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Update: Fiscal Intermediary Transition Frequently Asked Questions

June 21, 2019

The Department of Health Care Services (DHCS) California Medicaid Management Information System (MMIS) Division is engaged in a multi-year initiative to transition contracts for the Fiscal Intermediary (FI) responsible for the business operations of fee-for-service Medi-Cal.

The transition from the current vendor to the incoming FI, DXC Technology Services, LLC, shall occur on October 1, 2019, with a primary objective being a successful transition without disruptions to state programs, providers or beneficiaries.

As part of our commitment to keeping the provider community informed throughout this process, DHCS began releasing Frequently Asked Questions on the Medi-Cal website. The first round of FAQs was released in a previously published NewsFlash article titled “Fiscal Intermediary Frequently Asked Questions” The following questions and answers are a continuation of this effort.

FI Transition FAQs:

  1. Is Medi-Cal making any changes to Computer Media Claims (CMC)/electronic claim submissions or electronic attachments with the transition to the new FI on October 1, 2019?

    No. Medi-Cal is not making any changes to electronic claims or attachment submission requirements prior to October 1, 2019. Providers and/or submitters are not expected to reapply or retest as part of the vendor transition.

  2. Is Medi-Cal making any changes to the hours of operation for any of the provider or member support areas?

    All areas, with one exception, are retaining the same hours of operation for provider and member support. Effective October 1, 2019, the hours of operation for the Point of Service (POS) Helpdesk/ Internet Help Desk is 8 a.m. to 5 p.m., Monday through Friday, except holidays. Providers and submitters may need to update business or operational practices to align with this change.

  3. Will I need to submit my applications via a different portal from the Provider Application and Validation for Enrollment (PAVE)?

    No. If you currently enroll through PAVE, you will continue to enroll through PAVE. The transition to a new vendor does not impact provider enrollment processes or the PAVE provider enrollment portal PAVE.

  4. Will my current provider ID numbers change once the transition occurs?

    No. The transition will have no impact on provider ID numbers; current provider ID numbers will not change once the transition occurs. Additionally, Provider Identification Numbers (PINs) will not change.

  5. Will my application be fully processed if I am already in the enrollment process during the transition?

    The transition will have no impact on the provider enrollment process, or providers who are in the enrollment process during the transition.

  6. How will I be notified of further changes?

    Updates about the transition will be posted on the Medi-Cal website.

    To receive personalized email notifications with links to the most up-to-date information, providers may subscribe to the Medi-Cal Subscription Service (MCSS) MCSS Subscriber Form on the Medi-Cal website.