MedicaidAdministrativeMedium impact
20-138 Prepare to Retrieve Medical Records for DHCS Encounter Data Submission Validation
Health Net·CA·Provider News
Effective date
Feb 1, 2020
We identified it
Jun 20, 2026
Summary
Providers in Fresno, Kings, and Madera counties must be prepared to submit medical records when contacted by Datafied for DHCS Encounter Data Validation studies. This requires retrieving specific patient records from 2018 with supporting documentation to validate encounter data submitted to the state.
Action Required
When contacted by Datafied: Medical records staff must retrieve and submit requested medical records within specified deadline, including chart/visit progress notes showing dates of service, service descriptions, provider information, patient registration/demographic pages, and completed tracking sheets. Records must cover specific requested dates of service and nearest DOS within January 1, 2018 through December 31, 2018 timeframe. If records cannot be submitted, select appropriate non-submission reason.