Compliance Resource Information

UM Compliance Resource Information

Utilization Management

  • Update on Sterilization / Informed Consent
    To IPAs, Medical Groups, and Providers. The Department of Health Care Services (DHCS) issued new memo on Sterilization/Informed Consent procedure. Effective immediately, physician or physician office staff member who goes over the consent form is required to provide the member with booklet on sterilization published by DHCS, as part of the Informed Consent process for sterilization prior to the member signing the PM 330 consent form...
  • Specialty Referrals Process and Tracking
    On an annual basis, Care1st Health Plan, in collaboration with LA Care review medical records to evaluate compliance with the regulatory entities on Specialty Referral...
  • Perinatal Services Program (CPSP) Requirements
    It is a law that all pregnant women must be provided with CPSP services. According to Medi-Cal Managed Care Division...
  • Sterilization Requirements
    The patient must at least be 21 years old at the time the consent for sterilization is obtained, is mentally competent, is able to understand the content and nature of the consent process...
    • Consent for Sterilization
      Your decision at any time not to be sterilized will not result in the withdrawl or withholding of any benefits...