Skip to Main Content
JavaScript is disabled, enable JavaScript in your browser for the full user experience.
CA.gov
Medi-Cal Home Page
Medi-Cal on Facebook
Medi-Cal on Twitter
Medi-Cal on LinkedIn
Medi-Cal on YouTube
Login to Transaction Services
Login
Login to Provider Portal
Login to Transaction Services
Settings
Default
High Contrast
Reset
Increase Font Size
Font
Increase
Decrease Font Size
Font
Decrease
×
Search
Menu
Providers
Provider Enrollment
Enroll or re-enroll as a Medi-Cal provider
Transaction Services
Access Medi-Cal transaction services for claims, eligibility and other services
New Provider
Welcome new providers, access content to help you get started with Medi-Cal
Provider Portal
Early Access to Provider Portal by invitation only
Outreach and Education
One-stop learning and resource center for Medi-Cal billers and providers
Publications
Access Medi-Cal Provider Manuals, Provider Bulletins and news
Beneficiaries
Resources
References
Materials and listings related to the Medi-Cal program
System Status Alert
Check current system status information
Medi-Cal Subscription Service
Free subscription service to keep you up-to-date with the latest Medi-Cal news
Medi-Cal Website Tour
Take a tour of the Medi-Cal Provider Website
Related
Department of Health Care Services
Department of Health Care Services home page
Covered California
Health insurance coverage for individuals, families and small businesses
Medi-Cal Rx
Medi-Cal Rx home page
Medi-Cal Dental Program
Medi-Cal Dental home page
Family PACT
Family Planning, Access, Care and Treatment Program home page
California Department of Aging
California Department of Aging home page
California Department of Public Health
California Department of Public Health home page
Centers for Medicare & Medicaid Services
Centers for Medicare & Medicaid Services home page
Contact Us
Search
Custom Google Search
Submit
Close Search
Search Provider Manuals Only
Search Provider Bulletins and News Only
Home
Publications
Communities
All Bulletins
All News
All Manuals
Community Navigation
Allied Health Communities
Acupuncture
Audiology and Hearing Aids
Chiropractic
Durable Medical Equipment and Medical Supplies
Medical Transportation
Orthotics and Prosthetics
Psychological Services
Therapies
Inpatient/Outpatient Communities
AIDS Waiver Program
Chronic Dialysis Clinics
Clinics and Hospitals
Community-Based Adult Services
Heroin Detoxification
Home Health Agencies/Home and Community-Based Services
Hospice Care Program
Inpatient Services
Local Educational Agency
Multipurpose Senior Services Program
Rehabilitation Clinics
Long Term Care Community
Long Term Care
Medical Services Communities
General Medicine
Obstetrics
Pharmacy Community
Pharmacy
Vision Care Community
Vision Care
Family PACT Community
Family Planning, Access, Care, and Treatment Program
Specialty Programs
Breast and Cervical Cancer Treatment Program
California Children's Services
Comprehensive Perinatal Services Program
Diabetes Prevention Program
Early and Periodic Screening Diagnostic and Treatment / Child Health and Disability Prevention
Every Woman Counts
Genetically Handicapped Persons Program
Hearing Aid Coverage for Children Program (HACCP)
Presumptive Eligibility for Pregnant Women
All Communities - Latest News
Medi-Cal News Articles
Title
Category
Publish Date
Federally Qualified Health Center (FQHC) Alternative Payment Methodology (APM) Webinar
On September 30, DHCS will host a webinar from 2:30 to 4:30 pm to introduce stakeholders of the new FQHC APM.
DHCS Notice
09/23/2022
Billing Issue Resolved: Evaluation and Management Code 99202 with TD Modifier
News article announcing the resolution of a previously noted billing issue with E&M Code 99202 with TD Modifier.
Billing
09/20/2022
Billing Update for Bebtelovimab Use for COVID-19 Treatment
Effective for DOS on or after 8/15/2022, commercial distribution of bebtelovimab began, which DHCS will reimburse when billed with HCPCS code Q0222.
COVID-19
09/20/2022
Addition of Novavax COVID-19 Vaccine
Addition of Novavax COVID-19 vaccine administration for ages 18 years and older and additional administration codes for Moderna vaccine.
COVID-19
09/16/2022
New Laboratory Test for Orthopoxvirus is a Medi-Cal Benefit
Orthopox virus test, CPT® code 87593, is a new Medi-Cal benefit.
Monkeypox
09/16/2022
National Correct Coding Initiative Quarterly Update for October 2022
The Centers for Medicare & Medicaid Services (CMS) has incorporated the quarterly National Correct Coding Initiative (NCCI) Q3 2022 payment policy update into the Medi-Cal claims processing system.
Claims
09/16/2022
UPDATE: Planned System Upgrade for September 17, 2022
There is a planned East End outage for September 17, 2022 for HVAC replacement activities.
DHCS Notice
09/15/2022
Coming Soon: Bivalent Booster Dose for Select COVID-19 Vaccines
The U.S. FDA amended the EUA for a Bivalent booster formulation for select COVID-19 vaccines.
DHCS Notice
09/14/2022
LTC Code and Claim Form Conversion: Crosswalks and FAQ are Available
LTC providers are transitioning away from the use of LTC service codes and the local Payment Request for Long Term Care 25-1 form.
Claims
09/13/2022
October 2022 Medi-Cal Provider Coffee Break Event
Medi-Cal will hold a virtual “Coffee Break” event in October for providers to ask questions and learn about various Medi-Cal related topics.
Outreach and Education
09/12/2022
CCS Service Code Groupings Policy Update
The following codes have been added to SCG 04 and SCG 05: 92650, 92651, 92652, 92653, 92517, 92518, 92519 for the California Children’s Services program.
Programs
09/09/2022
ICD-10-CM Code Related to COVID-19 End-Dated
One ICD-10-CM code related to COVID-19 has been end-dated.
DHCS Notice
09/06/2022
FQHC, RHC and Tribal Clinic Providers: Abortion Services
Effective October 1, 2022, DHCS Medi-Cal Program will reimburse FQHC, RHC, IHS-MOA and Tribal FQHC provides at a fee-for-service rate for abortion services.
Billing
09/01/2022
Family PACT Provider Enrollment and Responsibilities Policies Updated
DHCS has updated the requirements for provider enrollment and responsibilities into the Family PACT program effective August 15, 2022.
Family PACT
08/31/2022
Available Sessions for the September Virtual Claims Assistance Room Event
Appointments are still available during the month of September for free one-on-one billing assistance at our Virtual Claims Assistance Room (CAR) Event.
Outreach and Education
08/31/2022
Pregnancy Coverage During the COVID-19 Public Health Emergency
Providers are advised to continue to provide beneficiaries in pregnancy related aid codes with any medically necessary service through the duration of the PHE.
DHCS Notice
08/31/2022
Supplemental Payment Program for Non-Hospital 340B Clinics, General Updates
DHCS developed eligibility criteria for the Supplemental Payment Program for non-hospital based 340B clinics. Complete and submit the application to participate.
Programs
08/29/2022
Monkeypox (Mpox) Vaccine Administration - General Updates
DHCS continues to monitor the Monkeypox situation and will update and inform all Medi-Cal providers on any reimbursement policy for vaccine administration, testing and treatment as guidance becomes available.
DHCS Notice
08/29/2022
Update: New Provider Portal Online Gateway
Medi-Cal announces new Provider Portal with electronic services made available to fee-for-service billing providers.
DHCS Notice
08/24/2022
Reminder: COVID-19 Oral Antivirals for Uninsured Group
DHCS reminds providers the COVID-19 related therapeutics are covered by Medi-Cal for the uninsured.
COVID-19
08/22/2022
Correction to National Correct Coding Initiative Quarterly Update for July 2022
Correction to NCCI Medically Unlikely Edit value for HCPCS code J7295.
Billing
08/19/2022
New Provider Portal Online Gateway
Medi-Cal announces new Provider Portal with electronic services made available to Fee-For-Service billing providers.
DHCS Notice
08/19/2022
Allowable Modifiers Added for CHW and APS Services
New allowable modifiers can be added when billing for Community Health Worker (CHW) services and Asthma Preventative services (APS).
Billing
08/19/2022
New ICD-10-CM and ICD-10-PCS Codes Related to COVID-19
Update to ICD-10-CM and PCS code mapping for COVID-19.
COVID-19
08/18/2022
Billing Issue: Evaluation and Management Code 99202 with TD Modifier
The Department of Health Care Services is aware of the billing issue with Evaluation and Management code 99202 with TD modifier.
DHCS Notice
08/15/2022
PAVE Portal for Family PACT Providers
Family PACT providers may now use the Provider Application and Validation for Enrollment (PAVE) portal.
Family PACT
08/12/2022
Beneficiary Eligibility Verification Reminder
Reminder to providers to verify beneficiary eligibility and the Medi-Cal billing policy before providing services.
DHCS Notice
08/11/2022
Coming Soon: Monkeypox Vaccines as Medi-Cal Benefits
Two Monkeypox Vaccines will soon be available as Medi-Cal Benefits.
DHCS Notice
08/05/2022
New Provider Financial Data Request Form Available
To aid providers with requesting financial data from the Financial Cash Control Unit (FCCU), a specific request form is now available.
Forms
08/03/2022
Coming Soon: Novavax COVID-19 Vaccine Authorization
The FDA has amended the EUAs for the addition of the Novavax COVID-19 vaccine for individuals 18 years of age and older.
COVID-19
08/03/2022
All Provider Bulletins
Bulletin Archives
General Bulletins
Part 1 - Medi-Cal Program & Eligibility Bulletin
Allied Health Bulletins
Acupuncture (ACU)
Audiology and Hearing Aids (AUD)
Chiropractic (CHR)
Durable Medical Equipment and Medical Supplies (DME)
Medical Transportation (MTR)
Orthotics and Prosthetics (OAP)
Psychological Services (PSY)
Therapies (THP)
Inpatient/Outpatient Bulletins
AIDS Waiver Program (AID)
Chronic Dialysis Clinics (DIA)
Clinics and Hospitals (CAH)
Community-Based Adult Services (CBAS)
Heroin Detoxification (HER)
Home Health Agencies/Home and Community-Based Services (HOM)
Hospice Care Program (HOS)
Inpatient Services (IPS)
Local Educational Agency (LEA)
Multipurpose Senior Services Program (MSSP)
Rehabilitation Clinics (REH)
Long Term Care Bulletins
Long Term Care (LTC)
Medical Services Bulletins
General Medicine (GM)
Obstetrics (OB)
Pharmacy Bulletins
Pharmacy (PH)
Vision Care Bulletins
Vision Care (VC)
Specialty Programs Bulletins
Family Planning, Access, Care & Treatment Program (FPACT)
All Provider Manuals
All Provider Manuals
General Manuals
Part 1 - Medi-Cal Program & Eligibility Manual
Allied Health Manuals
Acupuncture (ACU)
Audiology and Hearing Aids (AUD)
Chiropractic (CHR)
Durable Medical Equipment and Medical Supplies (DME)
Medical Transportation (MTR)
Orthotics and Prosthetics (OAP)
Psychological Services (PSY)
Therapies (THP)
Inpatient/Outpatient Manuals
Inpatient Services (IPS)
AIDS Waiver Program (AID)
Clinics and Hospitals (CAH)
Chronic Dialysis Clinics (DIA)
Community-Based Adult Services (CBAS)
Heroin Detoxification (HER)
Home Health Agencies/Home and Community-Based Services (HOM)
Hospice Care Program (HOS)
Local Educational Agency (LEA)
Multipurpose Senior Services Program (MSSP)
Rehabilitation Clinics (REH)
Long Term Care Manuals
Long Term Care (LTC)
Medical Services Manuals
General Medicine (GM)
Obstetrics (OB)
Pharmacy Manuals
Pharmacy (PH)
The Contract Drugs List is managed by Medi-Cal Rx. See the Medi-Cal Rx website for more information
Vision Care Manuals
Vision Care (VC)
Specialty Programs Manuals
Early and Periodic Screening Diagnostic and Treatment/Child Health and Disability Prevention (EPSDT/CHDP)
Family Planning, Access, Care and Treatment (Family PACT)
Other Sections Manuals
Suspended and Ineligible Provider List
AEVS: Carrier Codes For Other Health Coverage
Medi-Cal Rates
Provider Bulletins Archive
Current Bulletins
General Bulletins Archive
Part 1 - Medi-Cal Program & Eligibility Bulletins Archive
Allied Health Bulletins Archive
Acupuncture Archive
Audiology and Hearing Aids Archive
Chiropractic Archive
Durable Medical Equipment and Medical Supplies Archive
Medical Transportation Archive
Orthotics and Prosthetics Archive
Psychological Services Archive
Therapies Archive
Inpatient/Outpatient Bulletins Archive
AIDS Waiver Program Archive
Chronic Dialysis Clinics Archive
Clinics and Hospitals Archive
Community-Based Adult Services Archive
Heroin Detoxification Archive
Home Health Agencies/Home and Community-Based Services Archive
Hospice Care Program Archive
Inpatient Services Archive
Local Education Agency Archive
Multipurpose Senior Services Program Archive
Rehabilitation Clinics Archive
Long Term Care Bulletins Archive
Long Term Care Archive
Medical Services Bulletins Archive
General Medicine Archive
Obstetrics Archive
Pharmacy Bulletins Archive
Pharmacy Archive
Vision Care Bulletins Archive
Vision Care Archive
Specialty Programs Bulletins Archive
Family Planning, Access, Care & Treatment Program Archive
Featured Links
Billing Tips
Links to important billing information
Computer Media Claims
CMC claims submission on the Internet
Frequently Asked Questions
Medi-Cal FAQs about policies, program and billing
Forms
Download Medi-Cal forms
HIPAA
Health Insurance Portability and Accountability Act information
Medi-Cal Rates
Monthly updated Medi-Cal rates
Navigating Medi-Cal and Specialty Health Programs
Bulletins and Manuals Navigation Tool
References
Medi-Cal references have an assortment of helpful materials and listings related to the Medi-Cal program
Transactions
Login to Provider Portal
Login to Transaction Services
Services Available
Provider
Publications
Outreach and Education
MCSS
Support
Contact Us
References Page
Site Map
Statewide Campaigns
Register to Vote
Save Our Water
Report Medi-Cal Fraud
Website Accessibility Certification
