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Medi-Cal Inmate County Program Reminder

March 21, 2017

Providers are reminded that the Medi-Cal Inmate County Program (MCIP) will begin on April 1, 2017, for participating counties.

Counties that have an agreement scheduled to start April 1, 2017, are as follows:

  • Alameda
  • Modoc
  • San Joaquin
  • Amador
  • Mono
  • San Mateo
  • Butte
  • Monterey
  • Santa Clara
  • Contra Costa
  • Napa
  • Siskiyou
  • El Dorado
  • Nevada
  • Solano
  • Fresno
  • Orange
  • Sonoma
  • Glenn
  • Plumas
  • Stanislaus
  • Imperial
  • Riverside
  • Sutter
  • Inyo
  • Sacramento
  • Tehama
  • Kern
  • San Bernardino
  • Tuolumne
  • Kings
  • San Diego
  • Ventura
  • Los Angeles
  • San Francisco

    Counties that have an agreement scheduled to start on July 1, 2017, are as follows:

  • Calaveras
  • Placer
  • San Luis Obispo
  • A County Participation Guidance Letter (IMCU PPL 16-001) covering which individuals and services are covered by MCIP was published on December 21, 2016.

    Providers that treat inmates under the custody of counties that have opted into the MCIP should bill Medi-Cal directly for services on or after the agreement date listed above for the respective county. This includes, but is not limited to, inpatient services at a medical facility located off the grounds of the correctional facility for an extended stay of more than 24 hours.

    On December 28, 2016, Medi-Cal County Inmate Programs notified providers of the claiming and reimbursement structure for the MCIP. For more information about aid codes and protocols for submitting claims to Medi-Cal for reimbursement, providers can reference the Adult County Inmate Program (ACIP) and Juvenile County Ward Program (JCWP) flowchart and County Compassionate Release Program (CCRP) and County Medical Probation Program (CMPP) flowchart.

    Providers who have questions are encouraged to connect with the department in their county that has historically provided reimbursement for services to jail inmates. If the county contracts with a third party to provide reimbursement, connect with the contracting department within the county. For additional information, providers can submit questions to DHCSIMCU@dhcs.ca.gov.

    Complete information is available on the Medi-Cal State Inmate Program and Medi-Cal County Inmate Program Web page of the Department of Health Care Services (DHCS) website.