26-987 Strengthening PPG Performance Standards and Oversight

Immediately: Billing and provider operations teams must review updated Provider Manual documentation in the Provider Library (Provider Manual > Provider Oversight section) to understand new Corrective Action Plan procedures and updated governance terminology. Contact your Provider Engagement representative at 833-236-4141 (CHPIV Medi-Cal) if clarification is needed on how these performance management changes affect your billing workflows, compliance documentation, or Joint Operations Meeting preparation. While this is primarily an administrative/governance change, ensure clinical and billing staff understand that performance metrics tied to this policy may impact future contract terms or corrective actions.