In accordance with Department of Health Care Services (DHCS) All Plan Letter (APL) 22-030, the California DHCS requires all Medi-Cal members to receive an Initial Health Appointment (IHA) within 120 days of enrollment. The IHA occurs during a Member’s encounter with a Provider within the primary care medical setting. During the IHA, the Provider assesses and manages the acute, chronic, and preventative health needs of the Member."
Completing a timely IHA provides an opportunity for members to establish a relationship with their PCP. It also allows PCPs to obtain necessary health care and preventative services information to support the member in achieving positive health outcomes and improving their overall health status.
For more information about IHA’s and resources available, please reference the following:
All primary care provider sites participating in the Medi-Cal Managed Care Program as part of the initial credentialing process are required by California statute Title 22, 56230 to complete an initial site inspection and subsequent periodic site inspections regardless of the status of other accreditation and/or certifications, if there is no evidence of a current passing survey completed by another local plan, or when a contracted provider from an approved site moves to a new site that has not previously been reviewed.
- Facility Site Review (FSR) Standards 2024
- Facility Site Review (FSR) Tools 20224
- Facility Site Review (FSR) Training Slides 2022
- Facility Site Review (FSR) YouTube Training Video 2022
- Medical Record Review (MRR) Standards 2024
- Medical Record Review (MRR) Tools 2024
- Medical Record Review (MRR) Provider Training
- Medical Record Review (MRR) YouTube Training Video 2022
- FSR/MRR Provider Training 2022
- 2022 Improving Quality of Care - Resource Guide and OB Update