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Medi-Cal News Articles
Title
Category
Publish Date
Implementation Delays for Tracheostomy Supplies Updates
Implementation of updates for tracheostomy supplies has been delayed and providers are instructed to hold resubmission.
Billing
09/17/2021
National Correct Coding Initiative Quarterly Update for October 2021
The Centers for Medicare & Medicaid Services (CMS) has incorporated the quarterly National Correct Coding Initiative (NCCI) Q4 2021 payment policy update into the Medi-Cal claims processing system.
Claims
09/16/2021
2022 ICD-10-CM/PCS Codes Update
CMS modifications to ICD-10-CM and ICD-10-PCS long and short descriptions for 2022.
ICD-10
09/15/2021
Frequency Limit Updated for Evaluation and Management Service
The frequency limit for CPT code 99417 is updated from 10 units to 4 units.
HCPCS
09/08/2021
Updated: TAR Criteria for AIIR Services
Weekly acute rehabilitation therapy hours reduced for AIIR services.
eTAR and TAR
09/08/2021
CCS Service Code Groupings Policy Update
CCS SCGs and GHPP HICL tables are updated.
Programs
09/08/2021
New Billable Services for Podiatrists
Certain CPT codes are reimbursable for services rendered by a podiatrist. An EPC will be initiated.
HCPCS
09/08/2021
County Medical Services Program Billing Reminder
Reminder that the County Medical Services Program was decommissioned. Providers continuing to submit CMSP claims will be denied.
Billing
09/08/2021
Manual Adjudication of Presumptive Eligibility Aid Codes within the Same Month of Eligibility
An issue was found with providers being unable to enroll in PE programs. News Article notifies the providers of a workaround.
COVID-19
09/08/2021
Update: New and Replacement Medication for Beneficiaries Impacted by the State of Emergency
Guidance for dispensing medication and medical supplies for those displaced by the state of emergency caused by the Lava and Beckwourth Complex fires
Pharmacy
09/08/2021
Updates to The List of Enteral Nutrition Products
Elemental and Semi-Elemental enteral nutrition products NDC-like billing codes have been updated.
Pharmacy
09/07/2021
Third Dose for Pfizer-BioNTech and Moderna COVID-19 Vaccines Authorized
The Food and Drug Administration has amended the Emergency Use Authorizations for the Pfizer-BioNTech and Moderna COVID-19 vaccines to permit the administration of a third dose to certain individuals with compromised immune systems.
COVID-19
09/03/2021
Incorrect Ineligible Status for Select Individuals Enrolled with Presumptive Eligibility
Technical issues with Presumptive Eligibility systems cause incorrect “ineligible” status for certain individuals presumptively enrolled from August 26, 2021, through August 31, 2021.
System
09/02/2021
Sessions Available for the September Virtual Claims Assistance Room Event
Provider virtual event for one-on-one billing assistance.
Outreach and Education
09/01/2021
Maximum Doses of Palivizumab Increased for 2021-2022 RSV Season
Maximum doses of Palivizumab increased for the current RSV season.
Pharmacy
08/31/2021
COVID-19 Vaccination Administration Reimbursable for Ambulance Providers
Non-emergency medical transportation providers now may be reimbursed for administration of COVID-19 vaccines to Medi-Cal beneficiaries who are unable to physically visit a vaccination site.
COVID-19
08/30/2021
August 2021 Paper Remittance Advice Details (RAD) Print Delay
Technical issue causes delay of printed RAD and Medi-Cal Financial Summary for August 26, 2021, checkwrite.
System
08/26/2021
Coming Soon: Third Dose for Pfizer-BioNTech and Moderna COVID-19 Vaccines Authorized
The third dose of the Moderna and Pfizer-BioNTech COVID-19 vaccines are coming soon and more information will be forthcoming.
COVID-19
08/25/2021
Medi-Cal Dental Program Primary Care Physician Toolkit
The Medi-Cal Dental Program primary care physician toolkit will aid physicians to coordinate medical services to Medi-Cal members with oral health resources.
Programs
08/24/2021
Medi-Cal Provider Website: Improvements to Transaction Services
The look and feel of several webpages on the Medi-Cal Provider website will be updated to improve user experience. This release includes user interface updates to applications within Transactions Services and webpages outside of Transaction Services.
Enhancements and Operations
08/20/2021
November 2021 Virtual Claim Assistance Room (CAR) Event
Announcement for the Virtual Claim Assistance Room (CAR) event occurring for the month of November 2021. Providers may receive free one-on-one billing assistance from a Provider Field Representative.
Outreach and Education
08/11/2021
Medi-Cal Managed Care Update: Specialty Mental Health Services
KP Cal, LLC Managed Care Plans (MCP) in Amador, El Dorado and Placer counties are noncapitated
DHCS Notice
08/09/2021
Transaction Services - Reset PIN Monthly to Retain Access to Testing Environment
Providers with access to testing environment must reset PIN monthly.
Telephone Service Center
08/06/2021
Update to Medi-Cal Rx Implementation Date
DHCS accepted a Magellan Conflict Avoidance Plan and announces January 1, 2022 implementation date for Medi-Cal Rx.
Pharmacy
08/02/2021
Erroneously Denied Claims for Lab Codes (80000-89999) Using Modifier 90
Claims
07/30/2021
Error with Aid Code A1 Message in AEVS
Incorrect message displayed in AEVS should be ignored, and services still provided.
DHCS Notice
07/28/2021
October 2021 Medi-Cal Provider Training Webinars
DHCS Notice
07/16/2021
New Threshold Languages added to HPE, CHDP and PE4PW Programs
Effective July 26, 2021, new threshold languages are added to the HPE, CHDP and PE4PW programs.
Forms
07/14/2021
August Virtual Claims Assistance Room Event Reminder
Appointments for free one-on-one billing assistance are available during the August Virtual Claims Assistance Room (CAR) Event.
Claims
07/14/2021
Reimbursement of COVID-19 Vaccine and Monoclonal Antibody Administration for Medical Providers
Billing
07/14/2021
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