Title
Category
Publish Date
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
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
Updated Policy for Palivizumab for the 2021-2022 RSV Season
Policy update for Palivizumab for the 2021–2022 RSV Season.
Billing
10/08/2021
Erroneous Family PACT Denials for Same Day Billing of Evaluation and Management and Education and Counseling Codes
The Department of Health Care Services is aware of claim denials occurring when providers attempt to bill an E&M code with an E&C code on the same date of service and is actively working on a solution.
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
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
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
New Public Health Order requires workers in adult and senior care facilities and in-home direct care settings to be vaccinated by November 30
Workers who provide care to Medi-Cal beneficiaries must receive the first dose of a one-dose vaccine regimen, or the second dose of a two-dose regimen, by November 30, 2021.
COVID-19
09/28/2021
2022 ICD-10-CM/PCS Codes Update
CMS modifications to ICD-10-CM and ICD-10-PCS long and short descriptions for 2022.
ICD-10
09/15/2021
New Billable Services for Podiatrists
Certain CPT codes are reimbursable for services rendered by a podiatrist. An EPC will be initiated.
HCPCS
09/08/2021
County Medical Services Program Billing Reminder
Reminder that the County Medical Services Program was decommissioned. Providers continuing to submit CMSP claims will be denied.
Billing
09/08/2021
Manual Adjudication of Presumptive Eligibility Aid Codes within the Same Month of Eligibility
An issue was found with providers being unable to enroll in PE programs. News Article notifies the providers of a workaround.
COVID-19
09/08/2021
Update: New and Replacement Medication for Beneficiaries Impacted by the State of Emergency
Guidance for dispensing medication and medical supplies for those displaced by the state of emergency caused by the Lava and Beckwourth Complex fires
Pharmacy
09/08/2021
Sessions Available for the September Virtual Claims Assistance Room Event
Provider virtual event for one-on-one billing assistance.
Outreach and Education
09/01/2021

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