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NDC Reporting Requirements: Provider Workshops

The Deficit Reduction Act of 2005 (DRA) requires all state Medicaid agencies to collect rebates from drug manufacturers for physician-administered or dispensed drugs. Only those products manufactured by companies participating in the federal Medicaid rebate program are reimbursable under Medi-Cal. For Medi-Cal claims, providers must use the National Drug Code (NDC) for physician-administered drugs, in conjunction with the customary Healthcare Common Procedure Coding System (HCPCS) Level I, II or III code.

Claims with dates of service on or after April 1, 2009 that do not meet the NDC reporting requirements to include a valid NDC paired with a HCPCS code, will result in claims being denied.

To assist and inform providers about the April 1, 2009 implementation of NDC reporting requirements for physician-administered drugs, Medi-Cal is offering the following workshops in January and February 2009:

Sacramento
January 21, 2009
9 a.m. – 12 p.m.
Sacramento Convention Center
1400 J Street
Sacramento, CA 95814
(916) 808-5291 (directions only)
www.sacramentoconventioncenter.com
  Anaheim
January 27, 2009
9 a.m. – 12 p.m.

Doubletree Guest Suites
2085 South Harbor Boulevard
Anaheim, CA 92802
(714) 750-3000 (directions or hotel reservations only)
www.doubletree.com
  Pasadena
February 11, 2009
9 a.m. – 12 p.m.
Pasadena Convention Center
300 East Green Street
Pasadena, CA 91101
(626) 793-2122 (directions only)
www.pasadenacenter.com

Additional information about the new NDC reporting requirements is available on the NDC Overview page.

For more information, or to pre-register for the NDC Reporting Workshop, please call the Telephone Service Center (TSC) at 1-800-541-5555.