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

Implementation Delayed for Family PACT Benefit, CPT-4 Code 87806

November 7, 2016

An article published in the October 2016 Family PACT Update titled Family PACT Adds CPT-4 Code 87806 HIV Screening Code as a Benefit informed providers that the new benefit is effective for dates of service on or after November 1, 2016. However, a NewsFlash article published on October 14, 2016, titled Delay Update: CLIA-Waived Benefit for HIV-1 and HIV-2 Testing Code notified providers that the related Medi-Cal policy implementation will be delayed until at least the end of 2016. An Erroneous Payment Correction will be initiated to reprocess affected Family PACT claims. Providers should continue to submit claims timely.