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Welcome to HealthSmart MSO Inc.

HealthSmart Management Services Organization, Inc. is a full service MSO focused on process and results in Managed Care. Our Client’s consist of Independent Physician Associations (IPA’s), Medical Groups, Hospitals and Physician Practices. We strive to provide our Client’s and their contracted Health Plans, Providers and Patients with cost effective, coordinated and compliant services in a timely manner. Our goal is focused on assisting our Client’s in providing friendly and supportive “managed” care.

Participation in Federal Program Verification Requirement

Provider office(s) are required to conduct and review the Medi-Cal Suspended & Ineligible, Office of the Inspector General (OIG), and System for Award Management (SAM) list of Excluded Individuals and Entities (LEIE list) prior to the hiring, employing, or contracting of any new, temporary, volunteer employee(s), and/or consultants, and monthly thereafter, to ensure that none of these persons or entities are excluded or become excluded from participation in federal programs.

CleverCare Health Plan

Coming Soon

Alignment Health Plan

Coming Soon


Coming Soon

HealthSmart MSO

Required Training:

Fraud, Waste, and Abuse & General Compliance Training

The Centers for Medicare & Medicaid Services (“CMS”) require Health Plans to Provide Fraud, Waste and Abuse (“FWA”) and General Compliance Training to their contracted first-tier, downstream and related entities (“FDRs”); as well as FDRs employees who are involved in administration or delivery of Medicare Part C and D and Medicaid benefits. This annual training must be completed and attested to. HealthSmart MSO and its contracted IPA’s utilize the Industry Collaboration Effort (“ICE”) Medicare (and Medicaid) Compliance and Fraud/Waste/Abuse Training:

Memorandums of Understanding for Targeted Case Management (TCM) and Specialty Mental Health Services (SMHS)

View the training and submit attestations in one of the following ways:

Care Management Overview

Individual Attestations:

View the course PDF and sign the attestation at the end. Or, distribute the course PDF  to practitioners in your group. 

Practitioners view the PDF and click the attestation link at the end of the course to gain completion.

Group Attestations:

Group administrator distributes the course PDF to practitioners in the group.

Group administrator downloads the MOU Group Attestation spreadsheet and follows the instructions on the first tab in the file.

Group administrator emails the completed Group Attestation spreadsheet to provider_education@blueshieldca.com.

APL 23-029 MOU Training Requirement For:

Transgender, Gender Diverse, and Intersex Cultural Competency

Access and Availability

We are committed to ensuring patients receive health care services in a timely manner applicable to the patient’s condition. Our access and availability standards are based on the Department of Managed Health Care (DMHC) regulatory and National Committee of Quality Assurance.

All Primary Care and Specialist Physicians are responsible for providing timely appointment and telephone access to all patients.

Please submit your signed Attestation for your Entity to: Compliance@healthsmartmso.com or Fax (714) 947-8708