DISTRIBUTION: : Senior Director, Health Services REVISION DATES: Medi-Cal: 04/20/16 initial; 04/19/17; *06/13/18 *Through 2017, Approval Date reflective of the Quality/Utilization Advisory Committee meeting date. Effective January 2018, Approval Date reflects that of the Physician Advisory Committee’s meeting date. Note Policy initially developed under the Healthy Kids Program 11/16/2005 –
DISTRIBUTION: : Senior Director, Health Services REVISION DATES: Medi-Cal: 04/20/16 initial; 04/19/17; *06/13/18 *Through 2017, Approval Date reflective of the Quality/Utilization Advisory Committee meeting date. Effective January 2018, Approval Date reflects that of the Physician Advisory Committee’s meeting date. Note – Policy initially developed under the Healthy Kids Program 11/16/2005
MPUP3078.docx