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

Title
Category
Publish Date
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
Updated: TAR Criteria for Inpatient Services
Update TAR criteria for inpatient services and medical criteria for acute administrative days.
Programs
06/09/2022
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 HPE Income Eligibility Guidelines
The Hospital Presumptive Eligibility program income eligibility guidelines have been updated for 2022. Providers must use the new guidelines when determining program eligibility.
Programs
05/09/2022
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
04/28/2022
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.
Programs
04/26/2022
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
04/25/2022
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
04/21/2022

 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 Health 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