Compliance Practice Guidelines
TIMELY ACCESS
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Anthem Blue Cross -- Timely Access Regulations & Language Assist Prgm (06/2022)
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Anthem Blue Cross -- Provider Bulletin: Access to Care Standards (10/2023)
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Alameda Alliance: Provider Appointment Availability Survey (PAAS 2022)
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Alameda Alliance for Health -- Timely Access Standards (10/2023)
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California Dept of Managed Health Care -- Timely Access Standards (09/2023)
AFTER HOURS CARE/MESSAGING
CODE OF CONDUCT
ANNUAL COMPLIANCE TRAINING
CALIFORNIA STATE HEALTHCARE OFFICES
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California Department of Health Care Services
-- Internet Website: https://www.dhcs.ca.gov/
Toll-Free Telephone Number: (888-452-8609)
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California Department of Managed Health Care
-- Internet Website: https://www.dmhc.ca.gov/
Toll-Free Telephone Number: (888-466-2219)
CALIFORNIA PROGRAMS TRAINING
FOR THE MOST UPDATED ALL-PLAN-LETTERS
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
