MedicaidDocumentationMedium impact
24-134 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, healthcare providers may be selected by Datafied for mandatory medical record retrieval as part of the annual DHCS Encounter Data Validation study. Selected providers must submit specific medical records from 2022 dates of service, including visit notes, patient demographics, and tracking sheets to validate encounter data accuracy.
Action Required
Prepare for potential selection: Ensure medical records from Jan 1-Dec 31, 2022 are easily accessible and organized. If contacted by Datafied, immediately retrieve requested records including visit progress notes showing dates of service, patient registration/demographic pages, records for additional non-lab/non-DME/non-inpatient dates of service closest to requested dates, and completed tracking sheets. Submit all documentation by the deadline provided by Datafied or select a non-submission reason if unable to comply.