Title
Category
Publish Date
Third Dose for Pfizer-BioNTech and Moderna COVID-19 Vaccines Can Be Processed
Medi-Cal can now accept Medical and Outpatient claims for the administration of a third dose of an applicable COVID-19 vaccine.
COVID-19
10/25/2021
Transportation Treatment Covered for COVID-19 Uninsured Group Restricted Scope
DHCS reminds providers of the scope of coverage that individuals in the COVID-19 Uninsured Group are eligible for, including transportation and various COVID-19 related treatment services.
COVID-19
10/25/2021
Third Dose for Pfizer-BioNTech and Moderna COVID-19 Vaccines: Pharmacy Batch and Hard Copy Claims
Medi-Cal is now able to properly process and adjudicate Pharmacy electronic batch or hard copy claims for the third dose of either the Pfizer-BioNTech and Moderna COVID-19 vaccines.
COVID-19
10/25/2021
Sending EWC Paper Claims to the Correct Address
Providers are reminded to mail claims to the CAMMIS FI. Claims submitted to the EWC Office will not be processed.
Every Woman Counts
10/22/2021
FQHC/RHC Annual Rate Adjustment Correction
DHCS posted a bulletin informing FQHCs and RHCs of a 1.4 percent rate increase to reflect the current MEI. These rates were erroneously updated at 1.9 percent and being corrected.
Billing
10/21/2021
COVID-19 Uninsured Group Program Off-Premise Flexibilities
PE providers are allowed to complete determinations for COVID-19 PE, off the premises of hospitals and clinics. They may also use third-party vendors to help complete applications.
COVID-19
10/21/2021
Filing Window: Marriage and Family Therapist Visits for FQHC/RHC Providers
Newsflash to alert providers of a timely filing window for marriage and family therapist visits for FQHC/RHC providers. Retroactively for dates of service January 1, 2018 through July 12, 2021.
Billing
10/15/2021
Extension of Grace Period Related to Four Walls Requirement for IHS/Tribal Facilities
The grace period previously granted to Indian Health Service (IHS) and Tribal facilities related to the “Four Walls” Requirement is extended to conclude nine months after the end of the COVID-19 Public Health Emergency (PHE).
COVID-19
10/15/2021
MCSS Emails and MLP Surveys Temporarily Suspended
MCSS provider notifications, as well as MLP Surveys, are down as of 5 p.m. on October 15, 2021.
DHCS Notice
10/15/2021
FQHC/RHC Annual Rate Adjustment
FQHCs and RHCs Prospective Payment System reimbursement rates increased.
Rates
10/12/2021
Updated Policy for Palivizumab for the 2021-2022 RSV Season
Policy update for Palivizumab for the 2021–2022 RSV Season.
Billing
10/08/2021
Coming Soon: Booster Dose for Pfizer-BioNTech COVID-19 Vaccine is Authorized for Certain Populations
The Food and Drug Administration amended the Emergency Use Authorization for the Pfizer BioNTech COVID-19 vaccine to allow for use of a single booster dose for certain populations.
COVID-19
10/08/2021
Medi-Cal Rates Adjustment
2021 Medi-Cal Rates Landing Page Update
Rates
10/07/2021
Reminder Claim Status and Adjudication Guidance
Reminder of claims status and adjudication guidance for providers.
Claims
10/06/2021
Sessions Available for the November Virtual Claims Assistance Room Event
Provider virtual event for one-on-one billing assistance.
Outreach and Education
10/04/2021

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