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CHDP Phase 2: CLIA Certification Reminder for Laboratory Providers

April 5, 2017

Effective for dates of service on or after July 1, 2017, Child Health and Disability Prevention (CHDP) claims processing will transition to comply with HIPAA standards, including use of national health care electronic transactions and code sets.

Providers transitioning from billing laboratory services according to CHDP standards are reminded to review their Medi-Cal credentials to ensure they meet the standards for billing to Medi-Cal. All Medi-Cal providers billing for laboratory services must have a current Clinical Laboratory Improvement Amendments (CLIA) certificate.

Guidelines for CLIA certification and information about proficiency testing requirements are included in the Pathology: An Overview of Enrollment and Proficiency Testing Requirements section of the appropriate Part 2 Medi-Cal provider manual.

Correction: The information on page 1 of the section for the California Department of Public Health (CDPH), Laboratory Field Services (LFS) is outdated. Providers should use http://www.cdph.ca.gov/programs/lfs/Pages/CLIAFederalCertifiedLaboratory.aspx.

Providers checking or applying for the appropriate credentials may need to know the following:

  • Provider type (for example, General Medicine provider)
  • CLIA certification status
  • Laboratory sub-specialty

Providers can direct additional questions about certification to the Telephone Service Center (TSC) at 1-800-541-5555.

Information concerning clinical laboratories and the CHDP transition are included in the already-published article CHDP Notice: Reminders for Phase 1 Clinical Laboratory Only Transition. The CHDP Frequently Asked Questions Web page also is available for broader information.