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
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
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
New FCCU FAQs and, Updated Medi-Cal Contact Page
New FCCU FAQs and Contact page update.
DHCS Notice
10/01/2021
Certain September 2021 IPCS Claims Erroneously Processed
A few IPCS claims were incorrectly processed between September 18, 2021 and September 22, 2021. Affected claims will be rectified.
Claims
09/29/2021

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