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 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 Training Program for network providers inclusive of Compliance items and Utilization Management Protocols and Policies. All network providers are required to review and attest annually to completing the trainings using the 2023 Annual Provider Training Attestation Form.

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

Resources

HEDIS

Templates