The California Department of Managed Health Care Social Services (DMHC) has issued guidance regarding health plan services during self-isolation orders. Health plans must continue to provide health care services and perform health plan functions. Plans may delay some services such as elective surgeries or other non-urgent procedures if the referring or treating provider, or the health professional providing triage or screening services, has determined and noted in the relevant record that a longer waiting time will not have a detrimental impact on the health of the enrollee.
Plans can communicate with enrollees electronically and/or telephonically if the plan does not have personnel available to mail hard copy information. Plans must maintain a record or log of such communications. (APL 20-008, March 18, 2020.)