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14. UTILIZATION MANAGEMENT
A. Utilization Management Delegation and MonitoringAPPLIES TO:
A. This policy applies to all IEP Medical Members.
POLICY:
A. IEP is responsible for the development, implementation,
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01
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02
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03
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04
Gather all the necessary information and documents.
05
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Who needs online pnp medi-cal manual?
01
The online PNP Medi-Cal Manual is needed by individuals or organizations who provide healthcare services to children and pregnant women under the California Medi-Cal program.
02
This includes healthcare professionals, clinics, hospitals, and other healthcare facilities that participate in the Medi-Cal program and need guidance on eligibility criteria, coverage, reimbursement, and other related topics.
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What is online pnp medi-cal manual?
The online pnp medi-cal manual is a digital tool used by providers to submit information and reports related to the Medi-Cal program for pediatric sub-specialty services.
Who is required to file online pnp medi-cal manual?
Providers offering pediatric sub-specialty services and participating in the Medi-Cal program are required to file the online pnp medi-cal manual.
How to fill out online pnp medi-cal manual?
Providers can fill out the online pnp medi-cal manual by logging into the Medi-Cal portal and following the prompts to enter the required information and submit the necessary reports.
What is the purpose of online pnp medi-cal manual?
The purpose of the online pnp medi-cal manual is to ensure that providers of pediatric sub-specialty services accurately report information to the Medi-Cal program for proper reimbursement and compliance.
What information must be reported on online pnp medi-cal manual?
Providers must report information such as patient demographics, services provided, billing codes used, dates of service, and any other relevant details required by the Medi-Cal program.
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