Please review the below mentioned tools to complete your Provider Training.
Click on EACH LINK below to complete the required Training Modules and/or Attestations:
- Health Plan Trainings
- Non-contracted or Out-of-Network providers can refer to the health plan’s website to obtain clinical protocols and practice guidelines. For Blue Shield, go here: https://www.blueshieldca.com/bsca/bsc/wcm/connect/provider/provider_content_en/guidelines_resources/overview
- Program Trainings
- Department of Health Services Programs (California)
- Chronic Care Improvement Program
- Special Needs Program
- All Clinical Staff/Physician Trainings
The Health Excel IPA Provider Manual is attached here.
Additional Resources/Documents
- Health Plan UM Clinical Criteria Hierarchy
- HEDIS Best Practice Quality Measure Guide
- Affirmative Statement
- Member Rights and Responsibilities
- Access to Care Standards
- FAX Treatment Authorization Form
- Clinical Utilization Memo
- CPT Reference List
- Radiology Auto Approved CPT Codes
Complete the Provider Training Attestation Form for each Physician and/or Practitioner in your office annually and within 10 business days of contract effective date.