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Implementation Delay Resolved for New Medi-Cal Benefit Cladribine

April 15, 2019

A previously published NewsFlash article entitled “Implementation Delay for New Medi-Cal Benefit Cladribine” announced the delay of cladribine as a new benefit and instructed providers to hold all claims for HCPCS code J9065 (injection, cladribine, per 1 mg) until further notice. This issue has been resolved and providers may submit claims for HCPCS code J9065 beginning May 28, 2019. No action is required of providers. An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims.