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HIPAA: NCPDP Payer Sheet Update 5.0

December 28, 2012

The Department of Health Care Services (DHCS) has released an updated version of the National Council for Prescription Drug Programs (NCPCP) payer sheet. The NCPDP Payer Sheet Version 5.0 is being released to help submitters prepare for D.0 transactions.

The update to the NCPDP Payer Sheet is listed below:

  • Submitters can use a Place of Service (POS) code of “01” for Pharmacy Prior Authorization (PA) transactions.

Related Information and Resources

  • Providers may access HIPAA: FAQs via the Medi-Cal website.
  • Providers may visit the NCPDP website for additional information.
  • Information about the Standard Implementation Guide, Data Dictionary and External Code list is available in the Standards Matrix.