Services to the Trans Community - Transgender Economic Empowerment Project (TEEP).
DISCLAIMER: The best way to utilize this information is to have a training so that the information is not taken out of context. If you would like a training, please call "Transgender Economic Empowerment Project" at (323) 860-3713.

State of California's Medi-Cal Expansion - Mental Health Services
Effective January 1, 2014

News about Sequestration - 05/20/2013
The Budget Control Act of 2011 requires, among other things, mandatory across-the-board reductions in Federal spending, also known as sequestration...

The Centers for Disease Control (CDC), based on the recommendations of the Advisory Committee on Immunization Practices (ACIP), published its guidelines for the use of influenza vaccine for the 2014-2015 flu season.

Medi-Cal Incentives to Quit Smoking (MIQS)
Medi-Cal Members who smoke have a great new reason to quit smoking! $20 gift card now available for calling the California Smokers' Helpline at 1-800-NO-BUTTS and developing a quit smoking plan.

Attention Ambulatory Surgery Centers:
Please be advised that requires the Ambulatory Surgery Centers to submit Medicare claims using the CMS-1500 claim forms. Claims submitted using form UB-04 are rejected and will need to be re-submitted.

is pleased to announce the ability to accept professional and institutional claims electronically through Office Ally and Emdeon.

Cultural Barriers to Hospice Care (Provider Event Presentation 05/09/12)
Cultural Barriers to Hospice Care What is Culture?, Cultural Competence,The importance of culture, The assessment of cross-cultural relations, Appreciation of the dynamics that result from cultural differences, The expansion of knowledge, Adaptation of services to meet the culturally unique needs of the organization...

Immediate Release
Earns Accreditation and Deemed Status from NCQA
Monterey Park, CA (February 2012) - has been awarded a three year Commendable Accreditation for its Medi-Cal (Medicaid) and Medicare product lines by the National Committee for Quality Assurance (NCQA), an independent, non-profit organization dedicated to improving health care quality. Additionally, received a “Deemed status” from NCQA as a Medicare HMO.

Electronic Health Record (EHR) Center Update

  • "CMS Has Updated the EHR Information Center with New Self-Service Options"
  • "Updated and New FAQs Added to the CMS EHR Website"
  • "Stay Informed via the CMS EHR Incentive Programs Listserv"
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Health IT
Health information technology (health IT) makes it possible for health care providers to better manage patient care through secure use and sharing of health information. Health IT includes the use of electronic health records (EHRs) instead of paper medical records to maintain people's health information...
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Claims Editing Notification
To allow more consistent claims processing and payment, is in the process of implementing a claims editing software,...
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Congratulations, to our Provider Champions who completed an online survey!!
The following Providers were randomly selected in a drawing and awarded a $50 gift card...
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New DHCS Requirement Medi-Cal Managed Care: Attachment C Physical Accessibility Review Survey
Commencing on February 1, 2011 the FSR will include the addition of Attachment C: Physical Accessibility Review Survey...
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    Effective immediately, all claims for dates of service on or after January 1, 2010 must be filed with within one calendar year from date of service.
    is pleased to announce the ability to accept claims electronically.

Recognizing and Discussing Depression (Cultural Differences)
This presentation will focus on recognizing patients who might be experiencing depression: Practitioner observations, Self reports, Broaching the subject with patients, Case Studies...
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Let’s Talk About Your Weight!
Facts About Different Sub-groups, Differences and Similarities, Communication Style Surveys, Clinical Cultural Interaction Principles, Case Studies, Questions and more. Presented By: Dennis A. Davis, Ph.D.
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A Quality Outreach Model / Quality Outreach Brochure
Due to our consistent improvement in our HEDIS rates over the last three years, we were asked by NCQA to present a Quality Outreach Model that has never been implemented by a health plan...
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NCQA HEDIS Compliance Audit Seal
is pleased to announce its achievement in receiving our 2009 NCQA HEDIS Compliance Audit Seal.
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Influenza Vaccine
The Centers for Disease Control (CDC), based on the recommendations of the Advisory Committee on Immunization Practices (ACIP), published updated guidelines for the use of influenza vaccine for 2008-2009 season. A link to this report and other information can be accessed at

s Receive NCQA Commendable Accreditation
Monterey Park, CA (December 2008) -- In its first attempt, received a three-year Commendable Accreditation from the National Committee for Quality Assurance (NCQA) for both its Medicare Advantage, and Medi-Cal plans.
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e-link is a secured and personalized single sign-on portal which provides you with links to a variety of resources and information.
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