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Provider Memos

Provider Memos

This page contains important memos for SCFHP providers. You will need Adobe Acrobat Reader to view these PDFs.

May 02, 2019 – Read the latest SCFHP Provider e-News

May 01, 2019 – Timely Access to Care Standards

May 01, 2019 – Provider Appointment Availability Survey (PAAS) Arriving Soon

March 28, 2019 – Implementation of New CBAS Individual Plan of Care (IPC) Form

March 18, 2019 – Update on AB 1629 Long-Term Retro Claims Adjustments

March 15, 2019 – Updated 2019 Prior Authorization Requirements

February 22, 2019 – Read the latest issue of our Provider eNews

February 19, 2019 - Updated Initial Health Assessment Billing Codes and Requirements

February 6, 2019 – HEDIS 2019 Medical Records Requests Arriving Soon

January 17, 2019 Updated SCFHP/Valley Health Plan Responsibility - Long-Term Care Member

January 2, 2019 – SCFHP/Valley Health Plan Responsibility - Long-Term Care Member Update 

December 27, 2018  2019 Prior Authorization Grids

December 10, 2018  Opioid Safety Point-of-Sale Edits for Cal MediConnect 

November 20, 2018  Read the latest issue of our Provider eNews

November 8, 2018 - CBAS H2000 Authorizations 

October 22, 2018 - New Member Incentive Program - Microalbumin Urine Test for Diabetics  

October 4, 2018 - New Member Incentive Program - Vaccines for Children by Age 2 

October 1, 2018 - Update on AB1629 Long-Term Care Retro Claims Adjustments 

September 12, 2018 - Signatures Required on Physician Orders 

September 11, 2018 – SCFHP Provider Dispute Process

August 31, 2018 – Physician Signatures required on Care Plans and Physician Orders

August 22, 2018 – CHME Community Liaisons available to assist members with DME Needs

August 17, 2018 – New SCFHP Member ID Cards Issued

August 16, 2018 – New Long Term Care Authorization Form

August 15, 2018 – Cal MediConnect Vaccination Billing Information

July 30, 2018 – Notification of UM Fax Disruption

July 25, 2018 – SCFHP Change of Business and Mailing Address

July 12, 2018 – SCFHP Medical Records Requests from Verscend Technologies

July 3, 2018  Read the latest issue of our Provider eNews

June 14, 2018 – Medi-Cal and Healthy Kids Formulary Changes

June 13, 2018 – Provider Appointment Availability Survey 

May 18, 2018 – SNF Bed Availability Weekly Reporting (Revised)

May 2, 2018  Read the latest issue of our Provider eNews

May 1, 2018  IHA Billing Codes and Requirements

February 28, 2018 – Read the first issue of this year’s Provider eNews

February 12, 2018 – HEDIS Medical Records Request Season

February 6, 2018 – Proposition 56 Provider Payments 

February 2, 2018 – Procedural Changes for LTC Prior Authorization Requests

January 30, 2018 – Process for Issuing NOMNC to Members – Skilled Nursing Facilities

January 5, 2018 – SCFHP Provider Portal Update

December 21, 2017 – 2018 Prior Authorization Grid

December 8, 2017 – Mandatory Revised Drug Prior Auth Form – Medi-Cal and Healthy Kids

December 7, 2017 - Bed Availability Weekly Reporting – Skilled Nursing Facilities (Revised)

November 14, 2017 – Read the final issue of this year’s Provider eNews

November 13, 2017 – When Antibiotics Are Not the Answer 

November 10, 2017 - Medi-Cal and Cal MediConnect Transportation Benefits Changes

September 13, 2017 – Read the fourth issue of the Provider eNews

September 12, 2017 – Provider Preventable Conditions: New DHCS Requirements 

September 1, 2017 – Guidelines for LTC Nursing Facility Claims Submission 

July 31, 2017 – SCFHP Launches New Provider Portal

July 24, 2017 – Critical Incident Reporting for MLTSS Providers

July 19, 2017 – SCFHP Partners with Advance Health for CMC Member Assessments

July 12, 2017Medi-Cal and Healthy Kids Formulary Changes

July 12, 2017 Read the third issue of Provider eNews, a newsletter for you

June 30, 2017CMC Vaccination Billing

June 29, 2017News Claims Platform for Medi-Cal and Healthy Kids

June 28, 2017 Fax Machine Date/Time Setting

June 21, 2017 – New Long-Term Care Discharge Notification Form - Skilled Nursing Facilities

June 20, 2017 – CHDP Claims Conversion

June 19, 2017Payment Methods for Providers

June 7, 2017Bed Availability Weekly Reporting – Skilled Nursing Facilities

June 7, 2017 - Request for Inter-facility Transfer/Discharge Forms -- Skilled Nursing Facilities

 May 24, 2017 - AB1629 Long-Term Care Claims - Retroactive Update for 2015-2016

May 17, 2017 – Read the second issue of Provider eNews, a newsletter for providers

March 8, 2017 - SCFHP launches Provider eNews, a newsletter for providers

March 7, 2017 – Payments Disputes & Claims Submission

February 14, 2017 – Specialty Pharmacy Change for Medi-Cal and Healthy Kids

February 13, 2017 – SCFHP DHCS Audit

February 1, 2017 – SCFHP Celebrates 20th Anniversary

December 30, 2016 - 2017 Prior Authorization Grid for Medi-Cal and Healthy Kids

December 30, 20162017 Prior Authorization Grid for Cal MediConnect

November 16, 2016 - Medicare Sequestration and Medi-Cal AB1629

November 15, 2016 - Updated SCFHP Cultural Competency Toolkit

November 4, 2016 - New Payment Methods for Providers

October 20, 2016 - Timely Access to Non-Emergency Health Care Services

October 13, 2016OTC Cough and Cold Formulary Exclusion

September 12, 2016 - Important Information for Physicians Regarding Timely Access Regulations & Upcoming Surveys

July 15, 2016 - Illegal Balance Billing

July 15, 2016 - Electronic Billing Guidelines

July 1, 2016 - Medical Transportation Code Conversion

May 13, 2016 - Medi-Cal Expands to Cover Undocumented Children

April 26, 2016 - Changes to Prior Authorization Requirements - Effective 5/1/16

January 27, 2016 - New 'Find a Doctor' Tool Available at www.scfhp.com

January 19, 2016 - Prior Authorization Process and Turnaround Times

December 15, 2015 - CMS to enforce Medicare prescriber enrollment requirement: Enroll today!

October 14, 2015 - O'Connor Hospital Services Agreement

August 24, 2015 - ICD-10 Impact on Authorizations and Claims Payments

July 16, 2015 - New Emdeon Web Portal for Cal MediConnect Claims

July 6, 2015 - St. Louise Hospital Services Agreement

June 30, 2015 - Implementation of Second Phase of National Correct Coding Initiative

June 26, 2015 - Update to PCP Auto Assignment and ID Card Processes

June 23, 2015 - Audiologist for Skilled Nursing Facilities

June 3, 2015 - Contracted Home Health Agencies

June 3, 2015 - Prior Authorization Guidelines for Behavioral Health Treatment (BHT) Coverage for Children Diagnosed with Autism Spectrum Disorder

May 11, 2015 - Medical Transportation Code Conversion

April 20, 2015 - DME Provider Update - Delegated Networks

April 20, 2015 - DME Provider Update - Contracted Providers

March 30, 2015 - Notice of Medicare Non-Coverage Requirements, Process, and Timeline - Skilled Nursing Facilities

March 5, 2015 - Important Information for Physicians Regarding Timely Access Regulations

March 3, 2015 - SBIRT Training Sessions

February 27, 2015 - Sign Up for Cal MediConnect Provider Webinars

February 23, 2015 - Prior Authorization Process, Turnaround Times for SNF Notification

February 19, 2015 - Weekly Therapy Updates - Skilled Nursing Facilities

January 29, 2015 - Podiatric and Chiropractic Services at Federally Qualified Health Centers and Rural Health Clinics

January 5, 2015 - Clarification on Medi-Cal Billing

December 30, 2014 - Cal MediConnect Effective January 1, 2015

December 18, 2014 - Medical Records Standards

December 9, 2014 - Universal Pharmacy Prior Authorization (PA) Form per Senate Bill (SB) 866

November 26, 2014 - Important Information about Cal MediConnect Program

November 21, 2014 - Timely Filing Limits for Claims - Delegate Medical Groups and Health Plans

November 18, 2014 - New Medi-Cal Language Thresholds - Delegated Medical Groups

November 18, 2014 - New Medi-Cal Language Thresholds - Delegated Health Plans

November 17, 2014 - SCFHP Transition to Abbott Test Strips and Meters

November 12, 2014 - NEW Minimum Requirements for Comprehensive Tobacco Cessation Services - Effective 11/1/14

October 29, 2014 - Change to Timely Filing Limits for Claims

October 27, 2014 - Sign up for Cal MediConnect Provider Webinars

October 16, 2014 - Influenza Vaccine Rates for the 2014-2015 Season

September 24, 2014 - Affordable Care Act (ACA) Payments

September 10, 2014 - Interim Policy for the Provision of Behavioral Health Treatment (BHT) Coverage for Children Diagnosed with Autism Spectrum Disorder

August 8, 2014 - Important message from CDPH Director on PERTUSSIS