Provider Required Training
Explore the essential training requirements based on your Plan contract and mandated by regulatory and state agencies. Ensure compliance by completing these trainings according to the specified frequency.
| Training name | Applies to providers contracted for these LOBs | Description | Frequency | Registration date and time or recording link |
|---|---|---|---|---|
| 2023 The Initial Health Appointment | Medi-Cal | Importance of the Health Information Form (HIF) and Overview of the Initial Health Appointment (IHA). | Annually | Initial Health Appointment and Staying Healthy Assessment webinar (duration: 13:49) |
| Advancing Equity: Health Care Barriers for Gender-Diverse Populations |
| A brief overview and understanding of LGBTQ+ rights and protections that will help frame the health care barriers faced by the LGBTQ+ community. | At the time of contracting and every three years thereafter | About this webinar, please email: Cultural.and.Linguistic.Services@healthnet.com |
| American Academy of Child & Adolescent Psychiatry – Level of Care Utilization System (LOCUS) / Child and Adolescent Level of Care Utilization System | Commercial | Training provides quantifiable measures to guide assessment, level of care placement decisions, continued stay criteria and clinical outcomes. | For utilization review staff and supervisors: Upon hire and every three years after |
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| American Society of Addiction Medicine (ASAM) | Commercial | ASAM 3rd Edition-2013 The ASAM Criteria is the most widely used and comprehensive set of standards for placement, continued service, and transfer of patients with addiction and co-occurring conditions. | For utilization review staff and supervisors: Upon hire and every three years after | |
| Childhood Audiometric Screening | Medi-Cal | Understand requirements for equipment and the screening environment, identify the different types of hearing loss and document the results of audiometric screening. | At the time of contracting and every three years thereafter | Childhood Audiometric Screening (duration: 4:13) |
| Childhood Blood Lead Levels Screening | Medi-Cal | Understand the hazards of lead exposure on children and define the Department of Health Care Services (DHCS) CBLLs screening requirements. | At the time of contracting and every three years thereafter | 2023 Childhood Blood Lead Levels Screening (duration: 10:31) |
| Childhood BMI Screening | Medi-Cal | Calculate or determine body mass index (BMI) value, select appropriate growth for age group and identify age range for with the BMI screening is used. | At the time of contracting and every three years thereafter | Childhood BMI Screening (duration: 31:35) |
| Childhood Vision Screening | Medi-Cal | Understand the importance of vision screening during childhood, identify the steps of vision screening and document results. | At the time of contracting and every three years thereafter | Childhood Vision Screening (duration: 12:29) |
| Early Childhood Service Intensity Instrument (ECSII) | Commercial | The ECSII is based on the System of Care approach that embraces a family-driven and child-centered model of care that integrates and coordinates efforts of different agencies in the least restrictive setting that is clinically appropriate. The instrument guides the user to assess service intensity needs across six domains including:
| For utilization review staff and supervisors: Upon hire and every three years after. | |
| HEDIS Improvement Programs |
| Overview of the HIP, C-HIP and HQIP programs. Recognizes and rewards providers, PPGs, hospitals and clinics. | Annually | Webinar Recordings: C-HIP Incentive Program: |
| Issue Identification, Tracking, Escalation, and Resolution Training | Medicare | Fulfills the Centers for Medicare & Medicaid Services (CMS) requirement to operate in compliance with CMS regulations and report any issues that may be out of compliance. Ethics & Compliance Helpline 800-345-1642 EthicsPoint Reporting Helpline How to Report Fraud, Waste or Abuse:
| Annually must also be a part of orientation for new employees | Issue Identification, Tracking, Escalation, and Resolution Training (PDF) |
| Jimmo v. Sebelius Settlement | Medicare | Learn how to ensure that services are provided and coverage determinations are adjudicated accurately and appropriately in accordance with existing Medicare policy. | N/A | |
| Language Assistance Program (LAP) Services & Health Literacy Training |
| This training will cover the Health Literacy and Language Assistance Program services and requirements to better communicate with members.
| Annually | Pre-recorded webinar: Language Assistance Program (LAP) Services & Health Literacy Training (duration: 43:23) |
| Medi-Cal for Kids & Teens Provider Training | Medi-Cal | Early periodic screening, diagnosis and testing (EPSDT) services for members less than 21 years of age. | Every two years | Pre-recorded webinar: Medi-Cal for Kids & Teens Provider Training (duration: 1:05:49) |
| Pediatric Quality Measures |
| Highlights pediatric MCAS overview and best practices. | Annually | Pre-recorded webinar: Pediatric Quality Measures (duration: 25:44) |
| Population Health Management | Medi-Cal | Learn more about Gathering Member Info (GMI), understanding risk, and providing services & supports (PSS)/PHM programs. | Annually | |
| Provider-Patient Communication Training | Medi-Cal | Support medical staff to communicate with patients in a way that makes written and oral information easier to understand using plain language communication and teach back strategies. | Annually | Pre-recorded webinar: Provider-Patient Communication (duration: 16:37) |
| Public Programs California Children's Services (CCS) Overview and Care Coordination Training |
| Overview of the CCS program requirements and the CCS referral process. | Annually | Public Programs California Children's Services (CCS) Overview and Care Coordination Training (duration: 18 minutes) |
| Special Needs Plan Model of Care Annual Training | Medicare | Fulfills the Centers for Medicare & Medicaid Services (CMS) initial and annual Model of Care training required for Medicare Advantage providers. This applies to Dual Eligible Special Needs Plan (D-SNP) and Chronic Condition Special needs Plan (C-SNP) members. | Annually | |
| The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey, a Patient Experience Survey |
| The CAHPS survey is an annual health care experience survey required by the Centers by Medicare & Medicaid Services (CMS) and for the National Committee for Quality Assurance (NCQA) accreditation. | Annually | Pre-recorded webinar: Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey (duration: 38 minutes) |
| The Council of Autism Service Providers (CASP) | Commercial | Training provides information on:
| For utilization review staff and supervisors: Upon hire and every three years after |
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| Timely Access to Care Training |
| Learn about access and availability requirements. This training provides an overview of California access regulations and the monitoring process conducted by Health Net. Training includes best practices on how to improve appointment access and meet performance goals. | Required for providers under corrective action plan. | Timely access to Care presentation packet (PDF) |
| Topical Fluoride Application for non-Dental Primary Care Providers | Medi-Cal | Discuss the effects and benefits of topical fluoride application. | At the time of contracting and every three years thereafter | Pre-recorded webinar: Topical Fluoride Application for non-Dental Primary Care Providers (duration: 24:42) |
| What is the Dyadic Services and Family Therapy Benefit? | Medi-Cal | What is the dyadic services and family therapy benefit? | Annually | Pre-recorded webinar: Dyadic Services 101 (duration: 11:54) |
| World Professional association for Transgender Health (WPATH) |
| Provider training in compliance with California Senate Bill SB 855 which is health coverage for mental health or substance use disorders. | Required for those who are making medically necessary determinations on requests related to gender dysphoria diagnosis |