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Notice to Providers about Discharge Status Code 21 Implementation

September 25, 2018

The Department of Health Care Services is notifying Medi-Cal providers that the newly implemented Status Code 21 (discharged/transferred to court/law enforcement) is effective as of April 1, 2017. The code usage includes transfers to incarceration facilities such as jail, prison or other detention facilities.

Providers may now bill properly for Medi-Cal County Inmate Program (MCIP) claims and resubmit claims that were previously denied for Remittance Advice Details (RAD) code 9127: The patient status is missing or invalid when using Status Code 21 as the patient’s status on the UB-04 claim form.

Providers may resubmit claims that date back to April 1, 2017, which is the effective start date of MCIP, for counties that are participating in the program.

Providers may refer to the Medi-Cal Inmate Program and Medi-Cal County Inmate Program web page on the DHCS website for further information. To request a list of participating counties for each fiscal year, or for any other MCIP related questions, providers may contact the Inmate Medi-Cal Claiming Unit at DHCSIMCU@dhcs.ca.gov.