Section 5

​​​​​​​

Quality & Performance Improvement

 

​Table of Contents - Medi-Cal

​
Policy/Procedure TitlePolicy Number

Quality & Performance Improvement Program Description

MPQD1001

Quality/Utilization Advisory Committee (Q/UAC)

MPQP1002

Physician Advisory Committee (PAC)

MPQP1003

Internal Quality Improvement (IQI) Committee

MPQP1004

Adult Preventive Health Guideline​s

MCQG1005

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

​​MCQG1005-A​

​​​TB Screening Recommendation (Flowcharts)​​

​MCQG1005-B​

Advance Directives

MCQP1047

Clinical Practice Guidelines ​

MPQP1006

Conflict of Interest

MPQP1008

​​​​Conflict of Interest Agreement​

​MPQP1008​​​-A

Initial Health Assessment

MCQP1021

​​​​​PCP New Member Letter​

​MCQP1021-A

​​​​IHA Applicable Visit Codes​

​MCQP1021-B

Two-Attempt Outreach Tracker Template

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 Guidelines/Tool

​​MCQP1052-A

​​​​Hospital Letter- 1st

​​MCQP1052-B

​​​Hospital Letter- 2nd

​​MCQP1052-C

​​​​Provider Determination Letter

​​​MCQP1052-D

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)​​

MPQP1022

Facility Site Review Tool

​​MPQP1022-A​

Facility Site Review Standards

​​MPQP1022-B​

Medical Record Review Tool

​​MPQP1022-C​​

Medical Record Review Standards

​​MPQP1022-D​​

Cognitive Assessment Addendum to Site Review

​​MPQP1022-E​

Non-Accredited Facility Site Review Tool

MPQP1022-​F

Non-Accredited Facility Review Standards

MPQP1022-​G

Private Duty Nursing Site Review Tool and Standards

MPQP1022-H​

Master Trainer Application

MPQP1022-I​

​Interim Review Template

MPQP1022-J​

Provider Certificate

MPQP1022-K​


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

MCQP1025​

Facility Site Review Survey Substance Use Disorder (SUD) Treatment Services

​MCQP1025-A

Facility Site Review Guidelines for Substance Use Disorder (SUD) Treatment Services

MCQP1025-B​

SUD Medical Record Review (MRR) Tool and Guidelines

​​MCQP1025-C

​Physical Accessibility Review Survey (PARS)

​MCQP1025-D


​Please Direct Questions To:

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