NPI: Provider Action Required to Maintain Electronic Transaction Services
Providers who registered their National Provider Identifiers (NPIs) with Medi-Cal but did not authorize Medi-Cal to update select agreement forms will have access terminated to electronic services, including Medi-Cal Web site transactions and Point of Service (POS) eligibility verifications, on November 26, 2007.
Providers can update agreement forms through the NPI Collection (NPIC) tool through October 20, 2007. The NPIC tool can be accessed from the Register, Update or Inquire About NPIs page of the Medi-Cal Web site. After reading the important NPI information, click the “Continue to Register/Update/Inquire NPIs” button. Updates can be made on the “Provider Agreement Update” page of the NPIC tool.
Providers who do not update their agreement forms prior to October 20, 2007 and are terminated from electronic access must complete new agreement forms designating the NPI as their identifier. The cost-free and simplified option of electronically updating existing agreements is not available after October 20, 2007.
Providers who prefer to update their information using the paper NPI Registration Form can download and print the form, or call the Telephone Service Center (TSC) at 1-800-541-5555, and choose option 16 followed by option 18. To complete the form, providers should check the “Update to Previously Submitted Information” box, update the agreement forms listed in the “Agreement Update Information” section, complete all required information, make a copy for their records and return the form with a copy of the National Plan and Provider Enumeration System (NPPES) verification document to the address located at the bottom of the form.
The option to update agreement forms using the paper NPI Registration Form will only apply to those forms received prior to October 20, 2007. Any forms received after that date will not be processed and providers must complete new agreement forms designating the NPI as their identifier.
The following forms expire on October 20, 2007 unless providers authorized Medi-Cal to automatically update them.- Biller: Medi-Cal Hardcopy Application Agreement
- California Children’s Services (CCS) Program Individual Provider Application for Paneling Physicians and Podiatrists (DHCS 4514)
- California Children’s Services (CCS) Program Individual Provider Application for Paneling Allied Health Care Professionals (DHCS 4515)
- CHDP Telecommunications Provider and Biller Application/Agreement (DHCS 4431)
- EFT Enrollment Authorization
- Electronic Health Care Claim Payment/Advice Receiver Agreement (ANSI ASC X12N 835 Transaction)
- Medi-Cal Eligibility Verification Enrollment Form
- Medi-Cal Telecommunications Provider and Biller Application/Agreement (DHCS 6153)
- Medi-Cal Point of Service (POS) Network/Internet Agreement
- OPT OUT Cancellation Form
- Change of E-mail Address Form
- OPT OUT Enrollment Form
- Pay-To Address Change Notification (DHCS 6129)
- Point of Service (POS) Device Usage Agreement
- Provider: Medi-Cal Hardcopy Biller Notification Form
- Qualified Provider Application for Presumptive Eligibility Participation and Presumptive Eligibility Qualified Provider Responsibilities and Agreement (MC 311)
For more information on NPI registration, call TSC at 1-800-541-5555 and choose option 16 followed by option 18.
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