Monday, December 11, 2017

OCMA Blog

Covered California Provider Education News: Know Your Participation Status

Covered California: Know Your Participation Status

In late April 2014, the California Medical Association (CMA) surveyed physicians about their contracting experience with Covered California plans. Eighty percent of respondents reported that they had been confused about their participation status in a Covered California plan and that they believed such confusion had negatively impacted patient care.

Unfortunately, checking your practice's participation status is not as straightforward as it might seem. Plagued with inaccuracies, Covered California took down its cross-plan provider directory earlier this year. Add to that the fact that some exchange plans have used vague contract terms and amendments that rope physicians into participating in their exchange networks, often without their express consent or knowledge, and you'll see that "do you take my insurance" is not always an easy question to answer. 

CMA has developed a toolkit to assist physicians with checking their participation status within Covered California. Click here to download the Know Your Status toolkit.

Meet your Covered CA Provider Educator, Karli Nevarez

Karli is available to provide and distribute multilingual patient education materials for your practice or medical group, as well as appear in person to facilitate a brief presentation or answer questions for your staff. These presentations are for physicians and their staff to gain a better understanding of Covered California and the products offered through the exchange. Karli's services are available to both members and non-members of OCMA.

If you would like Karli to come to your practice or medical group to deliver materials and/or present to your staff, you may contact her at: (310) 818-6998 or knevarez@thecmafoundation.org.  
 
You can also fill out the Covered CA Information Request Form and fax or email the form back to the OCMA. 


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