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23-152 See What News Is Online for January 2023

Date: 02/07/23

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 January 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

Audience

Medi-Cal counties

Summary

January 31, 2023

23-004m, Update: Prop 56 Directed Payments for Family Planning Services

Regulatory

Physicians

PPGs

Hospitals

Ancillary providers

Fresno

Kings

Madera

The provider update lists family planning services eligible for uniform dollar add-on rates. The Health Plan makes supplemental payments based on clean claims and accepted encounters.

January 10, 2023

23-033m, Tips for Completing the New Member Initial Health Appointment (IHA)

News & Announcements

Physicians

PPGs

Hospitals

Ancillary providers

Fresno

Kings

Madera

Physicians can reference this tip sheet to see changes in the requirements, exceptions, and service codes of the IHA All Plan Letters.

Note: IHA was recently changed from Initial Health Assessment to Initial Health Appointment.

January 12, 2023

23-054m, IHA Tip Sheet Helps Physicians Complete Initial Health Appointments

News & Announcements

Physicians

PPGs

Hospitals

Ancillary providers

Fresno

Kings

Madera

Physicians can access an initial health appointment (IHA) guide with helpful tips including requirements, exceptions, service codes, and recommendations.

 

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, and Ancillary providers.

This information applies to Medi-Cal in Fresno, Kings and Madera counties.



Last Updated: 02/03/2023