Publish Date
Public Provider Ground Emergency Medical Transportation Intergovernmental Transfer Program
DHCS announces a new Public Provider Ground Emergency Medical Transport Intergovernmental Transfer Program program to provide increased reimbursements to emergency medical transports.
DHCS Notice
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
New Requirements and Procedures for Non-Medical Transportation Enrollment
New requirements and procedures are established for non-medical transportation providers’ enrollment, in effect of Welfare and Institutions Code (W&I Code), Section 14132(ad)(1).
Bulletin Announcements
Pfizer COVID-19 Vaccine Booster Dose Approved for Individuals 5 to 11 Years Old
Pfizer booster approved for individuals 5 to 11 years old.
2022 COVID-19 Vaccine Administration FAQs
A FAQ has been created regarding COVID-19 vaccine administration.
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.
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.
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
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.
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
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
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
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.
July 2022 Medi-Cal Provider Coffee Break Event
Medi-Cal will hold virtual “Coffee Break” sessions in July for providers on category specific topics.
Outreach and Education
Updates to the Medi-Cal Learning Portal
The Medi-Cal Learning Portal is updated to validate user inputs for National Provider Identifier fields.
Outreach and Education

 Featured Links

Billing Tips
Links to important billing information
Computer Media Claims
CMC claims submission on the Internet
Frequently Asked Questions
Medi-Cal FAQs about policies, program and billing
Download Medi-Cal forms
Health Insurance Portability and Accountability Act information
Medi-Cal Rates
Monthly updated Medi-Cal rates
Navigating Medi-Cal and Specialty Health Programs
Bulletins and Manuals Navigation Tool
Medi-Cal references have an assortment of helpful materials and listings related to the Medi-Cal program