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CMS requires that all contracted providers conduct Fraud, Waste, and Abuse training for their staff. To assist our providers, PHC is providing free training materials that meet CMS' requirements. The letter explaining the Medicare requirement from PHC's Compliance Officer can be found by clicking here. The training presentation can be found by clicking here. Please remember, all contracted PartnershipAdvantage (HMO) providers must provide FWA training to their staff per the attached letter. If you have any questions about the training materials, please contact the PHC Compliance Officer or Provider Relations Department at 707-863-4100. |
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Medi-Cal - PHC is a managed care organization that contracts with the State of California to ensure that Medi-Cal recipients in Solano, Yolo and Napa counties have access to quality medical care. PHC ensures access by contracting with medical providers and then assigning our members to a primary care physician. The primary care physician is then responsible for providing medical care to those members assigned to him/her. The PCP is also responsible for referring his/her patients to a specialist when there is a medical need.
Healthy Kids - The Healthy Kids Health Plan is a locally developed and funded comprehensive health care coverage program for eligible children residing in Napa, Solano, Sonoma and Yolo Counties. Partnership HealthPlan of California is the health plan for Healthy Kids. Families pay low monthly premiums, which are based on family size and income. Benefits include medical, dental, vision and mental health services.
The Healthy Kids Health Plan covers children if they are ineligible for full-scope, no share of cost Medi-Cal or the Healthy Families program.
Medicare - PartnershipAdvantage is a Medicare Advantage program offered by PHC. This program combines PHC Medi-Cal, Medicare Parts A and B and Medicare Prescription Drug Coverage ("Part D"). PartnershipAdvantage coordinates your Medicare and PHC Medi-Cal benefits, creating a seamless health plan where all of a beneficiary's covered health benefits are in one plan.
The PartnershipAdvantage program is offered through a contract between Partnership HealthPlan of California (PHC) and the Centers for Medicare and Medicaid Services (CMS).
*A full description of the PartnershipAdvantage prescription drug benefit is listed in the Member Medicare section under Prescription Drug Information.
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