MedicaidDocumentationMedium impact
25-023 Prepare to Retrieve Medical Records for DHCS Encounter Data Validation
Health Net·CA·Prior Authorization
Effective date
Feb 1, 2025
We identified it
Jun 20, 2026
Summary
Starting in February, CalViva Health will contact selected providers to retrieve medical records for the annual Encounter Data Validation study conducted by DHCS. Providers must submit specific medical records from 2023 encounters when contacted by Datafied™, including chart notes, demographics, and tracking sheets.
Action Required
When contacted by Datafied™: Medical records staff must retrieve and submit requested medical records from January 1-December 31, 2023 including chart/visit progress notes, patient demographic pages, records for additional DOS (excluding lab, DME, or inpatient), and completed tracking sheets. Follow Datafied's submission instructions and deadlines. If records cannot be provided, select appropriate non-submission reason.