Administrative Services

MedPOINT Management provides the administrative services related to Utilization Review Services, Claims, Eligibility, Health Plan Benefits, Quality Management, Grievances and Provider Relations.
Global Care Medical Group IPA Managed by MedPOINT Management. We Make Managed Care Manageable


Participating Providers have the right to request a review of the information obtained from primary sources during the credentialing process (e.g. malpractice carriers, state licensing boards, National Practitioner Data Bank). If you suspect any erroneous information is contained in your credentialing file and you would like to request a review, please contact Ann McMunn, Credentialing Supervisor, at 818 702-0100, extension 247 for details.
As always, it is MedPOINT Management's standard to immediately inform participating providers should information received in the credentialing process vary substantially from the information supplied by the provider


Please inform us of your scheduled Facility Site Review with L.A. Care. As you know, one of the criteria for maintaining your status as a participating provider with contracted health plans is a satisfactory score in both medical records and facility operation. If you participate in the Medi-Cal Managed Care Program, this includes criteria considered Critical by LA Care Health Plan and its Plan Partners. Overall scores <80% or a Critical Criteria score <90% on a L.A. Care Health Plan Facility Site Review will effectively close your practice site to new enrollment until you have successfully completed the Corrective Action Plan as outlined by LA Care's description of deficiencies. Please contact the Quality Improvement Department when you receive notice of LA Care Facility Site Review. Should you need assistance in preparing prior to the LA Care visit or in the implementation of a Corrective Action Plan, we can schedule a time for a Quality Improvement Specialist to make a visit to your practice site. The Quality Improvement Department can be reached at 818 702-0100, extension 231 or 247.


As you probably know by now, these is a state timeliness requirement for PM 160 INF forms. The PM 160 forms are due to the health plans by the 10th day of each month for the previous month's CHDP services.This means that MedPOINT must receive the completed forms by the 3rd of each month. Please note: Health Net has pre printed forms that can be submitted directly to them and they do not need to be routed to MedPOINT. Supplies of these forms will be sent to your office soon so the process can be expedited. There are a few quick tips to follow when filling out the forms:

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DIRECT REFERRALS (X): Diagnostic X‐Ray, Fluoroscopy, Mammography & Ultrasound

  •  Diagnostic X‐ray, Fluoroscopy, Mammography & Ultrasound are considered to be a direct referral and do not require prior authorization. Providers will submit all direct referral requests through MedPOINT Management’s provider web portal.‐portal/
  •  X‐Rays: Exams do not require an appointment. Patients are seen on a walk‐in basis and will be taken within the limits of the day’s schedule for Diagnostic X‐Ray. See site location list for hours that apply at each location.
  • Fluoroscopy, Mammography & Ultrasound: Exams require an appointment. Physicians are asked to call desired RadNet location for an appointment.

*Southern California Hospital at Culver City
*Southern California Hospital at Hollywood
*Los Angeles Community Hospital at Los Angeles
*Los Angeles Community Hospital at Norwalk
*Southern California Hospital at Van Nuys (behavioral health)
*Los Angeles Community Hospital at Bellflower (behavioral health)
Beverly Hospital--Montebello
California Hospital Medical Center*
Centinela Hospital Medical Center
Children’s Hospital of Los Angeles (Tertiary)
East LA Doctor’s Hospital
Glendale Adventist Medical Center
Hollywood Presbyterian Medical Center*
Huntington Memorial Hospital (Tertiary)
Long Beach Memorial Medical Center
Martin Luther King Jr. Community Hospital
Memorial Hospital of Gardena
Miller Children’s Hospital (Tertiary)
Providence Little Company of Mary – San Pedro & Torrance
San Gabriel Valley Medical Center
St. Francis Medical Center
St. Mary Medical Center
White Memorial Medical Group
Legend: * Full Risk Partners for Medi-Cal Enrollees

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