To make certain that it can provide support for its review process related to the adequacy of provider networks, Health Care Services should maintain for three years all documentation that supports its provider network certifications.
DHCS has instituted a new certification and document storage process. A new "network certification" folder has been added to the DHCS internal drive where documents are archived. All pertinent readiness material, including network certification documents are being saved in this folder. This process will initially be used in the certifying health plan networks for transitioning the responsibility of behavioral health treatment services to managed care no sooner than February 1, 2016.
DHCS is developing a formal process to store all documents used to certify Medi-Cal managed care health plan networks for at least three years. DHCS will next complete a network certification in the end of 2015. Documents will be stored for at least three years following the certification. This same process will be used for all certifications moving forward.
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