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 -- Provider Appointment Availability Survey (2020)

California Dept of Managed Health Care -- Timely Access Standards (09/2020)

 

CODE OF CONDUCT

CFMG Code of Conduct (2020)

 

ANNUAL COMPLIANCE TRAINING

CFMG General Compliance Training (2020)

 

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 (2020)

 

FOR THE MOST UPDATED ALL-PLAN-LETTERS

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


DMHC All Plan Letter: Health Plan Licensing

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