Facility Site Review Resources
Aetna Better Health of California is providing resources to assist your practice with preparing for the Initial, or Full Scope Periodic scheduled Facility Site Review.
This Review is a California mandated process that each primary care Provider office site must complete every 3 years to maintain a Medi-Cal contract or initially to be eligible for membership. One review will satisfy ALL of your Health Plan Contracts whether through an IPA or direct contract. The referenced materials below comply with the “Pre-Audit” materials requirement by NCQA and the State of California’s DHCS policy letter 14-004. Please pay special attention to the “Welcome letter” and the “Facility Review Preparation Checklist”. These provide information for a smooth, easy way to master your upcoming review.
Offices scheduled for an “Initial” or a “Relocation” Facility Review may request an educational visit prior to the official review process. This may be done by contacting the Reviewer in your county. Should you have any questions, please contact the Reviewer who scheduled your appointment.
Your Aetna Better Health of California contacts are:
San Diego County
Nicole Gooden, R.N CSR
Cell: (858) 472-7930
Fax: (959) 282-1609
Randee Marlin, R.N Master Trainer
Cell: (714) 290-9251
Welcome Letter/Preparation checklist
Department of Health Care Services Review Tools and Guidelines
Facility Forms/Logs/Reference Materials