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Enteral Nutrition Product-Specific Criteria Removed for Kate Farms, Inc.

June 29, 2018

Effective for dates of service on or after July 1, 2018, the product-specific criteria restricting the newly added Kate Farms, Inc. products to tube-feeding only and requiring documentation of intolerance or severe allergy to other products does not apply. To be eligible for Kate Farms, Inc. products, beneficiaries must meet the medical criteria for the specific product category in the Enteral Nutrition Products section of the appropriate Part 2 manual. The List of Enteral Nutrition Products will be updated in a future Medi-Cal Update.

Note:

Listing of a product is not a guarantee of its availability. The product number approved on an authorization must be the same product number dispensed to the beneficiary and claimed for reimbursement by the provider.

Medi-Cal beneficiaries denied enteral nutrition products who believe the denial was in error may ask for a state hearing by contacting the California Department of Social Services at 1-800-743-8525 or (855) 795-0634, or by sending a written request to the following address:

California Department of Social Services
State Hearings Division
P.O. Box 944243, MS 9-17-37
Sacramento, CA  94244-2430