21-880 Go Online for Updated Prison Health Care Provider Network Operations Manual
Date: 12/20/21
This information applies to Physicians, Hospitals, and Ancillary providers.
Providing one complete source for your service needs
You can easily access relevant and current information on the provider website. We recently finished a complete review of the Prison Health Care Provider Network Provider Operations Manual and updated documents, as appropriate. Refer to the table below for a list of updated documents.
Section | Document |
|---|---|
Claims and Provider Reimbursement | CMS-1500/CMS-1450 Billing Instructions |
Facility Claims Submission | |
Oral and Maxillofacial Surgeons Claim Form | |
Overpayment Procedures | |
Paper Claims Submission | |
Telemedicine Claims Submission | |
Credentialing | California Correctional Health Care Services Onsite Credentialing Requirements |
Off-site Radiology Services | Off-site Radiology Services |
Prior Authorization | Prior Authorization |
Provider Oversight | Access to Care and Availability Standards > Appointment Visits and Wait Times |
Notification of Illness and Death | |
Psychiatric Provider Responsibilities | Division of Juvenile Justice Youth Illness or Death |
Written Discharge Summary | |
Service Delivery Obligations | Service delivery obligations |
Telemedicine | Telemedicine |
Go to the Provider Library to and select Prison Health Care Provider Network > Provider Manual to access the Provider Operations Manual.