SITE REVIEWS: FACILITY SITE REVIEW AND MEDICAL RECORD REVIEW

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California Department of Health Care Services

Date: March 4, 2020

ALL PLAN LETTER 20-006

SUPERSEDES POLICY LETTERS 14-004 AND 03-002

AND ALL PLAN LETTER 03-007

TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS

SUBJECT: SITE REVIEWS: FACILITY SITE REVIEW AND MEDICAL RECORD REVIEW

The purpose of this All Plan Letter (APL) is to inform Medi-Cal managed care health plans (MCPs) of updates to the Department of Health Care Services’ (DHCS) site review process, which includes Facility Site Review (FSR) and Medical Record Review (MRR) policies. This APL includes changes made to the criteria and scoring of DHCS’
FSR and MRR tools and standards. This APL supersedes Policy Letters (PL) 14-004, PL 03-002, and APL 03-007. MCPs are required to meet all requirements included in this APL by July 1, 2020.

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