Providers

Provider Communication

COVID-19

The COVID-19 pandemic is rapidly evolving. CalOptima providers are encouraged to monitor updates and guidance from key regulatory agencies central to the COVID-19 response. Links to these agencies are highlighted in the blue boxes below. Underneath the blue boxes are additional alerts and information from CalOptima. Thank you for your partnership in caring for CalOptima members.

COVID-19 Regulatory Highlights
A round-up of federal/state rules, guidance and news related to COVID-19


Additional Resources from CalOptima

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Telehealth
How to use telemedicine to curb the spread of COVID-19

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Provider Alerts (Fax Blasts)
Information to assist providers with member interactions during COVID-19 pandemic


Recent Updates from CalOptima

September 29, 2020
1:30 p.m.

Provider Alert

Prior Authorization Guidance Due to COVID-19

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Provider Alert 

August 6, 2020
11:30 a.m.

Provider Alert

Orange County COVID-19 Testing Sites Available To CCN Providers

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Provider Alert 

July 23, 2020
3:30 p.m.

Vaccination During COVID Toolkit for Providers (#DontWaitVaccinate)

A toolkit containing numerous helpful resources and messaging designed to assist providers with increasing member vaccination rates.

July 10, 2020
2:00 p.m.

Provider Alert

Supporting Family Caregivers of Older Adults through Times of Stress and Isolation: A Panel Discussion

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Provider Alert 

July 2, 2020
9:30 a.m.

Provider Alert

CCN Prior Authorization Extension Due to COVID-19

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Provider Alert 

June 15, 2020
3:30 p.m.

Provider Alert

Distribution of CARES Act Provider Relief Funds

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Provider Alert 

May 26, 2020
3:45 p.m.

Provider Alert

Peer Sharing Webinar

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Provider Alert 

May 22, 2020
9:00 a.m.

OC HCA Case Investigation and Contact Tracing

Case and Contact Investigation Team (CCI) - How it Works

May 19, 2020
4:00 p.m.

ECHO Diabetes in the Time of COVID-19

Join us for this Webinar Series Addressing Complex Diabetes Management in the Primary Care Setting

May 5, 2020
3:00 p.m.

Provider Alert

Requirements and Procedures for Emergency Medi-Cal Provider Enrollment and CCS Paneling

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Provider Alert 

April 29, 2020
2:00 p.m.

Provider Alert

Orange County COVID-19 Testing Recommendations, Testing Supplies, PPE Resources and Testing Locations as of April 28, 2020

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Provider Alert 

April 14, 2020
4:00 p.m.

Provider Alert

Authorization Requirements and Waivers During COVID-19

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Provider Alert 

April 14, 2020
11:00 a.m.

Provider Alert

Medicare Advantage and Part D Plans: CMS Flexibilities to Fight COVID-19

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Provider Alert 

April 13, 2020
4:00 p.m.

Provider Update April 2020 - COVID-19 Edition

View the monthly Provider Fax Blast

April 13, 2020
4:00 p.m.

California Surgeon General’s Playbook: Stress Relief for Caregivers and Kids during COVID-19

Navigating Stress Management with Kids

April 13, 2020
4:00 p.m.

CMS Issues New Wave of Infection Control Guidance Based on CDC Guidelines to Protect Patients and Healthcare Workers from COVID-19

Guidance will aid clinicians in various healthcare settings to prevent and mitigate the spread

April 9, 2020
3:30 p.m.

Provider Alert

Emotional Well-Being During the COVID-19 Crisis for Health Care Providers Webinar Series

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Provider Alert 

April 9, 2020
3:30 p.m.

Provider Alert

Non-Emergent, Elective Medical Services and Treatment Recommendations

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Provider Alert 

April 6, 2020
4:00 p.m.

Provider Alert

Reminder of Flexibilities for Notice Delivery for Beneficiaries Receiving Institutional Care

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Provider Alert 

April 6, 2020
3:00 p.m.

Provider Alert

CHOC Children’s 24/7 COVID-19 Nurse Advise Line

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Provider Alert 

April 6, 2020
3:00 p.m.

Provider Alert

CMS Regulatory Changes to Help U.S. Health Care System Address COVID-19 Patient Surge

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Provider Alert 

April 3, 2020
1:30 p.m.

Provider Alert

Fairview Developmental Center Selected as Alternative Care Site to Fight COVID-19, Creating Medical Surge Capacity in Orange County

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Provider Alert 

April 2, 2020
6:00 p.m.

Provider Alert

CMS and HHS COVID-19 Health Care Fraud Alert

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Provider Alert 

April 1, 2020
5:30 p.m.

Provider Alert

Guidance Relating to Non-Discrimination in Medical Treatment for COVID-19

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Provider Alert 

April 1, 2020
10:00 a.m.

Emotional Resilience During the COVID-19 Crisis: Practices for Health Care Providers

Thursday, April 2, 2020 from 12–1 p.m.
Online via Zoom
Click Here to register

CalOptima acknowledges this is a difficult time for everyone, especially those of you who are serving members in your offices, in the hospital or through telehealth. While providers and health care workers often accept increased risk of infection as part of their chosen profession, they also must manage their own concerns about personal impact, such as preventing family transmission. To learn more about how health care providers can reduce personal stress, please join us to learn from experts in the UCSF lunchtime webinar, Emotional Resilience During the COVID-19 Crisis: Practices for Health Care Providers.

“In an emergency, what treatment is given by ear? Words of Comfort.” - Abraham Verghese, MD Professor for the Theory and Practice of Medicine at Stanford University Medical School and Senior Associate Chair of the Department of Internal Medicine.

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Provider Alert 

March 27, 2020
4:00 p.m.

Provider Alert

New ICD-10 and HCPCS Codes Related to COVID-19

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Provider Alert 

March 26, 2020
4:15 p.m.

Provider Alert

CMS Partial Approval of California's 1135 Waiver Requests

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Provider Alert 

March 26, 2020
2:30 p.m.

Provider Alert

Access and Availability Reminder

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Provider Alert 

March 23, 2020
3:00 p.m.

Information for Applied Behavior Analysis (ABA) Providers

CalOptima Guidance for Behavioral Health Treatment (BHT) in response to COVID-19 pandemic.

March 23, 2020
3:00 p.m.

FAQs on Telehealth and HIPAA during the COVID-19 nationwide public health emergency

From the U.S. Department of Health and Human Services Office for Civil Rights.

March 19, 2020
6:15 p.m.

Coronavirus Disease 2019 (COVID-19) Testing and Coding

Testing for COVID-19 is rapidly expanding, and CalOptima would like to make our contracted, community-based providers aware of the status of testing in Orange County.

March 18, 2020
4:15 p.m.

COVID-19 Frequently Asked Questions (FAQ) - Telehealth Services

CalOptima is furnishing these FAQs to address providers’ and health networks’ (HNs’) questions about providing telehealth services to CalOptima members to reduce potential exposure to COVID-19.

March 11, 2020
11:40 a.m.

Provider Alert

What should you do when you identify a CalOptima member who needs testing for Coronavirus Disease 2019 (COVID-19)?

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Provider Alert 

February 28, 2020

Early Refills of Chronic Medications Allowed, Effective February 28, 2020

To ensure members have access to chronic medications in the event of a local Coronavirus Disease 2019 outbreak or quarantine, CalOptima is allowing early prescription refills of 90-day supplies.

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