1. Home
  2. Publications
  3. Inpatient Services
Communities
Communities
Bulletins
Bulletins
News
News
Manuals
Manuals
All Provider News

Title
Category
Publish Date
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
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
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
Correction: CFTR Gene Analysis Diagnosis Codes
Correction of the ICD-10-CM diagnosis codes for CPT code 81220.
Billing
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
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
Update Erroneously Denied Claims for Vaccines Billed Using SK and SL Modifiers
Claims
09/28/2021

 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
Forms
Download Medi-Cal forms
HIPAA
Health Insurance Portability and Accountability Act information
Medi-Cal Rates
Monthly updated Medi-Cal rates
Navigating Medi-Cal and Specialty Programs
Bulletins and Manuals Navigation Tool
References
Medi-Cal references have an assortment of helpful materials and listings related to the Medi-Cal program
Transactions
Provider
Support
Statewide Campaigns
Website Accessibility Certification