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Download Directory - chgsd. com Download Medi-Cal Provider Directory (PDF) This is the provider directory for Community Health Group's Medi-Cal plan This plan is a federal and state funded health insurance program for low-income families and children, persons with disabilities, and seniors who qualify for help
Community Health Group | Clinical Guidelines - chgsd. com Access to Clinical Guidelines Dear valued member provider: Medi-Cal Guidelines - All Provider Manuals Medicare Guidelines - Medicare Community Health Group utilizes Milliman Care Guidelines (MCG) when reviewing requests
Glossary : Physicians - chgsd. com Practitioner information is collected and validated through the application process and primary source verification CHG verifies board certification status, using nationally-recognized specialty boards, at the time of initial credentialing and at re-credentialing which is conducted every 36 months
Search Directory - chgsd. com Search Urgent Care Centers Select your plan and any other criteria you would like to search on Click Search to view the results
Search Directory As of 1 1 25 CHG offers presumptive authorization for Enhanced Care Management (ECM) You must agree to enroll in ECM and meet specific eligibility criteria to receive these services Community Support (CS) Services require prior authorization
Search Directory - chgsd. com Services provided as part of an inpatient stay or skilled level care are all inclusive and include medications Community Health Group (CHG) does not have direct contracts with the pharmacies that service these facilities but cover the medications billed as part of your stay there
COMMUNITY HEALTH GROUP’s (CHG) ONLINE TOOL FREQUENTLY ASKED QUESTIONS COMMUNITY HEALTH GROUP’s (CHG) ONLINE TOOL FREQUENTLY ASKED QUESTIONS ENROLLMENT 1 How can I tell if a member belongs to an IPA? If a member belongs to an IPA, the IPA affiliation column on the enrollment tool will be populated If this is blank, the member’s enrollment is not through an IPA 2
Community Health Group - FDR Portal - Login - chgsd. com Welcome to CHG’s FDR Portal Please sign in below to continue If you do not have an account, please reach out to the Compliance Department via email at ComplianceTeam@chgsd com to create an account