Describes behavioral health services that can be delivered to a dyad a child and their parent(s) or caregiver(s) and to family. Deadlines for Health Risk Assessments are extended. In order to help make it easier to locate your policy, they are divided into categories, including individual, small group, and large group market policies. Communicate your questions and concerns to Blue Shield Promise and learn how to appeal or dispute a claim payment. Noncovered services (services that are not medically necessary or a covered benefit) can vary based on the members plan. Describes how MCPs should submit a service delivery dispute to DHCS when the dispute cannot be resolved at the local level with a Mental Health Plan. Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal and Cal MediConnect Plans. Once logged in, navigate to the QHC letter in the Proof of Insurance section at the bottom of the page. Once logged in, navigate to the QHC letter in the Proof of Insurance section at the https://www.bcbsm.com/index/health-insurance-help/faqs/topics/other-topics/no-fault-changes.html The incentive program is expected to be in effect from January 1, 2022 to June 30, 2024. Governors executive order N-01-19, regarding transitioning Medi-Cal pharmacy benefits from managed care to Medi-Cal Rx, Requirements for reporting managed care program data, State non-discrimination and language assistance requirements, Proposition 56 directed payment program directed payments, Private duty nursing case management responsibilities for Medi-Cal eligible members under the age of 21, Governors executive order N-55-20 in response to COVID-19, The revision posted June 12, 2020 adds that this order also suspends all requirements outlined in, Preventing isolation of and supporting older and other at-risk individuals to stay home and stay healthy during COVID-19 efforts, Mitigating health impacts of secondary stress due to the COVID-19 emergency, Policy guidance for community-based adult services in response to COVID-19 public health emergency, Read the summary shared with our CBAS providers, Site reviews: Facility site review and medical record review, Emergency guidance for Medi-Cal managed care health plans in response to COVID-19, Non-Contract Ground Emergency Medical Transport (GEMT) payment obligations, For information on Blue Shield Promise Cal MediConnect Plan and other Cal MediConnect options for your health care, call the Department of Health Care Services at 1-800-430-4263 (TTY: 1-800-735-2922), or visit, https://www.healthcareoptions.dhcs.ca.gov/, Clinical policies, procedures and guidelines, IPA Specialist Terminations Report Template, Review our provider dispute resolution process, Medi-Cal Appeals & Grievances (Grievance Forms), Cal Medi-Connect Appeals & Grievances (Grievance Forms), About Blue Shield of California Promise Health Plan.

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