The Department of Health Care Services (DHCS) has released the National Council for Prescription Drug Programs (NCPDP) D.0 Transaction Companion Guide, known as the NCPDP Standard Payer Sheet. The NCPDP Standard Payer Sheet is currently a draft document as explained below. The targeted date for implementation of the D.0 standard is July 1, 2012. Once implemented, submitters will be required to test and certify with Medi-Cal on the D.0/1.2 transaction.

NCPDP Version D.0 (vD.0)

The NCPDP Payer Sheet for the vD.0 transaction is released as a draft document due to the delay of the Prior Authorization transaction. Once details are confirmed, the NCPDP Standard Payer Sheet will be revised to include the Prior Authorization transaction and will be released as a final version.

NCPDP Version 1.2 Batch (v1.2 Batch)

The NCPDP v1.2 Batch information will be included in the CMC Billing and Technical Manual, which can be accessed from the Medi-Cal website. This manual is not yet updated; a notice will be posted on the Medi-Cal website and in the Medi-Cal Updates provider bulletin when released. The targeted date for implementation of the v1.2 Batch standard is July 1, 2012. Once implemented, submitters will be required to test and certify with Medi-Cal on the D.0/1.2 transaction.

Related Information and Resources

• Frequently Asked Questions, testing dates and additional information will be forthcoming on the Medi-Cal website.
• Provider questions in regard to the NCPDP D.0 and 1.2 update may be emailed to Medi-Cal5010@acs-inc.com
• Providers may visit the NCPDP website for additional information. Information on the Standard Implementation Guide, Data Dictionary and External Code list is available in the Standards Matrix.