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Children First Medical Group's
Partnership with
Overview
Children First Medical Group, Inc. (CFMG) is continuing the member outreach text messaging program with a new vendor, Luma Health (Luma), in October 2022.
The text messaging Healthcare Reminders assist our primary care physicians by contacting members via text to close care gaps for wellness visits, immunizations, or screening tests such as lead levels.
The text messaging Healthcare Reminders will help CFMG improve the preventative health of our members using standard NCQA HEDIS measures as specified by Alameda Alliance for Health and Anthem Blue Cross.
The Luma Healthcare Reminders will revolve around HEDIS measures, specifically wellness visits, immunizations, and lead screening to help CFMG achieve the minimum performance level (MPL) of the 50th percentile for each measure.
Program Details
In October 2022, Luma began reaching out to some of your patients through SMS text messages and or phone calls.
Please note that the SMS messages will be sent under the name of Children First Medial Group and the practice name. Participating members will be encouraged to schedule appointments to remain up to date on specific health measures such as Annual Wellness Visits and Childhood Immunizations; but the physician will be the exact name of the member's physician/practice name at the time the list is generated.
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WHAT IS THE STATUS OF MY AUTHORIZATION REQUEST?As a reminder, routine requests are processed within 5 working days; urgent requests within 72 hours, and post-service requests within 30 calendar days. If your request is within these time frames, please be patient.
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HOW DO I REQUEST A DATE EXTENSION FOR AN AUTHORIZATION?Fax the authorization letter with your requested extension date to (510) 450-5868 or call the Utilization Management department at (510) 428-3489.
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WHERE DO WE REFER MEMBERS WHO CANNOT BE SEEN AT UCSF BENIOFF CHILDREN’S HOSPITAL OAKLAND DUE TO AGE?Check the Health Plan website for a contracted provider, call the provider for availability, and submit the authorization request to CFMG.
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HOW DO I GET A LISTING OF APPROVED CHILDREN FIRST MEDICAL GROUP (CFMG) SPECIALIST?At www.childrenfirstmedicalgroup.org, navigate to the “Provider Directories” in the bottom left. You can search by specialty, the doctor’s name, by city or by county.
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HOW DO I FIND A LISTING OF CFMG OBSTETRICIAN/GYNECOLOGISTS?Visit AlamedaAlliance.org to find a physician. CFMG does not have OB/GYN’s in our network as OB services are Health Plan responsibilities.
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DOES CFMG COVER PODIATRY?Yes, Podiatry is a Health Plan benefit for Alameda Alliance for Health, you will need to complete a CFMG Request for Authorization Form for visits. Refer to the Health Plan website for a listing of Podiatrists. CFMG does not have Podiatrists in our network.
Frequently Asked Questions