Affiliated Health Plan Delegated Utilization Management - Reporting
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Hospitals
- Ancillary
The following information applies to Los Angeles County only.
Primary care physicians (PCPs) participating with Molina Healthcare, directly or through a participating physician group (PPG), must send utilization reports directly to Molina detailing Medi-Cal services to members in this plan. Molina then sends copies of these reports to Health Net.
Report | Frequency | Description |
|---|---|---|
California Children's Services (CCS) | -- | Report of Health Net members referred to CCS at time of occurrence to initiate care coordination. |
Comprehensive Perinatal Services Program (CPSP) | Case-by-case at time of occurrence | Report of Health Net members referred to CPSP at time of occurrence, to initiate care management. |