HealthSmart Management Services Organization, Inc. is a full service MSO focused on process and results in Managed Care. Our Client’s consist of Independent Physician Associations (IPA’s), Medical Groups, Hospitals and Physician Practices. We strive to provide our Client’s and their contracted Health Plans, Providers and Patients with cost effective, coordinated and compliant services in a timely manner. Our goal is focused on assisting our Client’s in providing friendly and supportive "managed" care.
Participation in Federal Program Verification Requirement
Provider office(s) are required to conduct and review the Medi-Cal Suspended & Ineligible, Office of the Inspector General (OIG), and System for Award Management (SAM) list of Excluded Individuals and Entities (LEIE list) prior to the hiring, employing, or contracting of any new, temporary, volunteer employee(s), and/or consultants, and monthly thereafter, to ensure that none of these persons or entities are excluded or become excluded from participation in federal programs.
Health Net
Medi-Cal Provider Training
The purpose of this training is to provide an overview of the California Children's Services (CCS) and Genetically Handicapped Persons Program(GHPP), please click below.
ICD-10 Notification
ICD-10 diagnosis code set for October 1, 2015. Only claims with an ICD-10 diagnosis code on or after October 1, 2015 will be accepted based on Date of Service. Find more information, please click below.
Anthem - Standards of Ethical Business Conduct
Blue Shield of California- Code of Conduct
CalOptima 2018 Annual Trainings
CalOptima Model of Care
Model of Care Training 2016 and 2017
2017 Care1st SPN MOC Training
Care1st - Standard of Conducts Training 2016
Care1st - Fraud, Waste, and Abuse Training 2016
Central Health Plan - Model of Care
Model of Care Training 2017
Well Care/Easy Choice Model of Care
Easy Choice Model of Care Provider Training
D-SNP Model of Care training:
Molina Health Plan - Model of Care
Model of Care Training 2017
LA CARE Health Plan Cal MediConnect (CMC) Training
Molina Training 2016
Fraud, Waste, and Abuse & General Compliance Training
The Centers for Medicare & Medicaid Services ("CMS") require Health Plans to Provide Fraud, Waste and Abuse ("FWA") and General Compliance Training to their contracted first-tier, downstream and related entities ("FDRs"); as well as FDRs employees who are involved in administration or delivery of Medicare Part C and D and Medicaid benefits. This annual training must be completed and attested to. HealthSmart MSO and its contracted IPA’s utilize the Industry Collaboration Effort ("ICE") Medicare (and Medicaid) Compliance and Fraud/Waste/Abuse Training:
Please submit your signed Attestation for your Entity to: or Fax (714) 947-8708