Provider Oversight
Provider Type
- Physicians (does not apply to Cal MediConnect)
- Participating Physician Groups (PPG)
(does not apply to HSP)
- Hospitals
- Ancillary
This section contains general information on provider oversight requirements and monitoring.
Select any subject below:
- Overview
- Calendar of Required PPG Submissions
- Corrective Action Plan
- Member Appeals and Grievances
- Organizational Determinations Reporting Requirement
- Subdelegated Functions
- Contractual Financial and Administrative Requirements
- Delegated Medical Management
- Facility and Physician Additions, Changes and Deletions
- Service and Quality Requirements