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- Behavioral Health
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- Pharmacy Directory
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- High Dose Opioid Regimen Checklist
- Synagis Statement of Medical Necessity
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- Medical Nutrition Therapy Benefit Quick Reference Guide
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- Care-Based Incentive (CBI) Summary
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- Antidepressant Medication Management Tip Sheet
- Immunizations: Adult Tip Sheet
- Immunizations: Adolescents Tip Sheet
- Programmatic Measure Benchmarks & Performance Improvement
- Asthma Medication Ratio Tip Sheet
- 90-Day Referral Completion – Exploratory Tip Sheet
- Antidepressant Medication Management Tip Sheet
- Application of Fluoride Varnish Tip Sheet
- Immunizations: Children (Combo 10) Tip Sheet
- Chlamydia Screening in Women – Exploratory Measure Tip Sheet
- Child and Adolescent Well-Care Visits Tip Sheet
- Cervical Cancer Screening Tip Sheet
- Child and Adolescents BMI Assessment Tip Sheet
- Breast Cancer Screening – Exploratory Measure Tip Sheet
- Well-Child Visits in the First 15 Months of Life Tip Sheet
- Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet
- Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet
- Preventable Emergency Visits Tip Sheet
- Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet
- Maternity Care: Prenatal Tip Sheet
- Maternity Care: Postpartum Tip Sheet
- Plan All-Cause Readmissions Tip Sheet
- Lead Screening in Children – Exploratory Measure Tip Sheet
- Initial Health Assessment Tip Sheet
- Diabetic HbA1c Poor Control >9% Tip Sheet
- Developmental Screening in the First 3 Years Tip Sheet
- Controlling High Blood Pressure – Exploratory Measure Tip Sheet
- Immunizations: Children (Combo 10) Tip Sheet
- Best Practices for Reducing Patient No-Shows Tip Sheet
- Ambulatory Care Sensitive Admissions Tip Sheet
- Depression Tool Kit
- USPSTF Recommendations for Primary Care Practice
- Emergency Care Visit Diagnosis
- Blood Lead Testing Flyer
- California Management Guidelines: Childhood Lead Poisoning
- Standard of Care Guidelines: Childhood Lead Poisoning
- What’s New
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- Immunization Resources
- Member Incentives
- Value-Based Payments
-
-
-
-
- Behavioral Health
- California Children’s Services
- Promoting Cultural and Linguistic Competency
-
- Pharmacy Directory
- Pharmacy Formulary
- Formulary Changes for 2021
- Prescription Drug Prior Authorization
- Prior Authorization Criteria
- Anti-Obesity Agents Form
- Prior Authorization Information Request for Injectable Drugs
- Hepatitis C virus (HCV) Prior Authorization Checklist
- High Dose Opioid Regimen Checklist
- Synagis Statement of Medical Necessity
- Tobacco Treatment Checklist
- Treatment Authorization Request (TAR)
- Medical Nutrition Therapy Benefit Quick Reference Guide
- Pharmacy Home Program General Information and Enrollment Form
- Formulary Diabetic Testing Supplies Quick Reference Guide
-
-
-
- Care-Based Incentive (CBI) Summary
- CBI Technical Specifications
- Antidepressant Medication Management Tip Sheet
- Immunizations: Adult Tip Sheet
- Immunizations: Adolescents Tip Sheet
- Programmatic Measure Benchmarks & Performance Improvement
- Asthma Medication Ratio Tip Sheet
- 90-Day Referral Completion – Exploratory Tip Sheet
- Antidepressant Medication Management Tip Sheet
- Application of Fluoride Varnish Tip Sheet
- Immunizations: Children (Combo 10) Tip Sheet
- Chlamydia Screening in Women – Exploratory Measure Tip Sheet
- Child and Adolescent Well-Care Visits Tip Sheet
- Cervical Cancer Screening Tip Sheet
- Child and Adolescents BMI Assessment Tip Sheet
- Breast Cancer Screening – Exploratory Measure Tip Sheet
- Well-Child Visits in the First 15 Months of Life Tip Sheet
- Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet
- Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet
- Preventable Emergency Visits Tip Sheet
- Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet
- Maternity Care: Prenatal Tip Sheet
- Maternity Care: Postpartum Tip Sheet
- Plan All-Cause Readmissions Tip Sheet
- Lead Screening in Children – Exploratory Measure Tip Sheet
- Initial Health Assessment Tip Sheet
- Diabetic HbA1c Poor Control >9% Tip Sheet
- Developmental Screening in the First 3 Years Tip Sheet
- Controlling High Blood Pressure – Exploratory Measure Tip Sheet
- Immunizations: Children (Combo 10) Tip Sheet
- Best Practices for Reducing Patient No-Shows Tip Sheet
- Ambulatory Care Sensitive Admissions Tip Sheet
- Depression Tool Kit
- USPSTF Recommendations for Primary Care Practice
- Emergency Care Visit Diagnosis
- Blood Lead Testing Flyer
- California Management Guidelines: Childhood Lead Poisoning
- Standard of Care Guidelines: Childhood Lead Poisoning
- What’s New
-
- Immunization Resources
- Member Incentives
- Value-Based Payments
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Online Self-Service
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Latest News
Healthier Living Program
July 5, 2021
Medical Device Recall for Sleep and Breathing Devices
June 29, 2021
June 2021 – Member Newsletter
May 18, 2021
Expanded Medi-Cal coverage for young adults
May 4, 2021
March 2021 – Member Newsletter
March 9, 2021
Contact us | Toll free: 800-700-3874
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