Title
Category
Publish Date
August 2022 Medi-Cal Provider Training Webinars
O&E announces the August 2022 Medi-Cal provider training webinars.
Outreach and Education
07/01/2022
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
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
Pfizer COVID-19 Vaccine Booster Dose Approved for Individuals 5 to 11 Years Old
Pfizer booster approved for individuals 5 to 11 years old.
COVID-19
06/23/2022
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
Second Booster Dose for Select COVID-19 Boosters Now a Benefit
Updates that allow providers to bill second booster shot and clarify policy for procedure codes 0004A, 0034A, 0054A, 0064A.
COVID-19
05/23/2022
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
2022 Income Eligibility Guidelines for PE4PW
Article notifying providers of updates to presum and presum proc MRPs updating the Federal Poverty Level guidelines for PE4PW for 2022.
Billing
05/09/2022
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

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