California still requires masks to be worn in health care settings. Patients, physicians and staff will be required to continue wearing masks at all Facey locations. Everyone over age 12 is now eligible to receive the COVID-19 vaccine in California. Learn more.

Utilization Management Policy

Procedures and Criteria are Disseminated to Members Upon Request.

Disclosure Notice:
The materials provided to you are guidelines used by the medical group to authorize, modify or deny care for persons with similar illnesses or conditions. Specific care and treatment may vary depending on individual need and benefits covered under your contract. Those are guidelines and do not constitute the standard of care.

  • Facey Medical Group will disclose a list of network providers to members, upon request.
  • Utilization Management medical clinical guidelines will be disclosed to members and practitioners, upon request.
  • All Utilization Management decisions are based on appropriateness of care and service
  • Facey Medical Group/Foundation does not compensate practitioners for individual denials.
  • Facey Medical Group/Foundation does not offer incentives to encourage denials.
  • Facey Medical Group/Foundation does not have the financial incentives that would encourage decisions that would impact under/over-utilization of care, service or available member benefits.

For questions or concerns that are related to a referral that your provider has submitted, patients can telephone our main Utilization Management number, 818-837-5660. Hearing or speech-impaired members (TTY users) can call 711 relay services. Collect calls are accepted for patient referral matters, and Spanish speaking staff members are available.

If a patient wishes to file a grievance: contact one of our Patient Liaison Offices.

Again, collect calls are accepted by the Utilization Management Department only for Patient Referral. The general number is: 818-837-5660

Contact Us

VIP Urgent Care Tarzana

Med Center Simi Valley

VIP Urgent Care Simi Valley

Clinical Research Center

Burbank Urgent Care

Mission Hills Annex

Woodland Care Center - Reseda

Astoria Skilled Nursing and Rehabilitation Center

Facey Medical Group - Valencia Specialty & Women's Health Center

Facey Medical Group - Porter Ranch Plaza

The general number is: 818-837-5660