Procedures to Report System & Protocol Failures
Provider Type
- Physicians
- Participating Physician Groups (PPG) (does not apply to HSP)
- Hospitals
- Ancillary
Emergency department provider will contact Medi-Cal Provider Services Center, Community Health Plan of Imperial Valley Provider Services Center or CalViva Health Medi-Cal Provider Services Center (for Fresno, Kings and Madera counties) if they experienced a failure in utilizing the Health Plan’s systems and/or emergency services protocols. Health Plan will work with Provider to ensure any corrective action is implemented to resolve the issue.