Section 5

​​​​​​​​

Quality & Performance Improvement

 

​Table of Contents - Medi-Cal

​
Policy/Procedure TitlePolicy Number

Quality & Performance Improvement Pro​gram Description

MPQD1001

Quality/Utilization Advisory Co​mmittee (Q/UAC)​

MPQP1002

Physician Advisory Committee (PAC)

MPQP1003

Internal Quality Improvement (IQI) Committee

MPQP1004

Adult Preventive Health Guideline​s

MP​QG1005

​​​Adult Preventive Health Scre​​​ening Guidelines

​​MCQG1005-A​

​​​TB Screening Recommendation (Flowcharts)​​

​MCQG1005-B​

Advance Directives

MPQP1047

Clinical Pra​ctice Guidelines ​​

MPQP1006

Conflict of Interest

MPQP1008

​​​​Conflict of Interest Agreement​

​MPQP1008​​​-A

Initial Health Assessment

MCQP1021

​​​​​PCP New Member Lette​r​

​MCQP1021-A

​​​​IHA Applicable Visit C​odes​

​MCQP1021-B

Two-Attempt Outreach Tracker Temp​late​

MCQP1021-C​

Non-Physician Medical Practitioners & Medical Assistants Practice Guidelines (previously Mid-Level…)​​​

MPQG1011

​​​​Sample Non-Physician Medical Practitioners Agreement​

MPQG1011-A

Pediatric Preventive Health

MCQG1015

AAP Recommendations for Preventive Pediatric Health Care​​​​

​MCQG1015-A

​TB Screening Recommendations (Flowcharts)

​MCQG1015-B

​Blood Lead Testing Refusal Form 

​MCQG1015-C

​Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger

​MCQG1015-D

Peer Review Committee​

MPQP1053

Physical Accessibility Review Survey – Site Review Part C​

MCQP1052

​​​​​Physical Accessibility Review Survey

​​MCQP1052-A

PARS Close_Letter Template​

​​MCQP1052-B

​Physician Orders for Life-Sustaining Treatment (POLST)

MPQP1038

​​​​​​​California Physician Orders for Life-Sustaining Treatment (POLST)​​

MPQP1038-A​

​​Potential Quality Issue Investigation and Resolution​

MPQP1016

Practitioner Performance & Systems Scores Grid

​​MPQP1016-A​​​

Preventive Health Guidelines

MPQP1018

​​Provider Preventable Condition (PPC) Reporting​

​MPQP1055

Reporting Communicable Diseases

​​MPQP1048

Site Review Requirements & Guidelines (previously PCP Facility Site Review Requirements & Guidelines)​​

​​​MCQP1022​

Facility Site Review Tool

​​MCQP1022-A​

Facility Site Review Standards

​​MCQP1022-B​

Medical Record Review Tool

​​MCQP1022-C​​

Medical Record Review Standards

​​MCQP1022-D​​

Cognitive Assessment Addendum to Site Review

​​MCQP1022-E​

Non-Accredited Facility Site Review Tool

MCQP1022-​F

Non-Accredited Facility Review Standards

MCQP1022-​G

Private Duty Nursing Site Review Tool and Standards

MCQP1022-H​

​​
​​​​​Supplemental Facility/Mobile Unit/Street Medicine Facility Site Review Tool 
​MCQP1022-I

Master Trainer Application

MCQP1022-J

​Interim Review Template

MCQP1022-K​

Provider Certificate​

MCQP1022-L


​​Substance Use Disorder (SUD) Facility Site Review and Medical Record Review

MCQP1025​

SUD Facility Site Review Standards

​MCQP1025-A

SUD Medical Record Review (MRR) Standards

MCQP1025-B​

Community Based Adult Services (CBAS) Physical Accessibility Review Survey

​​MCQP1025-C


​Please Direct Questions To:

Partnership HealthPlan​ of California
4665 Business Center Drive
Fairfield, CA 94534
Phone: (707) 863-4100