Clinical Trials Policy Update
Effective retroactively for claims with DOS on or after 7/1/2022, Medi-Cal will cover patient care costs in clinical trials.
CMC Plans No Longer Covered in CCI Counties
Article to inform providers that effective for dates of service on or after January 1, 2023 CMC Plans no longer provide services to Cal MediConnect beneficiaries residing in specified counties.
Long Term Care Skilled Nursing Facility Services
Effective for dates of service on or after January 1, 2023, recipients who receive institutional Long Term Care (LTC) services in a Skilled Nursing Facility (SNF) will be able to enroll or continue enrollment in Medi-Cal Managed Care in all counties.
National Correct Coding Initiative Quarterly Update for January 2023
The Centers for Medicare & Medicaid Services (CMS) has released the quarterly National Correct Coding Initiative (NCCI) payment policy updates. These mandatory national edits have been incorporated into the Medi-Cal claims processing system and are effective for claims received on or after January 1, 2023.