Provider Alert
June 23, 2022
Updated Facility and Medical Record Audit Criteria Go into Effect on July 1
On July 1, 2022, the California Department of Health Care Services (DHCS) will implement new tools and standards for scoring Facility Site Reviews (FSRs) and Medical Record Reviews (MRRs). CalOptima will use these updated standards when conducting FSR and MRR audits.

The changes to the FSR and MRR criteria cover subjects such as exit routes, emergency procedures, staff training, pharmaceutical services, infection control and sterilization. These updates align with local, state, and federal guidelines for preventive services, as well as recommendations for the American Academy of Pediatrics, U.S. Preventive Services Task Force, American College of Obstetricians and Gynecologists, and Advisory Committee on Immunization Practices.

For your convenience, CalOptima is sharing documents, presentations and videos of the new policies and DHCS trainings. These can be found at the links below:


Please review the documents with your staff and what modifications to your existing policies and procedures may be necessary.

Providers with questions regarding the updated FSR and MRR standards can contact Kathryn Noyes, RN, BSN, PHN, Quality Improvement Manager, via email at knoyes@caloptima.org.
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