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Care Management

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	For Providers > Audit Process for Medi-Cal Providers
	For Providers -Audit Process for Medi-Cal Providers



	CenCal Health conducts facility audits for new providers (only PCPs) as a requirement for participation in all CenCal Health programs. A full scope Santa Barbara Health Initiative (SBHI) review will be conducted utilizing the California Department of Health Services Medi-Cal Managed Care Full Scope Site Review Survey and Medical Record Survey Tool. Reviews for all programs other than Medi-Cal will be performed using the Industry Collaboration Effort (ICE) California Shared Commercial & Medicare Site Review Survey. Supplemental criteria may be assessed by CenCal Health to address additional requirements. After the initial full scope survey, the maximum time period before the next required full scope site survey is three years. CenCal Health may review sites more frequently, or when determined necessary based on prior findings. Please refer to the Provider Manual for forms to assist your office in preparing for site visits. These forms can be found in the Facility Site and Medical Record Review section.