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Tools and guidelines for FSR and MRR

Starting July 1, 2020, new facility site review (FSR) and medical record review (MRR) tools and guidelines will be used to assess provider offices for how well they meet regulatory requirements. Scores from the new tools will be submitted to the Department of Health Care Services (DHCS) in January and July each year, as is currently done.

DHCS issued the update to the tools and is requiring all Medi-Cal plans to implement them starting July. Here are the FSR tools and guidelines:

Here are the MRR tools and guidelines:

SCFHP keeps an eye on when providers are approaching their next FSR and connects with providers individually to schedule a walkthrough. The walkthrough covers details of the FSR and how it may have changed from its prior iteration.