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No Budget Information – New Value of Claims Process

July 1, 2008

If a budget is not passed in July 2008, the Department of Health Care Services (DHCS) anticipates that around the middle of July 2008, the Medical Providers Interim Payment (MPIP) Fund will be exhausted (Please check the Medi-Cal website to find out when the MPIP fund is exhausted). As a result, the new automated Value of Claims process will begin. All Medi-Cal providers whose held payments equal or exceed $5,000 will be automatically sent the Value of Claims letter on a weekly basis. This letter will be based on each Monday's “in process amount”, which will be cumulative each week. The letter will also inform providers about which programs he/she is owed payments and how much is owed for each program (Healthy Families, Medi-Cal, etc.). This letter will be sent to the “Pay-To” Address on file. Providers who have not updated their “Pay-To” Address with Provider Enrollment (supplemental application) may not receive this letter. Providers who need to update their “Pay-To” address, must do so with a cover memo to Provider Enrollment stating they are submitting the supplemental application for a Value of Claims letter. Providers who want this letter, have not received it and have a valid ‘Pay-To’ Address on file can contact the Telephone Service Center (TSC) after mid-July (or when the MPIP fund is exhausted) at 1-800-541-5555 and choose option 15, then option 13.  Once the budget passes, providers can expect to receive payment for their claims held during the budget impasse, and not due to the August payment hold, within five to thirteen days of enactment of the 2008-09 State budget.