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PHC California Policies & Procedures
PHC California is pleased to offer information about policies and procedures that apply to our Health Plan operations.
Policies & Procedures by Department
- CalAIM Community Support Services Utilization and Outcomes Monitoring
- Communicable Disease Reporting
- Cultural and Linguistic Competency Training and Education
- Cultural and Linguistic Services Programs
- Dental Services
- Determination of High Volume Specialists
- Diversity, Equity, and Inclusion (DEI) Training
- Enrollee and Family Engagement Strategy
- Facility Site Review and Medical Records Review
- HEDIS Inter-Rater Reliability
- Housing And Homelessness Incentive Program
- Managed Care Pulse Session Performance Evaluation
- Member Health Record
- Member Satisfaction Survey
- National Committee for Quality Assurance Accreditation
- Peer Review Policy Medical Record Review
- Public Policy and Community Advisory Committee
- Quality Improvement and Health Equity Transformation Program
- Record Retention and Document Management
- TGI Cultural Competency Training Program
- Transition of Care
- Utilization Management of Transitional Rent Community Support
- Abortion Services
- Adverse Benefit Determination Appeal Process
- COVID Therapeutics
- Doula Services
- Hospice Utilization Management
- Independent Medical Review (IMR)
- Over Under Utilization
- Skilled Nursing Facilities – Long Term Care Benefit Standardization and Transition of Members to Managed Care
- Transition of Care
- Utilization Management of Transitional Rent Community Support
- Utilization Management of Vendor Delegation Oversight
- Vision Care Services
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Page Updated: January 17, 2026 @ 1:04am