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CDA Member FAQ re: Delta Dental 2023 Contractual Changes

Answers to members' questions about Delta Dental’s announced contractual changes announced for Jan 1. 2023.

Certification of Health Care Provider - Employees or Family Members Serious Health Condition

Use this CRD form to request certification from a health care provider for CFRA leaves due to the employee’s own serious health condition or that of a family member.

This for may be used for CFRA and non-CFRA medical leaves of absence or other requested accommodations due to a qualifying disability or serious heath condition.

Certification of Health Care Provider for Employee Return to Work

A form for use by California employers to comply with the California Family Rights Act (CFRA).

Certification of Health Care Provider for Pregnancy Disability Leave, Transfer and/or Reasonable Accommodation

Form for use by employee requesting leave of absence from work under CFRA because of pregnancy, disability or reasonable accommodation.

CFRA Designation Notice

Designation of a CFRA leave is a two-step process: employee notice of the need for a CFRA leave and employer designation of the leave as CFRA leave.

CFRA Documentation Checklist - For Employer Use Only

Checklist to ensure completion of all necessary documentation for an employee's CFRA leave request. For employer use only.

Change in Relationship Notice

Use this notice to document termination, permanent change in an employees schedule, decrease in pay and more. Employers must give immediate written notice to the employee of a change in the employment relationship.

Clinical Chart Documentation Guidelines

This guide demonstrates patient record best practices. Thorough and accurate patient records are one of your most important tools for telling the story of what happens during treatment.

Collections Agency FAQ

Answering frequent questions about third party collection agencies. Things to know to stay in compliance with HIPAA and CMIA while working to collect past due patient balances.

Communicating Radiation Safety to Your Patients

Are you confident your patients understand the necessity of diagnostic X-rays? Here are some of the questions you may get from patients and guidance on how to best respond.

Comprehensive Guide to California's Paid Sick Leave Law

All employers are required to provide a set amount of paid sick leave (PSL) to employees who work California. The law establishes minimum requirements, but employers have options with how they provide and manage the time. 

Conducting a Self-Audit

Info on practice management audits: practice strategic plan, production goals and revisions to schedule, chart audit, financial audit, billing, and how to update management policies and procedures.

Conducting Performance Evaluations

Provides best practice preparation and checklists for conducting performance evaluations. Includes sample form to document an evaluation of an employee's performance.

Confidential Health History Form (English & Spanish)

This form should be completed by each new patient or a new patient’s legal guardian. Additionally, this form should be reviewed at each patient appointment with changes noted and signed for. Used with permissions from TDIC.

Confirmation of Source Patient's Denial for Testing

Use form to document patient’s decision. The form is part of the Regulatory Compliance Manual. Updated Sept 2015.

Conflict Management

Resources that support the prevention and management of patient and team conflict.

Consent Form for Use or Disclosure of Patient Health Information

Use this sample form to obtain patient consent for use or disclosure of patient information as required by HIPAA and state law.

Consent to Prescribe Opioid to a Minor

Document prescriber’s discussion with a minor and guardian on opioid risks prior to prescribing the medication in non-emergency circumstances.

Considerations When Billing for an Associate

Overview of the payment arrangements to consider once an Associate begins providing treatment in a dental practice. 

Considerations When Hiring an Associate Checklist

Contains a list of legally required forms, regulatory and billing considerations as you prepare for your new associate.

Continuing Education Requirements and FAQ

This is a summary and FAQ of the Dental Board’s continuing education regulations. To determine if a CE provider is registered with the Dental Board, use the Department of Consumer Affairs database.

Copyright and Trademark Infringement

Brief compliance guidelines to consider for your practice website and promoting your practice online.

COVID Addendum to the IIPP

This sample addendum to the injury and illness prevention plan has been updated for consistency with the Cal/OSHA nonemergency COVID-19 prevention regulation effective in 2023

COVID-19 Booster Declination Form

This form should be used in tandem with your Mandatory COVID-19 Booster Policy.

 

COVID-19 Isolation and Exposure Protocol

On Jan. 9, 2024, CDPH updated its COVID-19 guidance documents on isolation and on testing. Cal/OSHA, on the same date, revised its FAQs which explain how CDPH changes impact the nonemergency COVID-19 Prevention regulation. CDPH changed the definition of “isolation period,” thus creating the possibility of a shorter isolation period for infected individuals. Cal/OSHA reinforced testing requirements for employees who are symptomatic at work or have close contact exposures at the workplace. Masks must be worn at the workplace by employees who return to work 10 or fewer days after they first experienced symptoms or had a positive test.

COVID-19 Isolation and Exposure Protocol

On Jan. 9, 2024, CDPH updated its COVID-19 guidance documents on isolation and on testing. Cal/OSHA, on the same date, revised its FAQs which explain how CDPH changes impact the nonemergency COVID-19 Prevention regulation. CDPH changed the definition of “isolation period,” thus creating the possibility of a shorter isolation period for infected individuals. Cal/OSHA reinforced testing requirements for employees who are symptomatic at work or have close contact exposures at the workplace. Masks must be worn at the workplace by employees who return to work 10 or fewer days after they first experienced symptoms or had a positive test.

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