Welcome to HealthSmart MSO Inc.

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.

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If you think you have been exposed to COVID-19 and develop a fever and symptoms, such as cough or difficulty breathing, call your healthcare provider for medical advice.

Source: Centers for Disease Control and Prvention

Coronavirus Disease 2019 (COVID-19)
Additional Resources

WHY CHOOSE US

HealthSmart MSO, Inc. (HSMSO) is a management service organization serving the needs of providers in a managed care setting.

OUR MISSION

HealthSmart MSO's goal is to ensure its Managed IPA's, Medical Groups, Hospitals and Physician Practices have a coordinated cost effective delivery system where quality services to members and physicians are achieved.

OUR VISION

To motivate, facilitate, and create opportunities for our client’s and team. To provide compassionate quality care to our providers and their patients with integrity.

 
 

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.

Astiva Health Plan

Astiva Health Plan Documents

  • Coming Soon
Clever Care Health Plan

Clever Care Health Plan Documents

  • Coming Soon
Health Net

Health Net Model of Care

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.

Required Training:

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:

Access and Availability

We are committed to ensuring patients receive health care services in a timely manner applicable to the patient's condition. Our access and availability standards are based on the Department of Managed Health Care (DMHC) regulatory and National Committee of Quality Assurance.

All Primary Care and Specialist Physicians are responsible for providing timely appointment and telephone access to all patients.

Please submit your signed Attestation for your Entity to: Compliance@healthsmartmso.com or Fax (714) 947-8708