Title
Category
Publish Date
Clinical Trials Policy UpdateEffective retroactively for claims with DOS on or after 7/1/2022, Medi-Cal will cover patient care costs in clinical trials.
Forms
01/11/2023
CMC Plans No Longer Covered in CCI CountiesArticle to inform providers that effective for dates of service on or after January 1, 2023 CMC Plans no longer provide services to Cal MediConnect beneficiaries residing in specified counties.
Billing
12/30/2022
Long Term Care Skilled Nursing Facility ServicesEffective for dates of service on or after January 1, 2023, recipients who receive institutional Long Term Care (LTC) services in a Skilled Nursing Facility (SNF) will be able to enroll or continue enrollment in Medi-Cal Managed Care in all counties.
DHCS Notice
12/27/2022
National Correct Coding Initiative Quarterly Update for January 2023The Centers for Medicare & Medicaid Services (CMS) has released the quarterly National Correct Coding Initiative (NCCI) payment policy updates. These mandatory national edits have been incorporated into the Medi-Cal claims processing system and are effective for claims received on or after January 1, 2023.
Claims
12/16/2022