State & FederalMedicaidOctober 1, 2018

Regulatory updates

The Department of Health Care Services (DHCS) periodically communicates information regarding interpretations or changes in policy or procedures, federal or state law, and regulations that impact the delivery of Medi-Cal Managed Care (Medi-Cal) services. The information is communicated in the form of all-plan letters (APLs) and policy letters (PLs). Anthem Blue Cross has a responsibility to communicate the various changes to our contracted providers. Below are lists of the APLs and PLs that were published this year.

New APLs

 

Letter number

Title (subject) of letter

Date of issue

​APL 18-004

Immunization Requirements (Supersedes PL 96-013 and APL 07-015)

January 31, 2018

​APL 18-005

Network Certification Requirements

​February 16, 2018

​APL 18-006

Responsibilities for Behavioral Health Treatment Coverage for Members Under the Age of 21 (Supersedes APL 15-025)

​March 2, 2018

​APL 18-007

Requirements for Coverage of Early and Periodic Screening, Diagnostic, and Treatment Services for Medi-Cal Members Under the Age of 21 (Supersedes APL 14-017)

​March 2, 2018

APL 18-008 (Revised)

Continuity of Care for Medi-Cal Members Who Transition into Medi-Cal Managed Care (Supersedes APL 15-019)

​​March 2, 2018 Revised July 10, 2018

APL 18-011

California Children’s Services Whole Child Model Program

​June 7, 2018

​APL 18-012

Health Homes Program Requirements

June 28, 2018



To view copies of all active APLs and PLs issued during this and previous years, please refer to the DHCS website (www.dhcs.ca.gov > Forms, Laws & Publications > Bulletins, Information Notices, and Letters > Medi-Cal Managed Care All Plan and Policy Letters).

 

If you have questions about this communication or need assistance with any other item, contact your local Customer Care representative or call one of our Medi-Cal Customer Care Centers at 1-800-407-4627 (outside L.A. County) or 1-888-285-7801 (inside L.A. County).