Service and Quality Requirements
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Hospitals
- Ancillary
This section includes information on requirements for adding or removing a participating provider.
Select any subject below:
- Access to Care and Availability Standards (Medi-Cal Statewide)
- Access to Care and Availability Standards (CalViva Health)
- Access to Care and Availability Standards (Community Health Plan of Imperial Valley)
- Open Clinical Dialogue
- Claims Denials
- Claims Payment Requirements
- Authorization and Referral Timelines
- Continued Access to Non-Participating Providers for SPD Members
- Eligibility and Data Entry Requirements
- Quality Improvement Problem Resolution