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.
Document Catalog:
- MOON FAQs (PDF) Download MOON FAQs (PDF)
- MOON Instruction Summary (PDF) Download MOON Instruction Summary (PDF)
- CMS Manual System - Pub 100-04 Medicare Claims Processing MOON Instructions (PDF) Download CMS Manual System - 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)
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