Provider Oversight
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Hospitals
- Ancillary
This section contains general information on provider oversight requirements and monitoring.
Select any subject below:
- Overview
- Appeals and Grievances
- Calendar of Required PPG Submissions
- Conditions of PCP Panel Closures by Health Net
- Corrective Action Plan
- Credible Allegations of Fraud
- Fraud, Waste and Abuse
- Provider Enrollment Requirement Through DHCS
- Monitoring Provider Exclusions
- Subdelegated Functions
- Contractual Financial and Administrative Requirements
- Delegated Medical Management
- Facility and Physician Additions, Changes and Deletions
- Service and Quality Requirements