Title
Category
Publish Date
Safety Net Clinic Billing Instructions for CalAIM Dental Initiatives
DHCS will implement the CalAIM dental initiatives statewide: pay-for-performance payments for preventive services and continuity of care/establishing a dental home.
Billing
12/08/2021
Managed Care Plan Program Updates
Updates to the MSSP and Major Organ Transplants Managed Care Programs.
Programs
12/08/2021
March Virtual Claims Assistance Room (CAR) Event
Virtual Claims Assistance Room (CAR) Event is scheduled for March.
Claims
12/01/2021
Eligibility of COVID-19 Booster Doses Expanded to All Adults
Medi-Cal can now adjudicate the administration of a booster dose to individuals 18 years of age and older who received the second dose of their primary vaccination series at least six months ago.
COVID-19
11/23/2021
Multi-Purpose Senior Services Program Update
Major organ transplants will be able to enroll or continue enrollment in Medi-Cal managed care in all counties.
Programs
11/23/2021
Major Organ Transplants Update for Managed Care Plan Beneficiaries
Major organ transplants will be able to enroll or continue enrollment in Medi-Cal managed care in all counties.
Programs
11/22/2021
Multi-Purpose Senior Services Program Update
Major organ transplants will be able to enroll or continue enrollment in Medi-Cal managed care in all counties.
Programs
11/22/2021
Reimbursement of COVID-19 Vaccine and Monoclonal Antibody Administration for Medical Providers
This article details the administration and reimbursement of COVID-19 vaccines and monoclonal antibodies when administered as Physician Administer Drugs (PADs) by medical providers.
Billing
11/17/2021
February 2022 Medi-Cal Provider Training Webinars
Outreach and Education along with the Department of Health Care Services is offering category specific webinar sessions in February.
Outreach and Education
11/15/2021
Cal AIM Transition
CalAIM initiative to standardize enrollment process to help ensure populations moving between counties are subject to the same enrollment requirements.
Provider Enrollment
11/15/2021
Safety Net Clinic Billing Instructions for CalAIM Dental Initiatives Forthcoming
CalAIM will be implemented with dental initiatives including pay-for-performance payments for preventive services and continuity of care/establishing a dental home, and two new program benefits.
Billing
11/08/2021
Pfizer-BioNTech COVID-19 Vaccine for Children 5 through 11 Can Be Processed
Medi-Cal can now adjudicate the administration of a primary vaccination series in children 5 thru 11 years of age.
COVID-19
11/05/2021
Coming Soon: Pfizer-BioNTech COVID-19 Vaccine is Authorized for Children 5 through 11
The FDA has amended the Pfizer-BioNTech COVID-19 vaccine EUA to allow for the administration of a reduced dose primary vaccination series in children 5 thru 11 years of age. However, Medi-Cal still requires system updates to support adjudication.
COVID-19
11/04/2021
Booster Dose for Pfizer-BioNTech COVID-19 Vaccine Can Be Processed
Medi-Cal can now accept all claims for a Pfizer-BioNTech COVID-19 booster dose.
COVID-19
10/29/2021
Booster Dose for Janssen COVID-19 Vaccine Can Be Processed
Medi-Cal can now accept most Medical, Outpatient, and Pharmacy claims for the administration of a booster Janssen COVID-19 vaccine.
COVID-19
10/29/2021

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