Provider Resources

Compliance Program

Help Us Help You

Network Medical Management has published a Compliance Program, which reflects our attention to caring for all of our providers and members' guidance to ensure that our business is conducted in an ethical manner. Your adherence to complying with our Compliance Program is absolutely critical to our mutual success in delivering quality care.

If you have any questions or concerns, please contact our Compliance Department via phone, fax, email, or mail.

Compliance Hotline: (626) 943-6286
Fax: (626) 943-6329
Email: fwacompliance@networkmedicalmanagement.com
Mailing Address: 1680 South Garfield Ave. #2017 Alhambra, CA 91801 (please address to NMM Compliance Department)

Provider Compliance Training

Network Medical Management (NMM) is committed to conducting its business operations with the highest ethical standards and in full compliance with healthcare industry standards and regulations and all applicable Federal and State laws. In keeping with this pledge, NMM has implemented a comprehensive Compliance Training Program for network providers. All network providers are required to review and attest to completing the following trainings on an annual basis: Fraud Waste and Abuse, Model of Care, and General Provider Training.

How to complete this training: Providers and staff must review one of the materials below pertaining to FWA and General Compliance, then complete the Fraud, Waste, and Abuse (FWA) Attestation form and return to the Provider Relations Department.

How to complete this training: Providers and staff must review all applicable materials below, then complete the Model of Care (MOC) Attestation form and return to the Provider Relations Department.

  • Alignment SNP MOC Training 2019 - 2020

    Download PDF
  • Blue Shield Promise Cal MediConnect and Dual-Eligible Special Needs Plan Training 2021

    Download PDF
  • Blue Shield Promise MOC Provider Attestation 2021 - COMPLETE THIS ATTESTATION FORM AND RETURN TO PROVIDER RELATIONS

    Download PDF
  • Brand New Day SNP MOC Training 2019 - 2020

    Download PDF
  • Central Health Plan SNP MOC Training 2019 - 2020

    Download PDF
  • Central Health Plan SNP MOC Training 2019 - 2020

    Download PDF
  • Easy Choice SNP MOC Self - Study 2019 - 2020

    Download PDF
  • Health Net SNP MOC Training 2019 - 2020

    Download PDF
  • L.A. Car e - Cal MediConnect Training 2019 - 2020

    Download PDF
  • Molina Healthcare MOC Training 2020

    Download PDF
  • SCAN Health Plan SNP MOC Training 2019 - 2020

    Visit Website
  • United Healthcare SNP MOC T raining 2019 - 2020

    Download PDF

How to complete this training: Providers and staff must review all materials below, then complete the General Compliance Training Attestation form and return to the Provider Relations Department.

Provider Relations Contact

For questions regarding any of the annual provider trainings, please contact your IPA Provider Relations team. All Attestation forms shall be returned to the corresponding IPA Provider Relations team.

For questions regarding any of the annual provider trainings, please contact your IPA Provider Relations team. All Attestation forms shall be returned to the corresponding IPA Provider Relations team.

Allied Pacific IPA

Email: ProviderRelationsDept@networkmedicalmanagement.com
Fax: (626) 943-6375
Phone: (626) 943-6100


Alpha Care Medical Group

Email: ACMGProviders@networkmedicalmanagement.com
Fax: (626) 521-6147
Phone: (626) 282- 0288 ext. 5445


Accountable Health Care IPA

Email: Provider.InquiriesAH@networkmedicalmanagement.com
Fax: (626) 226-1567
Phone: (626) 282- 0288 ext. 5420


Access Primary Care Medical Group   

Email: ProviderInquiriesAPCMGDept@networkmedicalmanagement.com
Fax: (626) 226-1522
Phone: (626) 282- 0288 ext. 5554


Beverly Alianza IPA

Email: ProviderInquiriesBAIPA@networkmedicalmanagement.com
Fax: (626) 226-1738
Phone: (626) 282- 0288 ext. 5557


All Others

  • Advantage Health Network IPA
  • Arroyo Vista Medical Group
  • Community Family Care Medical Group
  • Emanate Health IPA
  • Greater Orange County Medical Group
  • Greater San Gabriel Valley IPA
  • La Salle Medical Associates IPA

Email: ProviderNetworkOperations.Dept@networkmedicalmanagement.com
Fax: (626) 943-6309
Phone: (626) 282- 0288

Additional Compliance Resources

  • APL Highlights

  • DHCS Managed Care All Plan Letters

    Visit Website
  • DHCS Providers and Partners

    Visit Website
  • Provider Enrollment FAQ 5.31.2018

In accordance with the Network Medical Management group policy, all providers, vendors, and contractors are prohibited from contracting with Excluded Parties.

  • If you need to obtain a copy of a specific policy, please contact our Provider Services Department from Monday to Friday between 9:00 AM and 5:00 PM PST at (626) 943-6100.

    • Breach of Protected Health Information
    • Identifier Standards
    • Privacy
    • References
    • Security
    • Transactions and Code Sets
  • Sample Employee Training and Screening Tracker

    Download PDF

Health Education

  • California Children’s Services Conditions

    Download PDF
  • NMM California Children’s Services (CCS) Training

    Download PDF
  • NMM Sterilization and Informed Consent Training

    Download PDF
  • Interdisciplinary Care Team (ICT) Training

    Download PDF
  • Blue Shield Promise Health Education Link

    Visit Website
  • California Department of Developmental Services Regional Centers

    Download PDF
  • Dietary Guide for Americans

    Visit Website
  • LA Care Health Education Link

    Visit Website
  • Medi-Cal Early & Periodic Screening Diagnosis & Treatment For Children & Young Adults

    Download PDF
  • Sterilization - Consent Form PM 330 Department of Health Services

    Download PDF
  • Sterilization - Permanent Birth Control for Men

    Download PDF
  • Sterilization - Permanent Birth Control for Men (Spanish)

    Download PDF
  • Sterilization - Permanent Birth Control for Women

    Download PDF
  • Sterilization - Permanent Birth Control for Women (Spanish)

    Download PDF
  • WIC Program Guide

    Download PDF

HEDIS

Templates