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Provider memos

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

Memos by year

2020

  • March 31, 2020 – Suspension of prior authorization requests extended until April 30, 2020
  • March 27, 2020 – Reimbursement for telehealth & virtual care for Medi-Cal & Cal MediConnect
  • March 20, 2020 – Reimbursement for telehealth services
  • March 19, 2020 – Prior Authorization requests suspended until March 31, 2020
  • March 9, 2020 – Updates and reminders regarding the Novel Coronavirus (COVID-19)
  • February 28, 2020 – HEDIS 2020 Medical Records Retrieval
  • February 10, 2020 – Updated Prior Authorization Request Form for Medical Services
  • February 6, 2020 – Read the latest SCFHP Provider e-News
  • January 15, 2020 – Reminder: Medication Reconciliation Post Hospitalization

2019

  • December 31, 2019 – 2020 Prior Authorization Grids
  • December 02, 2019 – Read the latest SCFHP Provider eNews
  • November 04, 2019 – New Decoding Billing: Developmental Screening in the First Three Years of Life (DEV-CH) now available as a resource to providers
  • October 09, 2019 – Prior Authorization Submission During PG&E Power Outage
  • October 03, 2019 - Santa Clara Family Health Plan (SCFHP) Is Rolling Out IVR System Enhancements
  • October 01,2019 – Read the latest SCFHP Provider eNews
  • September 27, 2019 – Healthy Kids Members Transition to Medi-Cal and Healthy Kids Program Closes
  • September 25, 2019 – New Initial Health Assessment Codes and Resources Available to Providers
  • September 20, 2019 – Opioid Safety Point-of-Sale Edits for Medi-Cal
  • September 20, 2019 – Medi-Cal Formulary Changes: Added Fluticasone/Salmeterol and Removed Symbicort
  • August 05, 2019 – Authorization Line - Fax Line Outage
  • July 26, 2019 – Durable Medical Equipment Transitions
  • July 18, 2019 – Introducing SCFHP Wellness Rewards
  • July 17, 2019 – Read the latest SCFHP Provider eNews
  • July 17, 2019 – Requirement to include NDC codes in Claims and Encounter Submissions
  • July 17, 2019 – Termination of Optum EFT/ERA Services
  • July 01, 2019 – Health Homes Program – A New Benefit for High Risk SCFHP Medi-Cal Members
  • June 7, 2019—SCFHP Sponsors YMCA Summer Day Camp
  • May 2, 2019—Read the latest SCFHP Provider e-News
  • May 1, 2019—Timely Access to Care Standards
  • May 1, 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, 2019Updated 2019 Prior Authorization Requirements
  • February 22, 2019—Read the latest issue of our Provider eNews
  • February 19, 2019Updated Initial Health Assessment Billing Codes and Requirements
  • February 6, 2019—HEDIS 2019 Medical Records Requests Arriving Soon
  • January 17, 2019Updated SCFHP/Valley Health Plan Responsibility—Long-Term Care Member
  • January 2, 2019—SCFHP/Valley Health Plan Responsibility—Long-Term Care Member Update

2018

2017

2016

2015

  • 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

2014