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Contact Us

Contact CFMG - Customer Service, Claims, & Eligibility 6425 Christie Ave #110
Emeryville CA 94608
Phone: (510) 428-3154
Mon-Fri 8:00am-5:00pm
CFMG Department Directory.
 
COMPLIANCE PRACTICE GUIDELINES

 

The Compliance Program is a part of the routine operations of all CFMG corporate functions. CFMG endeavors to communicate to all personnel the intent to comply with all applicable laws. 

Overall responsibility for operation and oversight of the Compliance Program belongs to the CFMG Board of Directors; however, the day-to-day responsibility for operation and oversight of the Compliance Program rests with the Compliance Professional, who has direct access to the CFMG Board of Directors and will make regular reports to the Board or an appropriate committee of the Board on the status of the Compliance Program. 

Should any persons have questions or uncertainties regarding compliance with applicable state or federal law, or any aspect of the Compliance Program including related policies or procedures, they should seek immediate clarification from the Compliance Professional, please email catalina.valderrama@ucsf.edu

 

Timely Access

Anthem Blue Cross -- Provider Bulletin (02/2020): Access to Care Standards
Alameda Alliance for Health -- Timely Access Standards (2021)
California Dept of Managed Health Care -- Timely Access Standards (09/2020)

 

Code of Conduct

CFMG Code of Conduct (2021)

 

Annual Compliance Training

CFMG General Compliance Training (2021)

 

California State Healthcare Offices

California Department of Health Care Services -- Internet Website: https://www.dhcs.ca.gov/; Toll-Free Telephone Number: (888-452-8609)
 
California Department of Managed Health Care -- Internet Website: https://www.dmhc.ca.gov/; Toll-Free Telephone Number: (888-466-2219)

 

California Programs Training

California Programs for Managed Medi-Cal (2021)

 

For the Most Updated All-Plan-Letters

DHCS Managed Care All Plan Letters -- 1998 to Current
 
DMCH All Plan Letter: Health Plan Licensing

 

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