Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Medi-Cal Logo
Click to Sign Up for MCSS emails

Medi-Cal Coverage of End of Life Option Act Services

June 10, 2016

Effective for dates of service on or after June 9, 2016, end-of-life services, including office visits and prescription drugs, will be covered by the Medi-Cal program, pursuant to the Assembly Bill (AB) X2-15, End of Life Option Act. Providers will be able to submit claims for reimbursement for end-of-life services for eligible Medi-Cal beneficiaries, 18 years of age or older that have a terminal illness with a prognosis of six months or less, who have the capacity to make medical decisions and have voluntarily requested these services.

Specific medical and pharmacy billing requirements, as well as counseling, documentation, and reporting requirements for the attending physician, consulting physician, and, if deemed necessary, psychiatrist or licensed psychologist, will be released in a future Medi-Cal Update. Providers should not submit claims for services provided under the Act until billing instructions have been published in the Medi-Cal provider manual on the Medi-Cal website.