Medi-Cal Marketing Guidelines
P roviders are responsible for making sure member-facing materials meet the below guidelines
Marketing Guidelines
POLICIES AND PROCEDURES
- Member Rights
- Clinical Practice Guidelines
- Access to Care
- Advanced Directives
- Affirmative Statement
- California Children’s Services (CCS)
- Minor Consent and Rights of Claims
- UM Decision Making
- Denials
- Women’s Health Services
- Customer Service and Cultural & Linguistics
- After Hours and Urgent Care
- Authorizations and Referrals
- Behavioral Health
- Claims and Payment
- Child Health and Disability Prevention (CHDP)
- Marketing Guidelines
- SMG Referral Request Form
- Cultural Awareness Training
- Fraud, Waste and Abuse/Compliance Training
- Providers Disclosures
- Claim Filing Time Frame
- Complete Claim Definition
- Claims Submission Information
- Acknowledgement of Claims
- Denied or Contested Claims
- Reimbursement of Claims
- Overpayment of Claims
- Dispute Resolution Process
- Fee Schedule
- Policies
