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The Provider Manual also contains policies, procedures, regulatory/contractual requirements to support you in providing comprehensive care to our Members and is designed to help your understanding of our programs and processes.
For the HEDIS Measurement Year 2022 (MY2022- January 1, 2022 to December 31, 2022), also known as the report year 2023 (RY2023), Valley Health Plan was awarded a global rating of three stars by Covered California’s Quality Rating System.
Nov 20, 2020 · About Valley Health Plan (VHP) Valley Health Plan is a health care service plan licensed under the Knox-Keene Heath Care Service Plan Act of 1975 by the Department of Managed Health Care...
The Quality Management (QM) Program supports many of the activities of the Utilization Management, Provider Relations, Member Services, and Health Education Departments at Valley Health Plan.
You can access the Provider Manual at our website: www.valleyhealthplan.org or for a hard copy please contact the Provider Relations Department at (408) 885-2221. This Manual provides a...
Browse the selection of frequently asked questions to learn more about our Provider services! Call Provider Relations at (408) 885-2221 if you have any questions or if you need help with any other health plan matter.
People also ask
Does Valley Health Plan meet strict quality standards?
Does Valley Health Plan meet NCQA HEDIS standards?
What is the Provider Manual?
The health plan and quality department are required to conduct regular Medical/Mental health provider audits as part of the oversight process. Mental Health records have the same...