Medi-Cal Update

Therapies | May 2018 | Bulletin 512

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1. A New Way to Subscribe – Contact Medi-Cal Subscription Service Representatives

Medi-Cal is committed to keeping you up-to-date on the latest Medi-Cal news and policy updates.

The Medi-Cal Subscription Service (MCSS) is a free service that provides subscribers with personalized email notifications for urgent, high-impact announcements and monthly news/policy updates as they post to the Medi-Cal website.

Providers can now contact MCSS representatives directly at MCSSCalifornia@conduent.com to subscribe and for assistance with managing subscriptions. Subscribing is simple and free!

If you have not yet subscribed to MCSS, Medi-Cal encourages you to utilize one of the following two methods to subscribe.

To subscribe by email:

  1. Download the linked MCSS Subscriber Form

  2. Enter your name, email address, ZIP code and subscriber type in the appropriate fields

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

  4. Attach your completed form to an email and send to MCSSCalifornia@conduent.com

To subscribe online:

  1. Go to the MCSS Subscriber Form page on the Medi-Cal website

  2. Enter your email address and ZIP code, and select a subscriber type from the drop-down menu

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

  4. Click “Subscribe Now” at the bottom of the page

After the form has been received, 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, visit the MCSS Help page.

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2. Updated Reimbursement Rates for Select DME Codes

Effective retroactively for dates of service on or after October 1, 2017, the rental and/or purchase reimbursement rates for the following Durable Medical Equipment (DME) codes are updated:

E0140 E1020 E2228 K0044 K0070
E0149 E1028 E2368 K0045 K0071
E0197 E2206 E2369 K0046 K0072
E0955 E2220 E2370 K0047 K0073
E0967 E2221 E2375 K0050 K0077
E0985 E2222 K0042 K0051 K0098
E0995 E2224 K0043 K0052  

An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims. No action is required of providers.

For more information, providers may refer to the Medi-Cal Rates page on the Medi-Cal website.

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

Provider Manual(s) Page(s) Updated
Durable Medical Equipment
Orthotics and Prosthetics
Pharmacy
Therapies
dura cd (4, 6, 23, 25, 28–30, 33, 35)
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3. Frequency Limit Corrections for Orthotic Codes

Effective retroactively for dates of service on or after July 1, 2015, frequency limits for HCPCS codes L2200 (addition to lower extremity, limited ankle motion, each joint), L2210 (addition to lower extremity, dorsiflexion assist [plantar flexion resist], each joint) and L2220 (addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint) have been modified and are reimbursable twice in 12 months. Affected claims will be reprocessed via an Erroneous Payment Correction (EPC) for services provided on or after July 1, 2015.

Effective for dates of service on or after June 1, 2018, the frequency limit for HCPCS code A5500 (for diabetics only, fitting [including follow-up], custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe) is reimbursable once in 12 months.

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

Provider Manual(s) Page(s) Updated
Durable Medical Equipment
Therapies
ortho cd fre1 (1, 2)
Orthotics and Prosthetics
Pharmacy
ortho (19); ortho cd fre1 (1, 2)
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4. June 2018 Medi-Cal Provider Training Webinars

Beginning June 5, 2018, and continuing throughout the month of June, 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 page of the Medi-Cal website.

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

MCSS Logo

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

  2. Enter your email address and ZIP code and select a subscriber type

  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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6. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:



Note:

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