Crossword Puzzle 2024

2. Health Plan’s mission is to “provide high quality healthcare for our members through community _____.
5. The Compliance _____ allows you to report anonymous/confidential non-compliance.
8. Values: We act with integrity and aim for _____ in all we do.
11. An _____ compliance program involves constant evaluating and improvement and includes consistent monitoring and auditing.
13. In 2024, Health Plan expanded to ALPINE and EL DORADO counties as _____ VALLLEY HEALTH PLAN.
14. The Health Plan has developed written policies and _____ to address operations and compliance activities to prevent Fraud, waste, and abuse and ensure adherence to all applicable laws, regulations and guidelines.
15. California _____ of Health Care Services (DHCS) contracts with health plans to deliver Medi-Cal services.
18. A situation in which a person is in a position to derive personal benefit from actions or decisions made in their official capacity.
20. Wrongful or criminal deception intended to result in financial or personal gain.

1. Required annual trainings include HEALTH INSURANCE PORTABILITY AND _____ ACT, HIPAA Privacy and Security, Fraud, Waste and Abuse.
3. Health Careers _____ program is a program to support students planning on becoming a medical or health care professional in the Central Valley.
4. The _____ describes the general principles that guide Health Plan business activities.
6. California Department of Managed Health Care (DMHC) _____ health plans in California through laws and regulations with a mission to protect consumers’ health care rights and ensures a stable health care delivery stem.
7. Under a Two-Plan model, DHCS contracts with one local health plan, a _____, and one commercial plan.
9. Welcome to _____ and Ethics Week.
10. SJC _____, as the governing body, is responsible for approving, implementing and monitoring a Compliance Program governing Health Plan’s operation.
12. Health Plan is governed by an_____ member Health Commission Appointed by the San Joaquin County Board of Supervisors.
16. Managed Care Plans are required to provide Diversity, Equity and _____ training program, a core part in creating a better relationship and connectivity with diverse members across populations disadvantaged by the system.
17. The Health Plan invests $100 million in a three-year COMMUNITY _____ PROGRAM for supporting innovation to lead to an improved local Medi-Cal delivery system.
19. You should always _____ your computer when you walk away.