The following is an Affirmation Statement to all employees, practitioners, providers and patients of Clinicas del Camino Real, Inc. regarding decision making and incentives:

Practitioners are ensured independence and impartiality in making referral decisions that will not influence:

  • This statement affirms that the basis of all UM decision-making is based only on the existence of medical coverage, medical necessity, and appropriateness of care and service.
  • This statement affirms that CDCR does not specifically reward practitioner or other individuals for issuing denials of coverage or service of care.
  • There are no financial incentives for UM decision-makers that would encourage decisions to underutilize medical services, treatments, supplies, or devices.

Practitioners are ensured independence and impartiality in making referral decisions that will not influence:

  • Hiring
  • Compensation
  • Termination
  • Promotion
  • Any other similar matters
March 2016