Title
Category
Publish Date
2022 HCPCS Quarter 3 Update
2022 HCPCS Quarter 3 Update
HCPCS
06/30/2022
Walk-Up Claims Discontinued
Medi-Cal will no longer accept walk-up claims. Providers will need to submit claims through mail or electronic submissions.
Billing
06/30/2022
Diagnosis Related Group State Fiscal Year 2022-2023 Grouper Setting Updates
SFY 2022-2023 DRG Grouper Settings documents will be updated to reflect 3M Grouper software update.
Billing
06/30/2022
Medi-Cal Coverage of Community Health Worker (CHW) Services is Effective July 1, 2022
Effective July 1, 2022, Medi-Cal covers Community Health Workers (CHW) services, including violence prevention services and asthma preventive services. This NewsFlash contains information describing the CHW benefit, including billing codes and rates.
Billing
06/29/2022
Coming Soon: COVID-19 Vaccine for Children 6 Months and Up
Coming Soon: FDA amended EUA to allow COVID-19 vaccines for individuals 6 months and older.
DHCS Notice
06/28/2022
2022 COVID-19 Vaccine Administration FAQs
A FAQ has been created regarding COVID-19 vaccine administration.
COVID-19
06/22/2022
National Correct Coding Initiative Quarterly Update for July 2022
The Centers for Medicare & Medicaid Services (CMS) has incorporated the quarterly National Correct Coding Initiative (NCCI) Q1 2022 payment policy update into the Medi-Cal claims processing system.
Claims
06/16/2022
Fiscal Year 2021-2022 Two-Week Checkwrite Hold for Specific Provider Payments
Specific checkwrites scheduled in June for fiscal year 2021 – 2022 will be delayed until the start of 2022 – 2023.
Billing
06/16/2022
Medi-Cal Subscription Service (MCSS) is Live
Announcement that MCSS is back online, outlining what has changed and suggesting actions to take to ensure email receipt.
DHCS Notice
05/31/2022
Antiretroviral Ibalizumab-uiyk Injection Available for Managed Care Plans
HCPCS code J1746 is a capitated service for CalOptima and Health Plan of San Mateo but non-capitated for all other Manage Cared Plans.
DHCS Notice
05/20/2022
Available Sessions for the June Virtual Claims Assistance Room (CAR) Event
A reminder that one-on-one billing assistance appointments are available to join the Virtual Claims Assistance Room (CAR) event in June.
Outreach and Education
05/20/2022
Hepatitis B Vaccine Code 90759 is Now a Medi-Cal Benefit
Hepatits B vaccine code 90759 is a Medi-Cal benefit for beneficiaries 18 years of age and older.
Billing
05/06/2022
Medi-Cal Provider Website: Improvements to Transaction Services
The Medi-Cal Provider website will be updated to improve user experience. This update includes multiple subscriber eligibility application, removal of unused swipe card, eligibility response, and several minor bug fixes to various applications.
Enhancements and Operations
04/28/2022
Notification: DRG Payment System Update to Mapper and HAC v39-1
ICD-10-CM codes have been added to the system for the DRG program to align with updates made by CMS on April 1, 2022.
Programs
04/26/2022
Claims Processing Error Affecting Select Home Dialysis Codes Resolved
System updates have occurred to correct the previously announced claims processing issue that was erroneously denying claims for HCPCS home dialysis codes S9335 and S9339.
Billing
04/25/2022

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