Measurement Year 2015

Measurement Year 2015 Annual Provider Network Report Templates

Timely Access Data Element Changes – At-A-Glance

Timely Access Web Portal Profile Tab Instructions - Profile Tab Instructions

Timely Access Provider Network Report Form Instructions - Network Report Form Instructions

Frequently Asked Questions - FAQs

To clearly illustrate the changes in data elements required and requested for Measurement Year 2015 (MY2015), the DMHC has summarized them in an “at a glance” table format for each Timely Access Report Form. The tables display the following:

  • The name of the Timely Access Report Form (template), e.g. PCP or Enrollment
  • The affected data element (columns) from each Report Form;
  • The action taken, e.g. whether a previously required or requested data element was removed or a new data element added, and;
  • A brief description of the new data element or a description of the previously requested/required data element that is no longer required.    

2015 Contracted Provider Network information per California Code of Regulations, title 28, section 1300.67.2.2, subd. (g)(2)(G)(1)-(2)

In order to ensure compliance with Health and Safety Code section 1367.035 (added under Senate Bill 964), the DMHC has modified its Timely Access Provider Network report forms for the 2015 reporting year. Below please find the 2015 Timely Access report forms in a “locked” Excel format. Plans must utilize these templates to compile network data as of December 31, 2015. As a reminder, network templates are due to the Department no later than March 31, 2016.  

2015 Timely Access Provider Network Report forms

Please note that, in addition to submitting the network templates provided above, each Plan is also required to complete a “Plan Profile” in the DMHC's web portal. For assistance, see sample data for PCPs, Specialists, Mental Health, Other Contracted Providers, Hospitals and Clinics, Enrollment.  

Timely access report forms from previous measurement years are now available at the archive portion of our website. Plan data for Measurement Year 2015 must be submitted on the Excel templates provided above. The Department will not accept health plan network reports submitted on templates from prior years.  

2015 Timely Access and Network Adequacy Grievance Reporting Documents

For Measurement Year 2015, the Department has created a standardized template for which the health plans must submit data regarding network adequacy and timely access grievances as required by Health and Safety Code section 1367.035, subd. (a)(6).