As the local health plan of choice, the mission of the Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Compliance Program is to support our partners with respect, integrity and clarity. Our vision is to be a trusted partner in Compliance and Service. The program establishes and enforces compliance with ethical standards, Health Plan policies and procedures (P&P), contract requirements and applicable federal and state laws and regulations. To review our Compliance Program Plan, please click HERE.

FWA policies & procedures

• CMP01 – Response and Prevention of Compliance Violations – English
• CMP01 – Response and Prevention of Compliance Violations – Spanish
• CMP01 – Response and Prevention of Compliance Violations – Chinese
• CMP02 Records Management and Retention – English
• CMP02 Records Management and Retention – Spanish
• CMP02 Records Management and Retention – Chinese
• CMP03 – Code of Conduct and Ethics – English
• CMP03 – Code of Conduct and Ethics – Spanish
• CMP03 – Code of Conduct and Ethics – Chinese
• CMP04 – Civil Rights Act – English
• CMP04 – Civil Rights Act – Spanish
• CMP04 – Civil Rights Act – Chinese
• CMP05 – Fraud Waste and Abuse – English
• CMP05 – Fraud Waste and Abuse – Spanish
• CMP05 – Fraud Waste and Abuse – Chinese
• CMP12 – Non-Retaliation for Reporting Violations – English
• CMP12 – Non-Retaliation for Reporting Violations – Spanish
• CMP12 – Non-Retaliation for Reporting Violations – Chinese
• CMP18 – Public Records Act Requests – English
• CMP18 – Public Records Act Requests – Spanish
• CMP18 – Public Records Act Requests – Chinese
• CMP23 – Conflict of Interest – English
• CMP23 – Conflict of Interest  – Spanish
• CMP23 – Conflict of Interest – Chinese
• CMP30 – Legal Claims and Judicial Review – English
• CMP30 – Legal Claims and Judicial Review – Spanish
• CMP30 – Legal Claims and Judicial Review – Chinese

HIPAA policies & procedures

• HPA03 – Designation of Privacy Officer and Security Officer – English
• HPA03 – Designation of Privacy Officer and Security Officer – Spanish
• HPA03 – Designation of Privacy Officer and Security Officer – Chinese
• HPA07 Reporting and Mitigating Suspected Privacy & Security Incidents & Breaches – English
• HPA07 Reporting and Mitigating Suspected Privacy & Security Incidents & Breaches – Spanish
• HPA07 – Reporting and Mitigating Suspected Privacy & Security Incidents & Breaches – Chinese
• HPA10 Whistleblowers and Workforce Crime Victims – English
• HPA10 Whistleblowers and Workforce Crime Victims – Spanish
• HPA10 Whistleblowers and Workforce Crime Victims – Chinese
• HPA11 – Changes in HIPAA Law -English
• HPA11 – Changes in HIPAA Law -Spanish
• HPA11 – Changes in HIPAA Law -Chinese
• HPA16 – Notice of Privacy Practices – English
• HPA16 – Notice of Privacy Practices – Spanish
• HPA16 – Notice of Privacy Practices – Chinese
• HPA21 – Member Rights for Use and Disclosure of Protected Health Information (PHI) – English
• HPA21 – Member Rights for Use and Disclosure of Protected Health Information (PHI) – Spanish
• HPA21 – Member Rights for Use and Disclosure of Protected Health Information (PHI) – Chinese
• HPA34 – Use of Member PHI, PII -English
• HPA34 – Use of Member PHI, PII -Spanish
• HPA34 – Use of Member PHI, PII -Chinese
• HPA42 – Safeguarding Protected Health Information Personally Identifiable Information – English
• HPA42 – Safeguarding Protected Health Information Personally Identifiable Information – Spanish
• HPA42 – Safeguarding Protected Health Information Personally Identifiable Information – Chinese
• HPA43 – Policy Member Rights for Protected Health Information – English
• HPA43 – Policy Member Rights for Protected Health Information – Spanish
• HPA43 – Policy Member Rights for Protected Health Information – Chinese
• HPA44 – Sensitive Services – English
• HPA44 – Sensitive Services – Spanish
• HPA44 – Sensitive Services – Chinese

Public Forms

• CMP30 – Exhibit A Claims for Damage and Injury – English
• CMP30 – Exhibit A Claims for Damage and Injury- Chinese
• CMP30 – Exhibit A Claims for Damage and Injury – Spanish

Member Forms

• Member Authorization for Use and Disclosure of PHI English
• Member Authorization for Use and Disclosure of PHI Spanish
• Member Authorization for Use and Disclosure of PHI Chinese
• Member Authorization to Revoke a Previous Authorization English
• Member Authorization to Revoke a Previous Authorization Spanish
• Member Authorization to Revoke a Previous Authorization Chinese
• Member Caregiver Affidavit English
• Member Caregiver Affidavit Spanish
• Member Caregiver Affidavit Chinese
• Member Request for Accounting of Disclosures English
• Member Request for Accounting of Disclosures Spanish
• Member Request for Accounting of Disclosures Chinese
• Member Request for Confidential Communications English
• Member Request for Confidential Communications Spanish
• Member Request for Confidential Communications Chinese
• Member Request to Access Health Information English
• Member Request to Access Health Information Spanish
• Member Request to Access Health Information Chinese
• Restriction Form English
• Restriction Form Spanish
• Restriction Form Chinese