Medi-Cal Update

Part 1 - Program and Eligibility | March 2020

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1. Loxapine Inhalation Powder Available as a Noncapitated Benefit

Effective for dates of service on or after February 1, 2020, loxapine inhalation powder is available as a noncapitated benefit for all Managed Care Plans (MCPs) except for the following Health Care Plans (HCPs):

Loxapine inhalation powder is a typical antipsychotic indicated for the acute treatment of agitation associated with schizophrenia or bipolar I disorder in adults.

Providers are encouraged to check the Medi-Cal website regularly for updates to the current list of contract drugs and MCP policy.

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

Provider Manual(s) Page(s) Updated
Part 1 mcp cohs (11); mcp gmc (11); mcp imperial (9); mcp two plan (10)
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2. AEVS: Carrier Codes for Other Health Coverage: March 2020 Update

The AEVS: Carrier Codes for Other Health Coverage list has been updated. These codes are updated monthly. Additions and deletions are shown in bold and underlined type on the updated provider manual pages. Updates are listed below.

Addition(s)
Code Carrier
C023 CLEAR SPRING HEALTH VALUE RX

Deletion(s)
Code Carrier Code Carrier
M517 UNITED HEALTHCARE DENTAL P320 PACIFICARE OF WASHINGTON
N028 UHC DENTAL – NATIONAL PACIFIC S381 SIERRA HEALTH CARE OPTIONS
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3. New Provider Web Page Coming Soon to the New Medi-Cal Provider Website

The Department of Health Care Services (DHCS) will launch a New Provider web page with the upcoming release of its new Medi-Cal Provider website.

This new web page will offer an organized location for critical information, helpful documents and charts, as well as key links that a “new provider” will need to ensure a successful setup and future as a provider within the Medi-Cal program.

The “New Provider” web page will include information on the following critical Medi-Cal subjects:

DHCS projects a spring 2020 launch. It is recommended that providers continually check the current Medi-Cal website for updates. Providers are also encouraged to subscribe to the convenient and free Medi-Cal Subscription Service (MCSS) to ensure they receive the latest policy news and program updates immediately and regularly.

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4. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:

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