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California Department of Health Care Services Submission Template for Claim Incentive Payments Measures Payment 1: Filling Plan Measures September 2021 Filling Plan and Narrative Measures for Payment
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How to fill out calviva-kings-ipp1-gap-filling-plan

01
Obtain a copy of the CalViva-Kings-IPP1 Gap Filling Plan form.
02
Fill in the required personal information such as name, date of birth, and contact information.
03
Review the identified gaps in services and supports and provide details on how they will be addressed.
04
Document any additional information or resources that may be needed to fill the gaps.
05
Sign and date the form to certify that the information provided is accurate and complete.

Who needs calviva-kings-ipp1-gap-filling-plan?

01
Individuals who are participating in the CalViva-Kings-IPP1 program and have identified gaps in their services and supports that need to be addressed.
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Calviva-kings-ipp1-gap-filling-plan is a plan created to address any gaps in coverage or services for members in the CalViva Health plan.
Healthcare providers and organizations participating in the CalViva Health plan are required to file the calviva-kings-ipp1-gap-filling-plan.
The calviva-kings-ipp1-gap-filling-plan can be filled out electronically through the CalViva Health portal or by submitting a paper form to the CalViva Health office.
The purpose of the calviva-kings-ipp1-gap-filling-plan is to ensure that all members of the CalViva Health plan receive the necessary coverage and services without any gaps.
The calviva-kings-ipp1-gap-filling-plan must include details on any gaps in coverage or services, actions taken to address those gaps, and outcomes of those actions.
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