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News Archives: 2015

Past news articles: 2017, 2016, 2015, 2014, 2013, 2012, 2002 – 2011
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Ten Percent Payment Reduction and Recoupment for Pharmacy ClaimsBudget/Payment Reduction12/28/2015
Timeliness Date Extended for Resubmission of DRG Claims Over 22 LinesClaims12/28/2015
DHCS Announces Launch of Pharmacy SurveyPharmacy12/22/2015
Correction: Emergency Room Indicator for Codes 93000, 93005 and 93010DHCS Notice12/22/2015
Additional Languages Available on CHDP Verifone VX 520 POS DeviceChild Health and Disability Prevention Program12/21/2015
EWC Program Consent to Participate Form Now Available in SpanishEvery Woman Counts12/18/2015
New Provider Bulletin Regarding Medi-Cal Application Fee RequirementsDHCS Notice12/16/2015
Correction: Two New Facility-Specific Add-Ons for LTC ReimbursementClaims12/16/2015
2016 CPT-4 and HCPCS Codes Not Yet AdoptedDHCS Notice12/15/2015
CHDP Gateway Presumptive Eligibility Enrollment LimitationChild Health and Disability Prevention Program12/14/2015
Two New Facility Specific Add-Ons for LTC ReimbursementClaims12/9/2015
February 2016 Medi-Cal Provider SeminarDHCS Notice12/8/2015
January 2016 Medi-Cal WebinarsOutreach & Education12/4/2015
Place of Service Clarification for Psychology Services BillingBilling12/3/2015
DRG Claims Erroneously Grouping to APR-DRG 951 and 952Claims12/2/2015
Erroneously Denied Antenatal Screening ClaimsClaims11/30/2015
Updates for CHDP Gateway and VeriFone VX 520 POS Device User GuidesChild Health and Disability Prevention Program11/24/2015
BCCTP Tutorial UpdatesDHCS Notice11/23/2015
IDPN Billed Separately as a Pharmacy BenefitBilling11/20/2015
Upcoming Physician-Administered Drug Reimbursement Rate UpdatesBilling11/19/2015
Hyperbaric Oxygen Therapy ICD-10 Diagnosis Code UpdatesICD-1011/18/2015
Update: RTDs for DRG Organ Procurement ClaimsClaims11/17/2015
2016 Medi-Cal Provider Training Dates and LocationsOutreach & Education11/17/2015
Claims Processing Issue with Global Split-Billable Procedure CodesClaims11/12/2015
Billing Tips: Paper ClaimsBilling11/10/2015
Update: Avoid Returned UB-04 Claims Due to Improper Placement of ICD IndicatorClaims11/9/2015
Providers: Bill Electronically and Avoid Delayed Claims ProcessingClaims11/5/2015
Update to Transmittal Form (MC 3020)Forms11/5/2015
January 2016 Webinar ScheduleDHCS Notice11/5/2015
DHCS is Working Closely with Counties on MEDS IssueDHCS Notice10/27/2015
Provider Training Workbooks Are Going GreenOutreach & Education10/22/2015
Correction: List of Enteral Nutrition Products Publication DatesDHCS Notice10/16/2015
Pregnancy Diagnosis with Aid Codes M9 and M0DHCS Notice10/8/2015
Updated Billing Policy for HCPCS Code A7048Billing10/6/2015
Updated Early Stage Breast Cancer Documentation CriteriaEvery Woman Counts10/6/2015
Special Handling Codes for Hospital AdmissionseTAR & TAR10/5/2015
Implementation Delayed for Breast Cancer Testing Rate AdjustmentClaims10/1/2015
ICD-10 Codes Accepted as Secondary Diagnosis for Incontinence SuppliesICD-109/23/2015
POS Device Update Underway for HIPAA ASC X12N v.5010A1 ComplianceDHCS Notice9/23/2015
Reversal of Void and Resubmission of Family PACT ClaimsClaims9/23/2015
Hospital PE Providers' Instructions Regarding FFY Applying for Hospital PEDHCS Notice9/21/2015
Correction: TAR Required for DenosumabeTAR & TAR9/17/2015
Providers: Be Sure to Regularly Check the Medi-Cal NewsFlash for UpdatesDHCS Notice9/17/2015
DRG Claims Erroneously Denied with RAD Code 9953Claims9/17/2015
DRG Claims Missing Obstetric Policy AdjustorClaims9/17/2015
Issue Resolved: Erroneously Issued Resubmission Turnaround DocumentsSystem9/4/2015
AEVS Eligibility Verification Message for Cal MediConnect RecipientsDHCS Notice9/4/2015
Update: MCP and Fee-For-Service Billing for Inpatient Stays at DRG HospitalsBilling9/4/2015
LTC Service Code 23 eTAR Attachment Issue: System Resolution in ProgresseTAR & TAR9/1/2015
DRG Claims Erroneously Denied with RAD Code 0314Claims8/31/2015
Clarifying the CMS/AMA Joint Announcement and Guidance Regarding ICD-10ICD-108/27/2015
Liletta Added as New Contraceptive BenefitDHCS Notice8/27/2015
Family PACT Updates: Benefits for IUCs and Subdermal Contraceptive ImplantsFamily PACT8/27/2015
New IHS/MOA Billing Instructions for Dual-Eligible MembersBilling8/26/2015
Correction: EPC Not Issued for Misidentified UPNClaims8/25/2015
AB 97 Pharmacy Drug Exemption Status UpdatePharmacy8/21/2015
Implementation of New CHDP Response MessageChild Health and Disability Prevention Program8/18/2015
Erroneously Denied Medi-Cal and Family PACT Claims for HCPCS Code J3490U6Claims8/17/2015
ICD-10 Provider Readiness SurveyICD-108/11/2015
Corrected UPN for Attends Underwear ProductBilling8/11/2015
October 2015 Medi-Cal Provider SeminarOutreach & Education8/11/2015
HCPCS Code for Management of Breast Cancer Treatment is a Covered BenefitDHCS Notice8/11/2015
Coverage Criteria for Wheelchairs and Wheelchair AccessoriesDHCS Notice8/6/2015
New FQHC Billing Instructions for Dual-Eligible MembersBilling8/6/2015
Update to Medi-Cal State Inmate Program TAR PolicyeTAR & TAR8/6/2015
Coverage Criteria for Wheelchairs and Wheelchair AccessoriesDHCS Notice8/6/2015
Medi-Cal County Inmate Program in DevelopmentDHCS Notice8/5/2015
2015 CPT-4/HCPCS Annual Update: Policy UpdatesDHCS Notice7/31/2015
Updated Effective Date: Dynamic Adjustable Knee Extension Identified as O&PDHCS Notice7/29/2015
New Response Message for CHDP ProgramChild Health and Disability Prevention Program7/28/2015
Erroneously Issued Resubmission Turnaround DocumentsDHCS Notice7/27/2015
Correction: Inpatient Claims for Long-Acting Reversible ContraceptivesClaims7/20/2015
Update: Treatment Policy for the Management of Chronic Hepatitis CDHCS Notice7/16/2015
September 2015 Medi-Cal Provider SeminarOutreach & Education7/15/2015
ACA Billing and Enrollment Requirements for ORP ProvidersBilling7/14/2015
Simeprevir and Sofosbuvir Utilization and Treatment Policy for Hepatitis CDHCS Notice7/10/2015
Update: Dental Services Billable Directly to Medi-CalBilling7/7/2015
ORP Provider Flyer is Available on the Medi-Cal WebsiteDHCS Notice7/7/2015
Additional Languages Available on CHDP Verifone VX520 POS DeviceChild Health and Disability Prevention Program7/7/2015
MIQS Project Incentives No Longer Available By July 31, 2015DHCS Notice7/6/2015
DRG Claims Denied with RAD Code 0341 Will ReprocessClaims7/6/2015
New RAD Codes Established for Medical Transportation ClaimsClaims7/6/2015
Update: DRG Claims Denied with RAD Code 9968 Will ReprocessClaims7/1/2015
Drug Use Review Educational Articles Manual Section Retired June 30, 2015Pharmacy6/30/2015
ACA Billing and Enrollment Requirements for ORP ProvidersDHCS Notice6/25/2015
New CalOptima Health Care Plan for Orange CountyDHCS Notice6/23/2015
CA-MMIS Health Enterprise: Specialty Programs Beneficiary Enrollment UpdatePrograms6/22/2015
August 2015 Medi-Cal Provider SeminarOutreach & Education6/19/2015
Denied CHDP Claims for Influenza Codes 53 and 71 to be ReprocessedClaims6/19/2015
State Budget Reimbursement ContingencyDHCS Notice6/16/2015
Viekira Pak™ Added to the Medi-Cal Contract Drugs ListDHCS Notice6/12/2015
PAVE System PresentationSystem6/10/2015
Online PASRR System Enrollment Instructions and Training ScheduleSystem6/10/2015
RAD Code 0008: Denials of Claims from LEA ProvidersClaims6/9/2015
2015 Updated IHS/MOA Reimbursement RatesDHCS Notice6/8/2015
Fiscal Year 2014 – 2015 Checkwrite Hold for Specific Provider PaymentsDHCS Notice6/4/2015
Update: June 2015 Medi-Cal WebinarsOutreach & Education6/4/2015
Medi-Cal Checkwrite Schedule Update for Fiscal Year 2015 – 2016DHCS Notice6/4/2015
Timeliness Waived to Request a Payment Adjustment for Long-Acting Reversible Contraceptives is extended to June 30, 2015DHCS Notice5/22/2015
Hospital Presumptive Eligibility Program Policy UpdatesDHCS Notice5/19/2015
Timeliness Waived to Request a Payment Adjustment for Long-Acting Reversible Contraceptives is extended to June 30, 2015Budget/Payment Reduction5/15/2015
CA-MMIS Health Enterprise: Beneficiary Enrollment in Specialty ProgramsPrograms5/15/2015
Timeliness Waived to Request a Payment Adjustment for Long-Acting Reversible Contraceptives is extended to June 30, 2015Budget/Payment Reduction5/15/2015
Timeliness Waived to Request Payment Adjustment for Medroxyprogesterone Acetate Injection for Contraceptive Use Billed with J1050 is extended to June 30, 2015DHCS Notice5/15/2015
Additional Beneficiaries Transitioned from CC to Medi-Cal MCPsDHCS Notice5/14/2015
Effective Date Change for HIPAA Code Conversion of Local Modifier ZSDHCS Notice5/13/2015
May Medi-Cal Update Bulletins: Posting Date DelayedDHCS Notice5/13/2015
Medical Transportation Code Conversion Frequently Asked QuestionsCode Conversion5/12/2015
Interim Solution Halts Erroneous Procedure Code DenialsDHCS Notice5/11/2015
Correction: MCP and Fee-For-Service Billing for Inpatient Stays at DRG HospitalsBilling5/5/2015
MCP and Fee-For-Service Billing for Inpatient Stays at DRG HospitalsBilling5/1/2015
July 2015 Medi-Cal Provider SeminarsOutreach & Education4/30/2015
Provider Participation Requested for PAVE Interactive DemonstrationsICD-104/27/2015
New Guidelines for Use of Psychotropic Medication with Foster ChildrenDHCS Notice4/23/2015
Updated AB 97 Reduction Implementation Dates for Pharmacy, DP/NF-B ProvidersDHCS Notice4/22/2015
2015 – 2016 Presumptive Eligibility Program Income Eligibility UpdateDHCS Notice4/21/2015
April Medi-Cal Update Bulletins: Posting Date DelayedDHCS Notice4/15/2015
MCP Disenrollment No Longer Required for MCWP RecipientsDHCS Notice4/10/2015
Medi-Cal Website Displaying Incorrect Checkwrite Dates for LTC ProvidersBudget/Payment Reduction4/8/2015
Update: Beneficiary Transition from Covered California Health Plans to MCPsDHCS Notice4/7/2015
New POS Device VeriFone VX 520 Replacing Omni 3300 Beginning April 2015POS Device/Network4/6/2015
TAR Policy Update: Medical Transportation Code ConversioneTAR & TAR4/6/2015
June 2015 Medi-Cal WebinarsOutreach & Education4/6/2015
CA-MMIS Health Enterprise System Release 2: CHDP Provider UpdateSystem4/3/2015
Void and Resubmit DRG Claims Over 22 Lines Prior to July 28, 2014Claims4/2/2015
New Family PACT and CHDP Sections for VeriFone VX 520 POS Device User GuidePOS Device/Network4/1/2015
DRG Claims Denied with RAD Code 9968 Will ReprocessDHCS Notice3/30/2015
CHDP Gateway User Guide Updated to Remove Healthy FamiliesChild Health and Disability Prevention Program3/30/2015
CA-MMIS Health Enterprise System Release 2: BCCTP Provider UpdateSystem3/27/2015
Implementation Update for AEVS to Provide Pending HCP Enrollment InformationDHCS Notice3/27/2015
CA-MMIS Health Enterprise System Release 2: Hospital PE Provider UpdateSystem3/27/2015
Medical Transportation Code Conversion Transition Period EstablishedCode Conversion3/26/2015
Clinical Advisory Regarding Ocular SyphilisDHCS Notice3/26/2015
Correction to Recommended Dose for Metastatic Non-Small Cell Lung CancerDHCS Notice3/18/2015
CCS Service Code Groupings UpdateDHCS Notice3/16/2015
Medical Transportation Code ConversionDHCS Notice3/11/2015
Transition from Covered California Health Plans to Medi-Cal Managed Care PlansDHCS Notice3/9/2015
Health and Behavior Assessment/Intervention: New BenefitDHCS Notice3/6/2015
Updated EWC 2015 Income Eligibility GuidelinesEvery Woman Counts3/6/2015
Medi-Cal State Inmate Program UpdateeTAR & TAR3/3/2015
ACA-Funded Benefit: Medi-Cal Incentives to Quit Smoking ProjectDHCS Notice3/2/2015
May 2015 Medi-Cal Provider SeminarsOutreach & Education2/26/2015
Sovaldi® and Harvoni® Added to the Medi-Cal Contract Drugs ListeTAR & TAR2/24/2015
AEVS Update Implemented to Display Pending HCP Enrollment InformationDHCS Notice2/24/2015
EPC for Claims Denied Under RAD Code 9898 for S0197 (Prenatal Vitamins)Claims2/20/2015
QAF Day Treatment Costs Payments Required Monthly for ICF/DD ProvidersBudget/Payment Reduction2/17/2015
Important Provider Information for Post-Mass DeactivationClaims2/17/2015
Beneficiary Transition from Covered California Health Plans to Medi-Cal MCPsDHCS Notice2/16/2015
Update: Paper TARs and SARs to be Discontinued in 2016eTAR & TAR2/6/2015
Update: AEVS to Display Pending Health Care Plan Enrollment InformationDHCS Notice2/6/2015
April 2015 Medi-Cal Provider SeminarsOutreach & Education2/5/2015
Effective Date Change: Hospice Care Requires Face-to-Face EncounterDHCS Notice2/5/2015
AB 97 Pharmacy Drug Exemption Status UpdatePharmacy2/3/2015
Updated Requirements for Lung Cancer Screening With Low-Dose CTClaims2/2/2015
Wheelchair Accessories: Billing Reminder and Documentation UpdateBilling1/30/2015
Paper TARs and SARs to be Discontinued in 2016eTAR & TAR1/30/2015
Important Update: Providing Care to Recipients with Pending ApplicationsDHCS Notice1/26/2015
Update: Security Changes to the Medi-Cal Website Transactions AreaDHCS Notice1/23/2015
AEVS Update to Display Pending Health Care Plan Enrollment InformationDHCS Notice1/22/2015
March 2015 Medi-Cal Provider SeminarsOutreach & Education1/21/2015
DHCS and Providers Team for Rollout of CA-MMIS Replacement SystemSystem1/16/2015
2015 CPT-4 and HCPCS Codes Not Yet AdoptedDHCS Notice1/8/2015
Reminder: Medi-Cal Payment Considered ‘Payment in Full’DHCS Notice1/2/2015