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FQHC/RHC/IHS-MOA Code Conversion Notice of Implementation

October 2, 2017

The Federally Qualified Health Centers (FQHC) Rural Health Clinics (RHC) and Indian Health Services-Memorandum of Agreement (IHS-MOA) code conversion, initially announced in the January 2017 Medi-Cal Update, was implemented on October 1, 2017.

Effective for dates of service on or after October 1, 2017, HIPAA-compliant billing code sets replaced local codes currently in use by FQHCs, RHCs and IHS-MOA clinics for medical, dental and/or mental health services. Claims submitted by FQHC/RHC/IHS-MOA providers without HIPAA-compliant billing code sets for dates of service on or after October 1, 2017, will be denied. Timeliness will not be overridden.

Resources for the FQHC/RHC/IHS-MOA code conversion can be found on the Medi-Cal website for the following media:

For additional information, providers should: