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Compliance Resources

Compliance Plan

The Central California Alliance for Health’s (the Alliance’s) Compliance Program ensures that the organization and its staff operate in compliance with contractual, regulatory and statutory requirements. Read the Alliance Compliance Plan.

Code of Conduct

The Alliance’s values are standards that guide our conduct. These values are represented in the Alliance’s Code of Conduct.

Compliance Policies

105-0001	Policy Development, Maintenance, Review and Submission
105-0004	Delegate Oversight
105-0005	Federal Funding Suspension and Debarment
105-0009	Mandated Reporting of Suspected Abuse and Neglect
105-0011	Internal Audit & Monitoring
105-0014	Subcontractor Sanctions
105-0500	External Audits
105-1000	Certification of Data, Information and Documentation
105-3001	Program Integrity: Fraud Waste and Abuse Prevention Program
105-3002	Program Integrity: Special Investigations Unit Operations
105-3002	Program Integrity: Special Investigations Unit Operations
105-3003	Suspended, Excluded, and Ineligible Providers
105-3004	Verification of Billed Services by Network Providers
105-4000	HIPAA-HITECH Privacy and Security Glossary
105-4001	Notice of Privacy Practices
105-4002	Accounting of Disclosures
105-4003	No Retaliation or Waiver
105-4004	Privacy Officer Designation and Responsibilities
105-4007	Safeguarding Protected Health Information
105-4008	Uses and Disclosures of Limited Data Sets
105-4009	Minimum Necessary Use and Disclosure
105-4010	Verification of Requester Authority Prior to Release of PHI
105-4011	De-identification and Re-identification of Health Information
105-4012	Use and Disclosure of PHI, including Member Authorizations to Disclose
105-4013	Request to Access Records
105-4014	Requests for Amendment of Protected Health Information
105-4017	Permission to Leave Messages with PHI
105-4018	Personal, Authorized and Member Representatives
105-4019	Disclosures to Family, Caregivers and Friends
105-4020	Disclosures to Law Enforcement and Government Officials
105-4021	Uses and Disclosures about Decedents
105-4022	Uses and Disclosures for Disaster Relief Purposes
105-4023	Uses and Disclosures for Public Health Activities
105-4024	Uses and Disclosures for Treatment, Payment and Health Care Operations
105-4025	Uses and Disclosures for Health Oversight Activities
105-4026	Communication with Minors
105-4027	Disclosures of Protected Health Information of Members with Mental Incapacities
105-4028	Uses and Disclosures for Marketing
105-4029	Breach Risk Assessment and Response
105-4030	Internal Reporting
105-4031	Data Sharing with County Mental Health Plans
105-4039	Access to and Confidentiality of ePHI
105-4043	Compliance Training and Education
105-4044	Disclosing Sensitive Personal Health Information
105-4045	Requests for Confidential Communications and Restrictions on Uses and Disclosures
105-4046	Enforcement Sanctions: Administrative & Monetary Sanctions