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Implementation Delay for New Medi-Cal Benefit Cladribine

January 18, 2019

An article published in the January 2019 Medi-Cal Update titled “Cladribine is a New Medi-Cal Benefit”, which announced that HCPCS code J9065 (injection, cladribine, per 1 mg) is a new Medi-Cal benefit effective retroactively for dates of service on or after December 1, 2008.

The update did not occur as scheduled and implementation of this new benefit has been temporarily delayed. Providers are instructed to hold all claims for HCPCS code J9065 until further notice.