To prevent the certification of ineligible providers, Health Care Services should immediately designate provider applicants as moderate or high risk in accordance with federal regulations.
DHCS issued a provider bulletin on August 22, 2014 which designated all newly certifying DMC applicants and providers that submit applications for revalidation with the exception of DMC providers operated by governmental entities as high risk. All other DMC providers have been designated as moderate risk. The provider bulletin will become effective September 22, 2014.
Based on the August 22, 2014 bulletin, Health Care Services has implemented this recommendation by designating provider applicants as moderate or high risk.
Agency responses received are posted verbatim.