Read the following Department of Health Care Services (DHCS) letters for information regarding Provider – Preventable Conditions. By clicking on these links, you will be leaving the IEHP website.
- APL 17-009 - Reporting Requirements Related to Provider Preventable Conditions (PDF) Download APL 17-009 - Reporting Requirements Related to Provider Preventable Conditions (PDF)
- DPL 17-002 - Reporting Requirements Related to Provider Preventable Conditions (PDF) Download DPL 17-002 - Reporting Requirements Related to Provider Preventable Conditions (PDF)
Medicare Outpatient Observation Notice (MOON)
In the event any Medicare recipient has been in a status of outpatient observation for greater than 24 hours, Acute Hospitals are required to provide Medicare Members with a Medicare Outpatient Observation Notice (MOON). Medicare recipients must receive the MOON within 36 hours of admission to observation level of care.
By clicking on this link, you will be leaving the IEHP website.
Document Catalog:
- MOON FAQs (PDF) Download MOON FAQs (PDF)
- MOON Instruction Summary (PDF) Download MOON Instruction Summary (PDF)
- CMS Manual System 10611_Pub 100-04 Medicare Claims Processing MOON Instructions (PDF) Download CMS Manual System 10611_Pub 100-04 Medicare Claims Processing MOON Instructions (PDF)
MOON Forms
- MOON English (PDF) Download MOON English (PDF)
- MOON Spanish (PDF) Download MOON Spanish (PDF)
- MOON Correspondence (PDF) Download MOON Correspondence (PDF)
Medicare-Medicaid (MMP) Quality Withhold Measures
- California Specific Quality Withhold Technical Notes for DY 2 to 8 (PDF) Download California Specific Quality Withhold Technical Notes for DY 2 to 8 (PDF)
- Core Quality Withhold Technical Notes for DY 2 to 10 (PDF) Download Core Quality Withhold Technical Notes for DY 2 to 10 (PDF)
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.