20-143 DHCS Medical Review Audit Notification
Date: 02/04/20
Be prepared for your onsite visit
The Department of Health Care Services (DHCS) is conducting an onsite audit of
California Health & Wellness Plan (CHWP) to evaluate the plan’s compliance with
contractual and regulatory requirements. As part of the audit, DHCS may visit your
site any time during February 24, 2020, through March 6, 2020.
Audit review period
The audit review period is December 1, 2018, through November 30, 2019.
DHCS notification of visit
DHCS is going to visit select provider offices, and a DHCS nurse evaluator may
contact you directly to schedule an onsite visit. Cooperation with DHCS staff is
required.
Additional information
Providers are encouraged to access CHWP’s provider portal online at
www.CAHealthWellness.com for real-time information, including eligibility verification,
claims status, prior authorization status, plan summaries, and more.
If you have questions regarding the information contained in this update, contact
CHWP at 1-877-658-0305.