Facility Site Review

Facility Site Reviews are the application of prescribed standards by the California Department of Health Care Services (DHCS) for all primary care provider (PCP) sites who wish to participate in the Medi-Cal Managed Care Program. Per the California Code of Regulations 22 CCR § 56230 and the DHCS All Plan Letter 22-017, all participating PCPs are required to 1) complete an initial facility site review and subsequent periodic full scope reviews and 2) complete corrective action plans (CAPs) within the DHCS-specified timeline for cited deficiencies. Full scope reviews are comprised of a completed DHCS facility site review (FSR), medical record review (MRR) and the Physical Accessibility Review Survey (PARS).

All network PCP sites receive:

• An Initial Facility Site Review (FSR) which is part of the credentialing process.
• New PCP sites must pass their Initial FSR and correct any noted deficiencies before being added to the Molina Medi-Cal network and receiving Molina member assignments.
• An Initial MRR is conducted approximately 3-6 months following the first member assignment.
• A Periodic Full Scope FSR and MRR are conducted every 36 months. If a site fails either the FSR or MRR audit, then site will undergo an annual full scope review.
• An Interim Monitoring Review is conducted every 18-months via an attestation form.
• Focused Reviews may be conducted as needed.