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Astrana Health Member Guidelines

WebUnited Health Care Clinical Guidelines Visit Website. Commercial Medical & Drug Policies Visit Website. Member Guidelines Medicare Benefit Manual Visit Website. Magellan …

Actived: 4 days ago

URL: https://www.nmm.cc/members/member-guidelines

Astrana Health Health Plans

WebNetwork Medical Management is now Astrana Health Management Our Health Plan Partners View Website View Website View Website View Website View Website View …

Category:  Medical Go Health

Child Health and Disability Prevention (CHDP) Program, …

WebWhy Get Health Check-Ups? Hea. lth check-ups are important for all children and youth. Health check-ups are a time to: Find and address medical, dental, mental, and …

Category:  Medical Go Health

Model of Care Training

WebMOC –Health Net MMP. 8. Health Net has a Medicare-Medicaid Plan (MMP) referred to as Cal MediConnect (CMC). • The MMP is a “demonstration plan” that combines Medicare …

Category:  Health Go Health

Adopted by L.A. Care Health Plan

WebL.A. Care Health Plan systematically reviews and adopts evidence-based Clinical Practice and Preventive MedRXweblines promulgated from peer-reviewed sources and from …

Category:  Health Go Health

Initial Health Assessment Guidelines Template

Webchild is up-to-date for their age; and include an age appropriate health education behavioral assessment. For adults over the age of 21: within 120 calendar days of enrollment, and …

Category:  Health Go Health

NETWORK MEDICAL MANAGEMENT

WebInitial Health Assessment (IHA) and Individual Health Education Behavioral Assessment (IHEBA) NMM Contracted Provider (PCP) Resource NMM complies with the Department …

Category:  Health Go Health

Network Medical Management Contact

WebNetwork Medical Management is now Astrana Health Management Contact. Get In Touch With Us. Address. 1668 S. Garfield Avenue 2nd Floor Alhambra, CA 91801. Phone. Tel: …

Category:  Medical Go Health

Network Medical Management Careers

WebNetwork Medical Management is now Astrana Health Management Careers. The Beginning of a Fulfilling Journey At Astrana Health, we believe that the individual can truly make a …

Category:  Medical Go Health

2021 Health Plan Language Assistance

WebShield of California Promise Health Plan Member Services. Please allow at least 5 to 7 business days for the request of a face-to-face interpreter, and at least 14 business days …

Category:  Health Go Health

Model of Care Provider Training

WebMOC 2 Element B: Health Risk Assessment (HRA) 11. Health Risk Assessment. The HRA is a standardized tool which allows for a comprehensive assessment of a member’s …

Category:  Health Go Health

Informational Websites for our Members

WebMental Health and or Substance Abuse - Please speak with your health care provider. Mental Health: National suicidal Prevention Lifeline: 800-273-8255 Crises Text line: …

Category:  Health Go Health

Informational Websites for our Members

WebCancer Information Government agency with information on cancer treatments 1-800-422-6237 (Spanish) www.cancer.gov (Spanish) Diabetes, Digestive and Kidney Disorders

Category:  Cancer Go Health

State of California—Health and Human Services Agency of …

Webincluding home health services, for which the member would have been eligible in the absence of receiving palliative care. Hospice care is a Medi-Cal benefit that serves …

Category:  Health Go Health

Combating Medicare Parts C and D Fraud, Waste, and Abuse

WebThe Health Care Fraud Statute makes it a criminal offense to knowingly and willfully execute a scheme to defraud a health care benefit program. Health care fraud is punishable by …

Category:  Health Go Health

Informational Websites for our Members

Webhealth care, and companionship 1-916-419-7500 1-800-735-2929 (TDD) www.aging.ca.gov Family Caregiver Alliance Information and help for family caregivers 1-800-445-8106 …

Category:  Health Go Health

Medicare Fraud & Abuse: Prevent, Detect, Report

WebHealth care professionals who exploit Federal health care programs for illegal, personal, or corporate . gain create the need for laws that combat fraud and abuse and ensure …

Category:  Health Go Health

Guide to HEDIS Measures

Webhealth plan. HEDIS® is the gold standard for measuring quality health care performance, and is part of the NCQA accreditation process. Guide to HEDIS® Measures is a …

Category:  Health Go Health

Screening Against Government Exclusions Lists Overview …

Webof both health and administrative services. (See, 42 C.F.R. §, 423.501). Record Retention Health care providers and business partners must maintain documentation and records …

Category:  Health Go Health

Balance Billing Training

Webcontracted health plans, CMS, DHCS and other industry regulators. Network Medical Management has been tasked with ensuring all contracted network providers have …

Category:  Medical Go Health

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