DHCS All Plan Letters19 posts

California Department of Health Care Services ALL PLAN LETTER 20-005 DATE: March 26, 2020 TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: EXTENSION OF THE ADULT EXPANSION RISK CORRIDOR FOR STATE FISCAL YEAR 2017-18 The purpose of this All Plan Letter (APL) is to notify Medi-Cal managed care health plans (MCPs) that the Adult Expansion Risk Corridor (AE Risk Corridor) is being extended to cover State Fiscal Year (SFY) 2017-18.

California Department of Health Care Services Date: March 26, 2020 SUPPLEMENT TO ALL PLAN LETTER 17-006 SUBJECT: EMERGENCY STATE FAIR HEARING TIMEFRAME CHANGES The purpose of this supplement to All Plan Letter (APL) 17-006 is to provide Medi-Cal managed care health plans (MCPs) with information regarding the Centers for Medicare and Medicaid Services’ (CMS) approval of portions of the Department of Health Care Services’ (DHCS) Section 1135 Waiver request as related to the Novel Coronavirus Disease (COVID-19) public health emergency.

California Department of Health Care Services ALL PLAN LETTER 20-007 TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: POLICY GUIDANCE FOR COMMUNITY-BASED ADULT SERVICES IN RESPONSE TO COVID-19 PUBLIC HEALTH EMERGENCY The purpose of this All Plan Letter (APL) is to provide Medi-Cal managed care health plans (MCPs) with policy guidance regarding the temporary authorization of Community-Based Adult Services (CBAS) provided telephonically, in members’ homes, and individually in centers, in lieu of congregate services provided at CBAS centers,during the period of this current public health emergency.

California Department of Health Care Services Date: March 4, 2020 ALL PLAN LETTER 20-006 SUPERSEDES POLICY LETTERS 14-004 AND 03-002 AND ALL PLAN LETTER 03-007 TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: SITE REVIEWS: FACILITY SITE REVIEW AND MEDICAL RECORD REVIEW The purpose of this All Plan Letter (APL) is to inform Medi-Cal managed care health plans (MCPs) of updates to the Department of Health Care Services’ (DHCS) site review process, which includes Facility Site Review (FSR) and Medical Record Review (MRR) policies.

California Department of Health Care Services ALL PLAN LETTER 20-003 DATE: February 27, 2020 TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: NETWORK CERTIFICATION REQUIREMENTS The purpose of this All Plan Letter (APL) is to provide guidance to Medi-Cal managed care health plans (MCPs) on the Annual Network Certification (ANC) requirements pursuant to Title 42 of the Code of Federal Regulations (CFR) sections 438.68, 438.206, and 438.207, and Welfare and Institutions Code (WIC) section 14197.

California Department of Health Care Services ALL PLAN LETTER 20-002 DATE: January 31, 2020 TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: NON-CONTRACT GROUND EMERGENCY MEDICAL TRANSPORT PAYMENT OBLIGATIONS The purpose of this All Plan Letter (APL) is to provide Medi-Cal managed care health plans (MCPs) with pertinent information concerning enhanced reimbursement obligations for Fee-For-Service (FFS) ground emergency medical transport (GEMT) services reported using Current Procedural Terminology (CPT) codes A0429, A0427,A0433, A0434, and A0225.

California Department of Health Care Services ALL PLAN LETTER 20-001 DATE: January 3, 2020 TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: 2020-2021 MEDI-CAL MANAGED CARE HEALTH PLAN MEDS/834 CUTOFF AND PROCESSING SCHEDULE The purpose of this All Plan Letter (APL) is to provide Medi-Cal managed care health plans (MCPs) with the 2020-2021 Medi-Cal Eligibility Data System (MEDS)/834 cutoff and processing schedule.