23-996 See What News Is Online for August 2023
Date: 09/08/23
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 August 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 | Medi-Cal counties | Summary |
|---|---|---|---|---|
August 3, 2023 23-812m (PDF), Get Ready for the 2023 Provider Appointment Availability, After-Hours and Phone Access Surveys | News & Announcements | Physicians PPGs Hospitals Ancillary providers ECM providers CS providers | Fresno Kings Madera | This update is to notify providers that the Plan will be conducting its annual Provider Appointment Availability, After-Hours and Telephone Access surveys starting July through December 2023. The update helps providers plan for the surveys by including appointment availability, after-hours and telephone access guidelines. |
August 10, 2023 23-763m, HIP Incentive Program Offered Through December 31, 2023 | News & Announcements | Physicians
| Fresno Kings Madera | The communication notifies physicians that the HEDIS® Improvement Program (HIP) offers $75 incentive for each confirmed pregnancy. The program will be offered through December 31, 2023. Providers need to fill out and fax the Confirmation of Pregnancy Form to document each pregnancy to receive the incentive. |
August 18, 2023 23-557m, Stay Informed With the Summer 2023 Provider Pulse Newsletter | News & Announcements | Physicians PPGs
| Fresno Kings Madera | This communication advises providers that the summer 2023 issue of the quarterly Provider Pulse newsletter is now available online and how to access it on the provider portal. The summer 2023 Provider Pulse newsletter highlights helping members keep their Medi-Cal coverage, treating opioid overdose with Naloxone and honoring providers with the Summit Awards for quality care. |
August 25, 2023 23-940m (PDF), Improve Your Access and Availability Webinar | News & Announcements | Physicians PPGs Ancillary providers
| Fresno Kings Madera | This flyer has been developed as an update that informs providers of additional webinar training dates for access and availability requirements. |
August 31, 2023 23-969m (PDF), New Changes to Prop 56 Directed Payments for Family Planning Services | Contractual | Physicians PPGs Ancillary providers
| Fresno Kings Madera | The communication notifies providers about APL 23-008, Proposition 56 Directed Payments for Family Planning Services, dated June 27, 2023. The updates include: 1) changes to add-on dollar amounts for certain family planning services; 2) the list of information that should be part of an inquiry or dispute and where to send the information; 3) where to find information about clean claims or encounters. |
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.