Medi-Cal Update

Multipurpose Senior Services Program | December 2017 | Bulletin 519

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1. Erroneously Denied MSSP Claims Will Be Reprocessed

A claims processing issue for claims billed with Multi-Purpose Senior Services (MSSP) local procedure codes Z8597 (Transportation), and Z8566 (Health care). These claims were erroneously denied with Remittance Advice Details (RAD) code 0095: This service is not payable due to a procedure, or procedure and modifier, previously reimbursed.

An Erroneous Payment Correction (EPC) will be issued for claims affected on or after July 1, 2015.

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2. Update: Online PDF RAD and Medi-Cal Financial Summary

In early 2018 providers will be able to securely view and download a PDF version of their paper Remittance Advice Details (RAD) and Medi-Cal Financial Summary. The PDF RADs will be available on the Medi-Cal website under the Transactions tab.

Note:

To access the transaction, providers must have a signed Medi-Cal Point of Service (POS) Network/Internet Agreement form on file, an NPI and PIN.

Benefits of PDF RAD
There will be many benefits to accessing RAD and Medi-Cal Financial Summary information online:

No provider payments will be made via PDF RADS. They will be informational only.

Providers should refer to future Medi-Cal Update bulletins for PDF RAD updates.

835 Transactions
Providers also are encouraged to sign up for the ASC X12N 835 transaction using the Electronic Health Care Claim Payment/Advice Receiver Agreement form (DHCS 6246). The form is located on the Forms page of the Medi-Cal website. The Medi-Cal website contains 835 transactions generated for the last six weeks. For information about 835 transactions, providers may refer to “ASC X12N 835 Transaction” in the Part 1 Medi-Cal provider manual section, Remittance Advice Details (RAD): Electronic.

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3. Correction: NDC Labeler Code for UCB PHARMA, INC.

The Drugs: Contract Drugs List Part 5 – Authorized Drug Manufacturer Labeler Codes section incorrectly listed UCB PHARMA, INC. with NDC labeler code 50458. The correct NDC labeler code is 50474.

The Drugs: Contract Drugs List Part 5 – Authorized Drug Manufacturer Labeler Codes section is updated to reflect the correct NDC labeler code.

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

Provider Manual(s) Page(s) Updated
Adult Day Health Care Centers
AIDS Waiver Program
Chronic Dialysis Clinics
Clinics and Hospitals
Expanded Access to Primary Care Program
General Medicine
Heroin Detoxification
Home Health Agencies/Home and Community-Based Services
Hospice Care Program
Multipurpose Senior Services Program
Obstetrics
Pharmacy
Rehabilitation Clinics
drugs cdl p5 (10)
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4. VeriFone VX 520 POS Device to Decommission in July 2018

In July 2018, the VeriFone VX 520 Point of Service (POS) device will be decommissioned. Providers may contact the POS Help Desk at 1-800-541-5555 (option 5, followed by option 6) for information about the decommission and for options.

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5. 2018 Medi-Cal Provider Training Schedule

The 2018 Medi-Cal provider training schedule is now available. Providers can access Medi-Cal training information and registration details by clicking on the Outreach & Education slideshow area of the Medi-Cal website homepage or by visiting the Training Calendar web page of the Medi-Cal Learning Portal (MLP).

Training Date Webinar or Seminar Location Address
January 2 – 31 Webinar Information posted on the Medi-Cal website
February 13 – 14 Seminar Ontario
Ontario Airport Hotel & Conference Center
700 North Haven Ave.
Ontario, CA  91764
March 13 Seminar Redding
Red Lion Hotel Redding
1830 Hilltop Drive
Redding, CA  96002
April 18 – 19 Seminar Escondido
California Center For The Arts
340 N. Escondido Blvd.
Escondido, CA  92025
May 15 – 16 Seminar Fresno
Double Tree Hilton
2233 Ventura Street
Fresno, CA  93721
June 5 – 28 Webinar Information to be posted on the Medi-Cal website
July 17 – 18 Seminar Alhambra
Almansor Court
700 S. Almansor Court St.
Alhambra, CA  91801
August 14 – 15 Seminar Sacramento
Sacramento Marriott
11211 Point East Drive
Rancho Cordova, CA  95742
September 18 – 19 Seminar Long Beach
Long Beach Marriott
4700 Airport Plaza Drive
Long Beach, CA  90815
October 16 – 17 Seminar Concord
Crown Plaza
45 John Glen Drive
Concord, CA  94520
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6. January 2018 Medi-Cal Provider Training Webinars

Beginning January 2, 2018, and continuing throughout the month of January, Medi-Cal providers may participate in provider training webinars:

Providers will be able to print class materials and ask questions during the training sessions. Recorded webinars will be archived and available for on-demand viewing from the MLP.

To view the webinars, providers must have internet access and a user profile in the MLP. Detailed instructions about the registration process and how to access webinar classes are available on the Outreach & Education web page of the Medi-Cal website.

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7. 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 for urgent announcements and other updates shortly, after posting on the Medi-Cal website.

Subscribing is simple and free!

  1. Go to the MCSS Subscriber Form
  2. Enter your email address and ZIP code
  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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8. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:

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Note:

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