To make certain that Managed Health Care complies with its contractual obligations, it should monitor workload closely, and it should justify and request additional staff if it determines it does not have adequate staffing to perform quarterly reviews.
The DMHC has improved its network review tools and technologies to allow for more efficient review of these Medi-Cal networks. The DMHC has also established two new positions in its Office of Licensing, Division of Provider Networks: an Associate Health Program Advisor and a Health Program Specialist. These positions will, among other duties, assist in the quarterly review of the Medi-Cal networks in the 28 rural counties.
Agency responses received are posted verbatim.