Gold Coast Health Plan (GCHP) occasionally sends updates containing important Plan information to our providers. You can access these updates through the archive list below or by contacting Provider Relations at ProviderRelations@goldchp.org or 1.888.301.1228.
Updates By Year
- May 31, 2023: California Advancing and Innovating Medi-Cal (CalAIM) Community Health Worker (CHW) Webinar
- May 25, 2023: California Advancing and Innovating Medi-Cal (CalAIM) Community Supports (CS) Provider Certification Process and Tool Webinar
- May 18, 2023: All-Plan Letter (APL) 23-003, Skilled Nursing Facilities – Long Term Care Benefit Standardization and Transition of Members to Managed Care
- May 11, 2023: New Digital Health Education Member Engagement Tool
- March 31, 2023: Transition of AmericasHealth Plan Members Back to Gold Coast Health Plan
- March 20, 2023: Updated Non-Emergency Medical Transportation (NEMT) Form
- February 28, 2023: California Advancing and Innovating Medi-Cal Provider Training
- February 16, 2023: Childhood Oral Health and Fluoride Varnish Application Provider Training
- January 13, 2023: Measurement Year 2022 Managed Care Accountability Set (MCAS) Medical Record Collection
- November 30, 2022: DHCS Office Hours: Data Sharing for Enhanced Care Management and Community Supports
- November 8, 2022: New Member Incentives for 2022: Diabetes HbA1c Test and Breast Cancer Screening
- October 28, 2022: Women's Health Screenings
- October 20, 2022: Provider Training Opportunity and Pediatric Lead Testing Toolkit
- October 4, 2022: Text and Secure Digital Member Outreach Campaign
- September 1, 2022: California Executive Order on Russian Sanctions
- July 18, 2022: Medi-Cal Rx: Reinstatement of Edits
- June 9, 2022: Psychiatric Education Capacity Expansion (PECE) Psychiatry Residency and Psychiatric Mental Health Nurse Practitioner Grant Webinars
- June 8, 2022: All-Plan Letter 22-022, Alternative Format Selection for Members with Visual Impairment
- June 1, 2022: State Department of Health Care Services (DHCS) Audit
- March 21, 2022: Provider Training Opportunity: Lead Poisoning Prevention in Children
- February 24, 2022: Postpartum Care Extension Program
- January 25, 2022: COVID-19 Vaccine Member Incentive Program
- January 13, 2022: Managed Care Accountability Set (MCAS) Measurement Year 2021: Data Collection Effort
- January 7, 2022: DHCS Timely Access Survey
- November 29, 2021: Claims Systems Update - Check Run Frequency
- November 17, 2021: Medi-Cal Rx Communications
- November 10, 2021: Provider Portal Unavailable During System Updates
- November 5, 2021: Provider Portal and Claims Systems Updates
- October 27, 2021: Adverse Childhood Experiences (ACEs) Virtual Lecture Series
- October 25, 2021: National Lead Poisoning Prevention Week
- September 9, 2021: eVIPS Provider System
- August 31, 2021: Starting Sept. 1, 2021: New Division of Financial Responsibility (DOFR)
- August 16, 2021: Medi-Cal Rx: New Implementation Date
- May 27, 2021: Bridges to Resilience: Register Now!
- May 17, 2021: LAGS Spine and Sportscare Medical Centers Termination
- May 7, 2021: Extended Call Center Hours
- May 5, 2021: Claims Processing Delay/Authorization Requests/Extended Call Center Hours
- April 30, 2021: Action Required: GCHP Claims System Go-Live
- April 7. 2021: Medi-Cal Rx Training
- April 6, 2021: Claims System Change Coming May 3, 2021
- March 18, 2021: Medi-Cal Rx Readiness Survey for Pharmacy Providers and Prescribers
- March 4, 2021: Chlamydia Screening for Women 16-24 Years of Age
- February 25, 2021: Medi-Cal Rx On Hold
- February 24, 2021: Update: Gold Coast Health Plan Claims System Change
- January 26, 2021: Medi-Cal Rx Informational Webinars
- January 12, 2021: Managed Care Accountability Set (MCAS) Measurement Year 2020: Data Collection Effort
- December 10, 2020: Update: Gold Coast Health Plan (GCHP) Claims System Change
- December 2, 2020: Childhood Obesity
- November 23, 2020: Tobacco Cessation Resources
- November 20, 2020: Medi-Cal Rx: New Implementation Date
- November 18, 2020: November: Diabetes Awareness Month
- November 17, 2020: New California Immunization Registry (CAIR) Feature
- November 3, 2020: Imminent Cybersecurity Threat to Hospitals and Health Care Providers
- October 28, 2020: Provider Relief Fund Phase 3 Application Deadline
- October 23, 2020: Medi-Cal Rx - Prescriber Registration and Training
- October 22, 2020: Clinicas del Camino Real (CDCR) Division of Financial Responsibility (DOFR)
- October 15, 2020: Gold Coast Health Plan Claims System Change
- October 12, 2020: Lab Services Update
- September 2, 2020: ACEs Screening Updates Collaborative Training
- August 25, 2020: Gold Coast Health Plan Provider Portal Issues Fixed
- August 20, 2020: Coming Soon: Medi-Cal Rx
- August 17, 2020: Gold Coast Health Plan Network Outage: August 18
- August 10, 2020: Provider Relief Fund Application Deadline Extended for Medi-Cal Providers
- July 31, 2020: Gold Coast Health Plan Provider Portal Issues
- July 20, 2020: Suicide Prevention Tools and Resources for Providers
- July 13, 2020: Mental Wellness Resources for Members During COVID-19
- June 8, 2020: Managing Diabetes During COVID-19
- June 5, 2020: Gold Coast Health Plan Systems Maintenance
- June 1, 2020: Authorization Extensions for Members Who Have Received Prior Authorization for Services
- May 20, 2020: Asthma Management During COVID-19
- May 19, 2020: Prenatal and Postpartum Care Visits During COVID-19
- May 18, 2020: Recommendations for Resuming Deferred and Preventive Health Care
- May 15, 2020: Vaccine Messaging to Parents During the COVID-19 Pandemic
- May 6, 2020: FCC COVID-19 Telehealth Program
- May 6, 2020: Great Plates Delivered: Home Meals for Seniors
- April 29, 2020: Temporary Changes to Site Review and Annual Medical Audit Policies
- April 20, 2020: Claims Submissions for Physical Therapy (PT), Occupational Therapy (OT) and Speech Therapy (ST) Telehealth Appointments
- April 1, 2020: Non-Discrimination in Medical Treatment for COVID-19 Guidance.
- March 31, 2020: Telehealth Guidance for All Other Providers.
- March 27, 2020: Enterprise Transformation Projects.
- March 26, 2020: Shield HealthCare Incontinence Supplies.
- March 26, 2020: Beacon Health Options Telehealth Update.
- March 25, 2020: 24-Hour Advice Nurse Line for Members.
- March 20, 2020: Access to the Preauthorization Treatment Request Form.
- March 20, 2020: Issues Affecting Access to Pharmacy Services During the COVID-19.
- March 19, 2020: COVID-19 Information and Resources.
- March 19, 2020: New Provider Dispute Resolution Process.
- March 13, 2020: COVID-19 Testing by Quest Diagnostics.
- March 12, 2020: Postponed: Mental Health Issues in the Deaf and Hard of Hearing Community Cultural Competency Training.
- March 2, 2020: Cultural Competency Training: Mental Health Issues in the Deaf and Hard of Hearing Community.
- February 3, 2020: Preferred Laboratory Provider.
- January 31, 2020: Encounter Data Validation Study.
- January 31, 2020: Cultural Competency Training – Understanding Gender Identity and Health Disparities in the LGBTQ+ Community.
- January 15, 2020: Issue with Claim Check Run of December 30, 2019.
- January 9, 2020: MCAS Measurement Year 2019 – Data Collection Effort.
- January 3, 2020: Preferred Laboratory Provider.
- December 11, 2019: Basic Tobacco Intervention Skills.
- December 5, 2019: Gold Coast Health Plan Receives Two Managed Care Quality Awards.
- November 19, 2019: Great American Smokeout.
- November 14, 2019: New Member Incentive Programs – Cervical Cancer Screening and Child / Adolescent Well-Care Visit.
- November 7, 2019: Gold Coast Health Plan Announces Resignation of CEO.
- November 5, 2019: New Benefit: Diabetes Prevention Program.
- October 23, 2019: National Lead Poisoning Prevention Week.
- October 15, 2019: Addressing Health Disparities in the LGBTQ+ Community - Free Webinar.
- October 10, 2019: Members Affected by Public Safety Power Shutoffs in Ventura County.
- October 9, 2019: Notice: Changes to Pharmacy Prior Authorization Request Process.
- October 2, 2019: Member Outreach Campaigns.
- September 24, 2019: Annual Well-Care Visits for Adolescents.
- September 3, 2019: California Department of Public Health - Food Recall.
- August 28, 2019: National Immunization Awareness Month (NIAM) – Provider Resources.
- August 27, 2019: Chlamydia Screening for Women 16-24 Years of Age.
- August 6, 2019: Prescribing Opioids for Chronic Pain: MCAS Performance Measures.
- July 30, 2019: Duplicate Check Printing.
- July 25, 2019: Bank Change and Electronic Funds Transfer (EFT) Payments.
- June 20, 2019: DHCS Changes in Monitoring Quality in Managed Care.
- June 18, 2019: 30-Month Well-Child Visit / Health Assessment – Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Medi-Cal Benefit.
- June 14, 2019: Warning: Extortion Scam Targeting DEA Registrants.
- June 3, 2019: Prior Authorization Requirement Update.
- May 21, 2019: Care Management for Gold Coast Health Plan Members.
- May 15, 2019: Asthma Medication Ratio (AMR) – OptumRX Provider Outreach Campaign.
- May 14, 2019: "Improving End of Life Conversations with Patients" Workshop.
- April 9, 2019: Use of Imaging Studies for Low Back Pain (LBP).
- March 8, 2019: National Nutrition Month.
- February 21, 2019: American Heart Month.
- February 13, 2019: DHCS is Offering "PAVE 101" Training on February 21; Webinar Supports Shift to Paperless Enrollment for Medi-Cal Providers.
- February 4, 2019: Encounter Data Validation Study.
- January 22, 2019: MyGoldCare Palliative Care Program Changes – Effective January 1.
- January 15, 2019: HEDIS® Measurement Year 2018.
- December 13, 2018: Appropriate Testing for Children with Pharyngitis (CWP) Healthcare Effectiveness Data and Information Set (HEDIS®) Measure.
- November 28, 2018: Provider Communication Survey.
- November 15, 2018: World Prematurity Awareness Month.
- November 8, 2018: Crisis Response Protocol for Members.
- November 5, 2018: Member Outreach Campaign.
- October 11, 2018: Initial Health Assessment (IHA) and Staying Healthy Assessment (SHA).
- September 11, 2018: Prior Authorization Requirement Update Physical Therapy and Occupational Therapy.
- August 28, 2018: FINAL REMINDER: CME Palliative Care Training Opportunity.
- August 21, 2018: REMINDER: CME Palliative Care Training Opportunity.
- August 14, 2018: CME Palliative Care Training Opportunity.
- August 9, 2018: National Immunization Awareness Month (NIAM).
- July 31, 2018: Controlling Blood Pressure Measure.
- June 29, 2018: Proposition 56 - Supplemental Payment for Physician Services.
- June 14, 2018: Decline in the Annual Diabetic Nephropathy Screenings.
- May 25, 2018: Behavioral Health Treatment PCP Notification.
- May 24, 2018: Department of Health Care Services (DHCS) Medical Audit.
- April 27, 2018: World Immunization Week – "Protected Together".
- April 4, 2018: Medi-Cal Program Provider Enrollment.
- March 19, 2018: Network Certification Sampling.
- February 21, 2018: Assessing Wait Time Standards.
- February 20, 2018: Revised Credentialing Requirements for the MyGoldCare Program.
- February 15, 2018: Physician Advisory: Oseltamivir/Tamiflu® Availability During Flu Season.
- February 15, 2018: Gold Coast Health Plan Asthma Resources and the Thomas Fire.
- January 16, 2018: Introduction to Healthcare Effectiveness Data Information Set (HEDIS®) 2018.
- January 9, 2018: Release of Information Request for HEDIS® Quality Reviews.
- December 27, 2017: MyGoldCare - Palliative Care Program.
- December 21, 2017: Health Information Form (HIF).
- December 5, 2017: Prescription Refills and Oxygen Supply for Medi-Cal Members during Thomas Fire.
- October 10, 2017: Human Papillomavirus (HPV) Vaccine and the Immunizations for Adolescents (IMA) HEDIS® Measure.
- September 7, 2017: Appropriate Strep Testing for Children with Pharyngitis.
- August 29, 2107: Depression Screening and Follow-Up for Adolescents and Adults.
- August 8, 2017: Member Rewards to Increase Preventive Care.
- July 11, 2017: Child Immunization Rate Trends.
- June 8, 2017: Annual Monitoring of Patients on ACE inhibitors, ARBs, digoxin, and diuretics.
- May 16, 2017: National High Blood Pressure Education Month.
- May 10, 2017: Transition of Pharmacy Benefit Manager to OptumRx.
- March 30, 2017: Member Rewards to Increase Preventive Care.
- March 23, 2017: CMS Core Measure - Screening for Clinical Depression and Follow-up Plan.
- March 21, 2017: Tobacco Intervention Skills Training.
- January 19, 2017: ROI Request for HEDIS® Quality Reviews.
- January 10, 2017: Introduction to HEDIS® 2017.
- December 15, 2016: Reminder: Gender Identity and Transgender Health Care.
- December 6, 2016: Gender Identity and Transgender Health Care.
- November 15, 2016: HEDIS® Asthma Medication Ratio Measure.
- November 15, 2016: Community Health Fair and Forum.
- November 8, 2016: Prenatal and Postpartum Care (PPC) HEDIS® Measure.
- October 27, 2016: HEDIS® Breast Cancer Screening Measure.
- October 13, 2016: Changes to the "Immunization for Adolescents" HEDIS® Measure.
- September 29, 2016: Appropriate Strep Testing for Children with Pharyngitis.
- September 28, 2016: Screening for Alcohol, Tobacco and Illegal Substance Use During Pregnancy.
- September 27, 2016: Screening for Clinical Depression and Follow-up Plan.
- August 23, 2016: Decline in Women's Health HEDIS® Measures.
- August 16, 2016: Meningococcal Outbreak Health Advisories.
- July 25, 2016: Member Rewards to Increase Preventive Care.
- May 19, 2016: CHDP Program Well-Child Exam Schedule.
- May 17, 2016: Member Rewards.
- May 9, 2016: 5th Annual Community Resource Fair.
- April 21, 2016: World Immunization Week.
- March 23, 2016: Disease Management Program for Diabetes.
- February 24, 2016: Managed Care Provider Data Improvement Project.
- February 3, 2016: Zika Virus Health Advisory.
- January 19, 2016: ROI Request for HEDIS® Quality Reviews.
- January 5, 2016: Introduction to HEDIS® 2016.
- November 12, 2015: VCMC Event on Marijuana & Pregnancy.
- November 3, 2015: RSV and the use of Palivizumab (Synagis®).
- July 31, 2015: Provider Portal System Upgrade.
- July 23, 2015: Retinal Eye Exam.
- July 22, 2015: Well Child Annual Visit.
- July 21, 2015: Postpartum Letter.
- July 20, 2015: Provider Training for ICD-10.
- April 28, 2015: Provider Town Hall Meeting/ICD-10 Transition.
- March 31, 2015: SBIRT Training.
- March 26, 2015: Crossover Claims Reminder.
- March 4, 2015: Crossover Claims for Dual Eligible Members.
- February 9, 2015: Important Information Regarding Measles Outbreak.
- February 3, 2015: Provider Town Hall Meeting/NEMT Reminder.
- January 28, 2015: Provider Town Hall Meeting/NEMT.
- January 6, 2015: ROI Request for HEDIS® Quality Reviews.
- December 8, 2014: Quest Diagnostics Patient Service Centers.
- November 4, 2014: Measures for Children & Adolescent Wellness Exams.
- October 28, 2014: Introduction to HEDIS®.
- October 22, 2014: CORRECTION - ACA 1202 PCP RATE INCREASE.
- October 9, 2104: Retinal Eye Exam Promotion.
- April 15, 2014: New Reporting Requirements by DHCS.
- April 4, 2014: Change of Address.
- February 10, 2014: Provider Town Hall Meetings.
- February 10, 2014: ROI Request for HEDIS® Quality Reviews.
- January 2, 2014: LIHP Open Authorizations.
- URGENT - Fax Issues December 18, 2013.
- ZS Modifier November 27, 2013.
- Provider Town Hall Meeting Notice November 5, 2013.
- PCP Rate Increases August 27, 2013.
- Provider Town Hall Meeting Notice August 13, 2013.
- Provider Portal Notice August 2, 2013.
- New Member Orientation Meetings July 31, 2013.
- Provider Town Hall Meeting Notice July 22, 2013.
- Provider Town Hall Meeting Notice April 3, 2013.
- HEDIS Report February 19, 2013.
- Check Run January 31, 2013.
- New Health Services Fax Number, January 28, 2013.
- Overpayment Report, January 8, 2013.
Provider Operations Bulletin
The GCHP Provider Operations Bulletin is a quarterly newsletter geared toward our medical providers.
- October 2014 (revised)
- July 2014 (1st quarterly edition)
- April 2014
- March 2014
- February 2014
- January 2014