Managed Care Policy Letters
Note: Policy Letters were not issued in 2004, 2005 or 2006
|
2014 |
2013 |
2012 |
2011 | 2010 | 2009 |
2008 | 2007 | 2003 |
2002 |
2001 |
2000 |
1999 |
1998 |
1997 |
1996
2014 - Policy Letters
PL 14-001 (PDF) | Changes to the Historical Utilization Data Provided to Medi-Cal Managed Care Health Plans for Seniors and Persons with Disabilities Effective February 1, 2014 | 01/03/2014 |
| Provides guidance to the Geographic Managed Care (GMC) plans on the distribution of funds received after September 2013 capitation payments related to Chapter 286, Statutes of 2011 (SB 335, Hernandez). | 01/07/2014 |
PL 14-002 (PDF) | Requirement to Use Food and Drug Administration Approved Drugs, Rather Than Compounded Alternatives | 02/19/2014 |
PL 14-003 (PDF) | Enteral Nutrition Products | 04/11/2014 |
PL 14-004 (PDF) | Site Reviews: Facility Site Review and Medical Record Review
Superseded by APL 20-006
| 05/22/2014 |
PL 14-005 (PDF) | Requirements for Health Risk Assessment for Seniors and Persons with Disabilities
PL 14-005 Attachment:
Reporting Instructions (PDF)
PL 14-005 Attachment:
Reporting Template (MS Excel)
Superseded by APL 17-013 | 06/12/2014 |
2013 - Policy Letters
PL 13-001 Revised (PDF) | Requirements for Staying Healthy Assessment/Individual Health Education Behavioral Assessment
Superseded by APL 22-030
| 10/08/2013 |
PL 13-002 (PDF) | Dental Services-General Anesthesia Coverage
Superseded by APL 15-012 | 11/14/2013 |
2012 - Policy Letters
2011 - Policy Letters
PL 11-001 (PDF) | Requirements for Health Risk Assessment of Medi-Cal Seniors and Persons with Disabilities (replaced by
11-007 (PDF)) | 01/05/2011 |
PL 11-003 (PDF) | Member-Specific Data Files To Be Provided To Plans For New Medi-Cal Only SPD Members | 02/10/2011 |
PL 11-004 (PDF) | The Implementation of Section 2302 of the Affordable Care Act, Entitled "Concurrent Care For Children." | 02/10/2011 |
PL 11-007 (PDF) | Revision To Policy Letter 11-001 Regarding Requirements for Health Risk Assessment of Medi-Cal Seniors and Persons with Disabilities | 02/25/2011 |
PL 11-009 (PDF) | Update to Health Plan Provider Directory Policy and Guidelines | 4/14/2011 |
PL 11-011 (PDF) | Reporting On The Distribution Of Funds Pursuant To Assembly Bill 1653 11-011 Attachment:
AB 1653 Plan Monitoring Schedules (MS Excel) | 5/23/2011 |
2010 - Policy Letters
PL 10-012 (PDF) | Health Education and Cultural and Linguistic Group Needs Assessment (GNA)
Superseded by APL 17-002
| 11/10/2010 |
PL 10-013 (PDF) | Data Request CHDP (Child Health Disability Prevention) Report for FY 2007-2008 and FY 2008-2009 | 12/20/2010 |
2009 - Policy Letters
PL 09-005 (PDF) | Non-Monetary Member Incentive Guidelines
Superseded by APL 16-005
| 03/16/2009 |
2008 - Policy Letters
PL 08-002 (PDF) | Payment of Invoices Beyond the Six-Month Billing Limit | 04/16/2008 |
PL 08-003 (PDF) | Initial Comprehensive Health Assessment
Superseded by APL 22-030
| 05/05/2008 |
PL 08-011 (PDF) | Cost Avoidance and Post-Payment Recovery for Other Health Coverage
Superseded by APL 21-002
| 11/26/2008 |
2007 - Policy Letters
PL 07-006 (PDF) | Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (Note: revised 11/06/07 - see PL 07-016) | 04/02/2007 |
PL 07-016 (PDF) | Therapeutic Enteral Formulas for Medical Conditions in Infants and Children (revised) Policy Letter 07-006 dated April 2, 2007 | 11/06/2007 |
2003 - Policy Letters
2002 - Policy Letters
PL 02-001 (PDF) | Blood Lead Screening of Young Children | 02/22/2002 |
PL 02-002 (PDF - 28.2MB) | Site Review | 03/16/2002 |
PL 02-003 (PDF) | Credentialing & Re-Credentialing: Time Line Change, New Primary Source Verification Requirements and Verification of Credentials of Non-Physician Practitioners | 05/16/2002 |
2001 - Policy Letters
2000 - Policy Letters
PL 00-001 (PDF) | Medi-Cal Managed Care Plan Responsibilities Under the Medi-Cal Specialty Mental Health Services Consolidation Program | 03/16/2000 |
PL 00-001 Rev (PDF - 4.3MB) | Medi-Cal Managed Care Plan Responsibilities Under the Medi-Cal Specialty Mental Health Services Consolidation Program | 03/16/2000 |
PL 00-002 (PDF)
| Health Plan Provider Directory Policy, Guidelines and Delivery Standards | 04/13/2000 |
PL 00-003 (PDF) | Change of Children in Percent of Poverty Aid Categories to Mandatory Enrollment for Medi-Cal Managed Care | 07/05/2000 |
PL 00-004 (PDF) | Plan-Paid Advertising Extended Until January 31, 2001 | 09/25/2000 |
PL 00-005 (PDF - 2.1MB) | Dental Services—Anesthesia Coverage | 09/30/2000 |
1999 - Policy Letters
PL 99-001 (PDF) | Community Advisory Committee (CAC) | 04/02/1999 |
PL 99-002 (PDF) | Health Education and Cultural and Linguistic Group Needs Assessment (replaced by
10-012 (PDF)) | 04/02/1999 |
PL 99-003 (PDF - 8.4MB) | Cultural and Linguistics
Superseded by APL 21-004
| 04/02/1999 |
PL 99-004 (PDF) | Translation of Written Informing Materials
Superseded by APL 21-004
| 04/02/1999 |
PL 99-005 (PDF - 3.0MB) | Addendum to Policy Letter 98-03-Conversion to New Eligibility Reporting System | 05/07/1999 |
PL 99-006 (PDF) | Date for Conversion to Fiscal Intermediary Access to Medi-Cal Eligibility Data | 08/20/1999 |
PL 99-007 (PDF - 2.1MB) | Individual Health Education Behavioral Assessment | 09/21/1999 |
1998 - Policy Letters
1997 - Policy Letters
1996 - Policy Letters