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Providers May Be Receiving MCIP Reimbursement in Error

September 18, 2017

The Department of Health Care Services (DHCS) has not officially issued reimbursement for Medi-Cal County Inmate Program (MCIP) claims with dates of service on or after April 1, 2017. Any reimbursement received for county inmate inpatient services is due to a systems issue regarding aid codes that DHCS is working to resolve.

Once DHCS resolves the issue, it will conduct a post-reimbursement review. If a provider received reimbursement for services covered under MCIP, then no further action will be necessary. However, if a provider received reimbursement for services not covered under MCIP, or if the county does not have an active contract to participate in MCIP, then DHCS will recoup the erroneous reimbursement. DHCS will provide ongoing updates on reimbursements affected and erroneously reimbursed for non-MCIP-eligible services.

For information on MCIP aid codes, segments, in and out dates and the Medi-Cal Eligibility Data System (MEDS), providers may refer to the All County Welfare Directors Letter (ACWDL) 17-29.

For questions regarding claims or reimbursement, providers may email DHCSIMCU@dhcs.ca.gov. For questions regarding eligibility or the ACWDL 17-29, they may email MCIEP@dhcs.ca.gov.