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Rady Children's Health Network

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Welcome to the new Rady Children's Health Network website.

You are here: Home / Providers / Provider Tools and Resources

Provider Tools and Resources

Follow the links below for more tools and resources you can use to assist your practice and help keep our members on the path to good health.

Speech Therapy

📄 Blank Request for School District Special Education Services
📄 Speech Communication to Speech Providers
📄 Transition to School District Therapy (guide to share with parents)

Quality Improvement Resources

To support your quality improvement efforts, RCHN provides a range of tools and resources:

  • ➡ RCHN HEDIS Tip Sheets: Measure definitions, coding guidance, and claim submission requirements
  • ➡ Blue Shield Promise HEDIS Tip Sheets

Community Outreach & Network Quality (CONQ) Team

Community Outreach & Network Quality (CONQ) team

The CONQ Team works seven days a week to engage patient families with open care gaps, connect families to their medical home, and address social drivers of health that may prevent access to care.

Using MyChart and phone outreach, the team supports practices in closing care gaps and improving preventive care outcomes across the network.

To contact the Community Outreach & Network Quality team, please fill out this form.

Request a Scorecard Review or Office Visit

Scorecard review and office visit support

Providers may request virtual or in-person meetings to review quality scorecards, patient lists, and improvement strategies.

During each visit, our team can:

  • Review your office-specific quality performance
  • Identify high-priority care gaps
  • Share evidence-based best practices for closing care gaps and referral services
Request a HEDIS/AMP Scorecard Review

Care Everywhere

Care Everywhere enables secure health information exchange between RCHN and other Epic-connected organizations, improving continuity of care and reducing duplicate testing.

Care Everywhere Tip Sheets

📄 Adding Columns to Your Schedule
📄 Front Desk Checkin: Request Patient’s Records from an Outside Organization
📄 Query An Outside Organization
📄 Reconcile Patient Information
📄 Request Update

Our Commitment to Quality

By aligning performance metrics, transparency, and collaborative improvement, RCHN and its providers continue advancing pediatric health outcomes across our region.

RCHN commitment to quality improvement

Government Agencies and Programs

  • California Department of Health Care Services (DHCS)
  • California Children’s Services (CCS) Paneled and Approved Providers
  • Child Health and Disability Prevention Program (CHDP)
  • Centers for Disease Control and Prevention (CDC)
  • Centers for Medicare & Medicaid Services (CMS)
  • Medical Services Initiative (MSI)
  • Medi-Cal Home Page
  • Women, Infants, and Children Program (WIC)

Sources

  • Blue Shield Promise California. HEDIS Tip Sheets (2024).
  • California DHCS. Managed Care Accountability Set (MCAS) Reports (2025).
  • Integrated Healthcare Association. Align. Measure. Perform. Program (2025).
  • National Committee for Quality Assurance. HEDIS (2025).

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Providers Links

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  • EZ-Net Portal
  • FAQs
  • HEDIS® Tools
  • Provider Dispute Process (Claims)
  • Non-Contracted Provider Resources
  • Provider Manual and Forms
  • Provider Tools and Resources
  • Quality Benchmarks
  • Provider Frequently Asked Questions

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Rady Children's Health Network
Mail: 3020 Childrens Way MC 5077
San Diego, CA 92123
Tel: (877) 276-4543 (M–F 8:00 am–5:00 pm)
TDD/TTY users dial 711

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