Medi-Cal is progressing toward the implementation of the National Correct Coding Initiative (NCCI) payment methodologies. The NCCI is a national standard for the accurate and consistent description of medical goods and services using procedural codes. After the implementation of the NCCI edits for Medi-Cal services, new claims will be adjudicated based on dates of service on or after October 1, 2010.

Providers should review the December Medi-Cal Update for more information on what this mandate means for Medi-Cal. For more information on the federal mandate, providers should visit the NCCI Edits Overview page on the Centers for Medicare & Medicaid Services (CMS) website.