23-1302 See What News Is Online for October 2023
Date: 11/08/23
Go to the Provider Library for the latest information that can help you do business with us
The table below outlines communications that have been posted in the Provider Library in October 2023. It includes the posting date, material number and title, type of communication, applicable audience and counties, and a summary of the communication.
Date, Number and title | Type of notice | Audience1 | Counties | Summary |
|---|---|---|---|---|
October 24, 2023 23-1214m, Annual Medical Records Collection Begins January 1, 2024 | News & Announcements | Physicians PPGs
| Fresno Kings Madera | Datafied is contracted to retrieve medical records from randomly selected physicians and PPGs starting January 1, 2024 through May 3, 2024. The data is being collected based on the HEDIS® Measurement Year 2023 medical record collection project used to evaluate quality of care. |
October 30, 2023 23-1243m, Medical Policies - September 2023 | Contractual | Physicians PPGs Hospitals Ancillary | Fresno Kings Madera | This notifies providers about 1) two new medical policies; 2) changes to existing policies; 3) and retired policies for September 2023. Medical policies offer guidelines for determining medical necessity for certain procedures, equipment and services, and can be accessed online at bit.ly/HN_med_policies. As a reminder, all services must be medically necessary and member benefits, legal and regulatory mandates take precedence over content of medical policies and must be applied first. |
October 30, 2023 23-1263m, Updated Medi-Cal Provider Materials Available Online | News & Announcements | Physicians PPGs Hospitals Ancillary providers ECM providers CS providers | Fresno Kings Madera | Updated Medi-Cal provider materials are available online at bit.ly/provider-welcome. These can help you and your staff become familiar with the Medi-Cal line of business and supplement the Medi-Cal Provider Operations Manual. |
October 31, 2023 23-1247m (PDF), Virtually Earn No-Cost Continued Medical Education | News & Announcements | Physicians PPGs Hospitals Ancillary providers | Fresno Kings Madera | This flyer informs providers that they can virtually earn no-cost continuing medical education (CME) credit through sessions that focus on gaining expertise in the management of certain complex illness and conditions, specifically focusing on Medication Assisted Treatment and patients that experience health disparities secondary to stigma (i.e., Key Populations). |
1 ECM – Enhanced Care Management; CS – Community Supports
Additional information
If you have additional questions regarding the information contained in this update, contact CalViva Health at 888-893-1569.
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.
This information applies to Medi-Cal in Fresno, Kings and Madera counties.