Provider Manuals

TO ACCESS SEASIDE HEALTH PLAN PROVIDER MANUAL PLEASE CLICK ON THE APPROPRIATE LINK BELOW:

Medi-Cal and Commercial

 

 

Medicare

 

 

Seaside Select 2016

 

 

 

 

 

Provider Orientation Attestation

 

 

I acknowledge reviewing information from the Seaside Provider Manual that addresses the following topics:

 

 

  • 120/60/90 Initial Health Assessment & Staying Health Assessment Tools
  • Preventive care guidelines
  • Child Health Disability Program (CHDP)
  • California Children Services (CCS)
  • Comprehensive Prenatal Services Program (CPSP)
  • Medi-Cal benefits and coverage
  • OB/GYN services, sensitive services, family planning, and confidentiality
  • Eligibility and enrollment
  • Standards of care/access
  • Emergency services
  • Referral to Women Infant & Child Programs (WIC)
  • Referral to Regional Centers and Local Agencies
  • Utilization management referral process
  • Affirmative Statement About Financial Incetives
  • Member grievance and log reporting requirements
  • Health education requirements
  • Formulary use by health plan
  • Language Assistance Program
  • Signage
  • Carve-out services
  • Mental health services -Behavioral Health
  • Referral to Dental Services
  • Staff Education and Training
  • Credentialing and Recredentialing
  • Advance Directives
  • Fraud, Waste and Abuse

Practitioner Name:

Practitioner Email Address:

Date: