Facility Site Review (FSR) and Medical Record Review (MRR) DHCS Resources
Clinic Policies for Primary Care Provider Settings
Instructions:
All participating provider(s) sites are required to establish safety, member rights and general policies and procedures for their practice. Please review all sample policies and procedures in our educational packet and customize any or all of the policies and their respective attachments you wish to adopt based on your clinic’s practice and processes. Please complete the Approval date, Approved by, Effective Date, and Revision date for each of the adopted policies. All providers and staff shall receive trainings/in-services on all clinic policies and procedures. Annual trainings/in-services are required for Blood-Borne Pathogens Exposure Control, Biohazardous Waste Management, and Infection Control/Standard/Universal Precautions. All clinic policies and evidence of training shall be kept on site or made available upon request.
- FSR Provider Training 2022 — Video
- SCAN Health Plan Provider Portal – Eligibility Search Guide (CIN)
If you have any questions or need help, please contact the Delegation Oversight Coordinator(s), Clinical
Facility Site Review Table of Contents
Medical Records Review Table of Contents
| Description |
|
| MRR Preparation Checklist & Clinical Policies Requirement | |
| Format/Coordination of Care |
|
| Documentation |
|
|
General Consent Form |
|
| Preventive Care |
|
|
Comprehensive Health Assessment
Risk Assessment Preventive Care Screening Tools Alcohol, Drugs, Tobacco Screening
Hepatitis Screening Depression Screening STI Screening TB Screening ACIB Guidelines |
|
