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Medi-Cal News Articles

Title

Category

Publish Date

Medi-Cal Provider Portal Introduces Electronic 835 Transactions

Providers will soon be able to access and manage 835 transactions within the Medi-Cal Provider Portal.

DHCS Notice

05/26/2023

CHDP Gateway Program 2023 Income Eligibility Guidelines

The CHDP Gateway program 2023 income eligibility guidelines have been updated.

Programs

05/22/2023

Medi-Cal Eligibility Response Messaging is Updated

The County of Responsibility will no longer display on the Medi-Cal eligibility response for recipients enrolled in a Managed Care Plan.

DHCS Notice

05/22/2023

Seats Are Available for the July 2023 Meet and Greet Event

Providers are reminded of the July 2023 Meet & Greet.

Outreach and Education

05/22/2023

LEA BOP Providers Rate Update

Effective for DOS between April 1, 2023 and June 30, 2023, there is a new reimbursement rate for LEA BOP under Provider Type 55.

Billing

05/22/2023

Presumptive Eligibility for Pregnant Women Program 2023 Monthly Income Levels

Effective for January 1, 2023, through December 31, 2023, PE4PW 2023 FPL has been updated.

Programs

05/22/2023

2023 HPE FPL Income Eligibility Guidelines

The 2023 income eligibility guidelines for the Hospital Presumptive Eligibility program are available.

Programs

05/22/2023

PHE Update for Who May Prescribe Home Health Services, DME and Medical Supplies

With the expiration of the COVID-19 PHE, Medi-Cal policy expands list of allowable medical practitioners who can prescribe home health services, DME and medical supplies beyond physicians.

COVID-19

05/19/2023

Billing Issue: ICD-10-CM Codes B37-1 and B37-2

DHCS is aware of a billing issue with ICD-10-CM codes B37.31 and B37.32.

ICD-10

05/19/2023

Reminder: Postpartum Care Expansion for Medi-Cal and MCAP Beneficiaries

Medi-Cal and Medi-Cal Access Program recipients are eligible for 365 days of postpartum care coverage.

DHCS Notice

05/18/2023

May 2023 Update: Discontinuation of the COVID-19 Uninsured Group Program

On May 31, 2023, California’s COVID-19 Uninsured Group program will end.

COVID-19

05/16/2023

Reminder: Mpox Vaccines and Laboratory Tests are No Longer Family PACT Benefits

Mpox vaccines and laboratory tests are no longer Family PACT benefits effective February 1, 2023.

Family PACT

05/16/2023

Meet and Greet Event-August 2023

Provider Meet and Greet event scheduled for August 9, 2023 in San Diego.

Outreach and Education

05/15/2023

2022-2023 Fiscal Year Two Week Fee-For-Service Checkwrite Hold

Specific checkwrites in June for fiscal year 2022-2023 will be delayed until the start of fiscal year 2023-2024.

Billing

05/15/2023

Virtual Telephonic Communication for FQHC, RHC and Tribal Health Programs Update

Virtual telephonic communications for FQHC, RHC and tribal health programs will expire on May 11, 2023 at the end of the federal Public Health Emergency.

COVID-19

05/10/2023

CCS Service Code Groupings Policy Update

The following codes will be added to the California Children’s Services (CCS) Service Code Groupings (SCGs): 98960, 98961 and 98962.

Billing

05/09/2023

Pasteurized Donor Human Milk Billable with HCPCS codes T2101 and K1005

Effective for dates of service on or after January 1, 2023, HCPCS codes T2101 K1005 are Medi-Cal benefits.

Bulletin Announcements

05/09/2023

Rate Increase for Home and Community-Based Services Waivers and Programs

Effective retroactively for dates of service on or after January 1, 2023, a rate increase in California Medicaid Management Information Systems (CA-MMIS) will be implemented as indicated in the article’s tables.

Claims

05/09/2023

Update to LTC Benefit Standardization and Transition of Members to Managed Care

APL 23-004 and FAQs updated for Long Term Care Benefit Standardization and Transition of Members to Managed Care.

Outreach and Education

05/08/2023

Medi-Cal Learning Portal-New Secured Email Process

Medi-Cal Learning Portal secured email process has been updated.

Outreach and Education

05/02/2023

2022-2023 Distinct Part Pediatric Subacute Rates Update

2022-2023 Distinct Part Pediatric Subacute rates have been updated.

Rates

05/01/2023

Medi-Cal Managed Care Members with Other Health Care Coverage

Medi-Cal Managed Care Members with other health care coverage billing update.

Billing

04/28/2023

Skilled Nursing Facility Wage and Benefits Survey, 2023

Fee for Service Rates Development Division survey of freestanding skilled nursing facilities level-B and freestanding adult subacute facilities.

Programs

04/28/2023

April Bulletin MCSS Emails Incorrectly Referenced Claims Based on Sex

April 2023 General Bulletin MCSS emails erroneously referenced an article titled “Medi-Cal No Longer Processing Claims Based on Sex.”

Bulletin Announcements

04/28/2023

DRG Payment System Update to Hospital Acquired Condition V40-1

Diagnosis Related Group Program payment system update for HAC condition V40.1

Claims

04/25/2023

Medi-Cal Provider Portal Coffee Breaks in May 2023

The Department of Health Care Services (DHCS) will host two additional Medi-Cal Provider Portal coffee break sessions in May.

DHCS Notice

04/25/2023

BCCTP is Resuming Wet Signature Requirement with the End of the COVID-19 PHE

Wet-ink signatures will be required for BCCTP applications following the end of the COVID-19 PHE.

COVID-19

04/21/2023

Select ICD-10-CM Codes End-Dated for CDC Data Collection

Select ICD-10-CM codes are end-dated in support of the CDC effort to collect health-related social needs data.

ICD-10

04/19/2023

June 2023 Medi-Cal Provider Training Webinars

June 2023 Medi-Cal provider training webinars.

Outreach and Education

04/18/2023

Meet and Greet Event-July 2023

Provider Meet & Greet event scheduled for July 12, 2023.

Outreach and Education

04/18/2023

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The Contract Drugs List is managed by Medi-Cal Rx. See the Medi-Cal Rx website for more information

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