Providers are invited and encouraged to subscribe to the Medi-Cal Subscription Service (MCSS), where subscribers receive email notification of urgent, high-impact announcements and/or monthly Medi-Cal Update bulletins when posted on the Medi-Cal website. Subscribers can choose specific provider communities or subject matters, making it easier to stay up-to-date on the latest Medi-Cal news.
Subscribing to MCSS is easy; go to the MCSS Subscriber Form on the Medi-Cal website and complete the following steps:
If subscribers are unable to find the subscription confirmation email in their inbox, they should check their junk email folder.
For more information about MCSS, please visit the MCSS Help page.
Effective for dates of service on or after May 1, 2013, the following cervical screening codes are restricted to women ages 21 through 65 regardless of sexual history:
|88142||Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision|
|88143||with manual screening and rescreening under physician supervision|
|88147||Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision|
|88148||screening by automated system with manual rescreening under physician supervision|
|88164||Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision|
|88165||with manual screening and rescreening under physician supervision|
|88167||with manual screening and computer-assisted rescreening using cell selection and review under physician supervision|
|88174||Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision|
|88175||with screening by automated system and manual rescreening or review under physician supervision|
Reimbursement may be made for services provided to women younger than 21 years or over the age of 65 who have, or do not have, a cervix. However, the ordering provider must document on the laboratory order, and the laboratory provider must document in the Remarks field (Box 80)/Reserved for Local Use field (Box 19) of the claim (or attached to the claim) that the woman meets one or more of the following:
Effective April 1, 2013, Computer Media Claims (CMC) submissions will only be accepted in the HIPAA 5010 format. All ASC X12N 837 v.4010A1 transactions submitted on or after April 1, 2013, will be deleted with CMC error codes 58: Media type/claim type not valid for this submitter and 55: Submitter/claim type not approved for included attachment.
Medi-Cal providers seeking enrollment in the Family PACT (Planning, Access, Care and Treatment) Program are required to attend a Provider Orientation. Dates for upcoming orientations are listed below. Registration opens at 8 a.m. and the orientation begins promptly at 8:30 a.m.
Individual and group providers wishing to enroll must send a physician-owner to the session. Non-profit and government clinics seeking to enroll must send their medical director, physician or nurse practitioner who is responsible for oversight of medical services rendered at the service site where the provider wants to enroll.
Office staff members, such as clinic managers, billing supervisors and client eligibility enrollment supervisors, are welcome to attend. However, these staff members are not eligible to receive a Certificate of Attendance. Online modules and previously recorded webcasts are available on the Family PACT website for currently enrolled providers and their staff to view to remain current with program policies and services.
Provider Orientation Highlights
Please note the upcoming provider orientation sessions:
To register for an orientation, providers should:
Registration is to be submitted in an electronic format. If you experience problems using the “submit” button, please fax the registration form to (916) 440-5634.
Check-in begins at 8 a.m. Orientation sessions start promptly at 8:30 a.m. and end by 4 p.m. At the orientation session, providers must present the following:
Note: Individuals representing a clinic or physician group should use the clinic or group NPI, not an individual NPI or license number.
Certificate of Attendance
Upon completion of the orientation session, each prospective new Family PACT medical provider will receive a Certificate of Attendance.The original certificate will be retained by the Department of Health Care Services (DHCS), Office of Family Planning, Family PACT Provider Enrollment, along with your completed Family PACT application. Providers arriving late or leaving early will not receive a Certificate of Attendance. Currently enrolled Family PACT providers do not receive a certificate.
For more information about the Family PACT Program, please call 1-800-942-1054 or visit the
Family PACT website.
The Family PACT Program was established in January 1997 to expand access to comprehensive family planning services for low-income California residents.
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