Family PACT Update

July 2019 | Bulletin 142

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1. Update: Fiscal Intermediary Transition Frequently Asked Questions

The Department of Health Care Services (DHCS) California Medicaid Management Information System (MMIS) Division is engaged in a multi-year initiative to transition contracts for the Fiscal Intermediary (FI) responsible for the business operations of fee-for-service Medi-Cal.

The transition from the current vendor to the incoming FI, DXC Technology Services, LLC, shall occur on October 1, 2019, with a primary objective being a successful transition without disruptions to state programs, providers or beneficiaries.

As part of our commitment to keeping the provider community informed throughout this process, DHCS began releasing Frequently Asked Questions on the Medi-Cal website. The first round of FAQs was released in a previously published NewsFlash article titled “Fiscal Intermediary Frequently Asked Questions” The following questions and answers are a continuation of this effort.

FI Transition FAQs:

  1. Is Medi-Cal making any changes to Computer Media Claims (CMC)/electronic claim submissions or electronic attachments with the transition to the new FI on October 1, 2019?

    No. Medi-Cal is not making any changes to electronic claims or attachment submission requirements prior to October 1, 2019. Providers and/or submitters are not expected to reapply or retest as part of the vendor transition.

  2. Is Medi-Cal making any changes to the hours of operation for any of the provider or member support areas?

    All areas, with one exception, are retaining the same hours of operation for provider and member support. Effective October 1, 2019, the hours of operation for the Point of Service (POS) Helpdesk/ Internet Help Desk is 8 a.m. to 5 p.m., Monday through Friday, except holidays. Providers and submitters may need to update business or operational practices to align with this change.

  3. Will I need to submit my applications via a different portal from the Provider Application and Validation for Enrollment (PAVE)?

    No. If you currently enroll through PAVE, you will continue to enroll through PAVE. The transition to a new vendor does not impact provider enrollment processes or the PAVE provider enrollment portal PAVE.

  4. Will my current provider ID numbers change once the transition occurs?

    No. The transition will have no impact on provider ID numbers; current provider ID numbers will not change once the transition occurs. Additionally, Provider Identification Numbers (PINs) will not change.

  5. Will my application be fully processed if I am already in the enrollment process during the transition?

    The transition will have no impact on the provider enrollment process, or providers who are in the enrollment process during the transition.

  6. How will I be notified of further changes?

    Updates about the transition will be posted on the Medi-Cal website.

    To receive personalized email notifications with links to the most up-to-date information, providers may subscribe to the Medi-Cal Subscription Service (MCSS) MCSS Subscriber Form on the Medi-Cal website.

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2. Family PACT Updates Pharmacy Internal Condom Dispensing

Effective for dates of service on or after May 1, 2019, pharmacy dispensing for internal condoms under the Family Planning, Access, Care and Treatment (Family PACT) Program is updated from six units in a 27-day period to no more than 12 units per claim and no more than two claims in a 90-day period.

This information is reflected in the following provider manual(s):

Provider Manual(s) Page(s) Updated
Family PACT ben grid (24); pharmacy (4)
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3. Provider Orientation

Medi-Cal providers applying to become a Family Planning, Access, Care and Treatment (Family PACT) provider are required to attend a Provider Orientation per Welfare and Institutions Code (W&I Code), Section (ยง) 24005(k). The Provider Orientation training is delivered online and in person and includes information on comprehensive family planning, program benefits and services, client eligibility, provider responsibilities and compliance.

Each provider’s service location is required to be certified for enrollment in the Family PACT Program. Applicants who are enrolled in Medi-Cal in good standing and have submitted a Family PACT application packet may complete the Provider Orientation to certify a site for enrollment.

Each service location must designate one eligible representative to be the site certifier. The site certifier cannot certify multiple sites.

The medical director, physician, certified nurse practitioner or certified nurse midwife who is responsible for overseeing the family planning services rendered at the location to be enrolled is eligible to certify the site.

Provider Orientation details are posted on the Family PACT website at www.familypact.org and registration information can be found on the Family PACT Learning Management System (LMS) website at www.ofpregistration.org.

Upcoming In-Person Orientations

Sacramento
August 7, 2019
9:00 a.m. – 1:00 p.m.
Sierra Health Foundation
1321 Garden Highway
Sacramento, CA  95833
Oakland
September 17, 2019
10:00 a.m. – 2:00 p.m.
Oakland Endowment
2000 Franklin Street
Oakland, CA  94612

If there are any questions regarding the orientation process, providers may contact the Office of Family Planning at (916) 650-0414 or send an email to ProviderServices@dhcs.ca.gov.

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4. August 2019 Medi-Cal Provider Seminar

The August Medi-Cal provider seminar is scheduled for August 14 - 15, 2019, at the Long Beach Marriott in Long Beach, California. Providers can access a class schedule for the seminar by visiting the Provider Training page of the Medi-Cal Learning Portal (MLP) and clicking the seminar date(s) they would like to attend. Providers may RSVP by logging in to the MLP.

Throughout the year, the Department of Health Care Services (DHCS) and the California Medicaid Management Information System (CA-MMIS) Fiscal Intermediary (FI) for Medi-Cal, conduct Medi-Cal training seminars. These seminars, which target both novice and experienced providers and billing staff, cover the following topics:

Providers must register by July 31, 2019, to receive a hard copy of the Medi-Cal provider training workbooks on the date(s) of training. After July 31, 2019, the workbooks will be available only by download on the Medi-Cal Provider Training Workbooks web page of the Medi-Cal website.

Note:

Wi-Fi will not be provided at the seminar. Please plan accordingly.

Providers that require more in-depth claim and billing information have the option to receive one-on-one claims assistance, which is available at all seminars, in the Claims Assistance Room.

Providers may also schedule a custom billing workshop. On the Lookup Regional Representative web page, enter the ZIP code for the area you wish to search and click the “Enter ZIP Code” button. The name of the designated field representative for your area will appear on the map. To contact a regional representative, providers must first contact the Telephone Service Center (TSC) at 1-800-541-5555 and request to be contacted by a regional representative.

Providers are encouraged to bookmark the Provider Training web page and refer to it often for current seminar information.

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5. Get the Latest Medi-Cal News: Subscribe to MCSS Today

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The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails shortly after urgent announcements and other updates post on the Medi-Cal website.

Subscribing is simple and free!

  1. Go to the MCSS Subscriber Form

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  3. Customize your subscription by selecting subject areas for NewsFlash announcements, Medi-Cal Update bulletins and/or System Status Alerts

After submitting the form, a welcome email will be sent to the provided email address. If you are unable to locate the welcome email in your inbox, check your junk email folder.

For more information about MCSS, please visit the MCSS Help page.

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