News Archives: 2018

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Title Category Publish Date
Anticipated Adoption of 2019 HCPCS Updates HCPCS 12/28/2018
Pediatric Palliative Care Waiver End Date and Transition Plan DHCS Notice 12/21/2018
February 2019 Medi-Cal Provider Seminar Outreach & Education 12/14/2018
October 2018 HCPCS Quarterly Update: Policy Updates HCPCS 12/14/2018
2019 CPT Annual Update HCPCS 12/14/2018
System Upgrade Scheduled for December 2018 System 12/10/2018
Every Woman Counts Cervical Cancer Screening Update Every Woman Counts 12/7/2018
Every Woman Counts Program Addition of New Data Entry Fields for DETEC Every Woman Counts 12/6/2018
Clarification of EWC DETEC ‘Lost to Follow-up’ and ‘Refused Care’ Statuses Every Woman Counts 12/6/2018
Delayed Reimbursement Rate Increase for Home Health and PDHC Services Rates 12/5/2018
Reimbursements for Hospice Room and Board Services in ICF/DD Facilities Claims 11/28/2018
Deactivation of Non-Participating Family PACT Providers Family PACT 11/26/2018
2019 Medi-Cal Provider Training Schedule Outreach & Education 11/26/2018
Informational Bulletin Regarding Disaster Relief for Providers Provider Enrollment 11/21/2018
Long Term Care Rates Schedule Update Rates 11/16/2018
Information Regarding Disaster Relief Pharmacy 11/14/2018
Medi-Cal Website and AEVS Downtime Scheduled for November 2018 System 11/13/2018
January 2019 Medi-Cal Provider Training Webinars Outreach & Education 11/7/2018
Non-Medical Transportation: Enrollment, Document and Application Fee Updates Claims 11/6/2018
Timeliness Override for Dental MCPs for IHS-MOA Providers Claims 11/6/2018
Clarification on Which Special Programs May Bill EWC Every Woman Counts 11/5/2018
Enteral Nutrition Product-Specific Criteria Modified for Compleat Products Claims 10/29/2018
Diabetes Prevention Program: New Medi-Cal Benefit Coming in 2019 DHCS Notice 10/26/2018
EPSDT Home Health Code Conversion: TAR/eTAR and SAR/eSAR Policy Notice eTAR & TAR 10/25/2018
TARs No Longer Processed by DHCS for HCBA Waiver Providers in Select Areas eTAR & TAR 10/23/2018
Disposable Insulin Delivery System Code Is Now a Medi-Cal DME Code Claims 10/19/2018
Buprenorphine Extended-Release Injection Added as a Pharmacy Benefit Pharmacy 10/17/2018
Online PDF RAD and Medi-Cal Financial Summary Billing 10/15/2018
Long Term Care Rates Schedule Update Rates 10/11/2018
September PDF RADs Outage Resolved Billing 10/11/2018
System Issue Related to RAD Code 0196 Resolved Billing 10/9/2018
Family PACT Client Eligibility Verification Issue Resolved Family PACT 10/1/2018
Correction: Upcoming Pharmacy Fee-For-Service Reimbursement Changes Pharmacy 9/28/2018
Grace Period for Accepting VeriFone VX 520 POS Transactions Has Ended POS Device/Network 9/27/2018
Notice to Providers about Discharge Status Code 21 Implementation Billing 9/25/2018
Dental Managed Care Differential Payment for IHS-MOA Facilities Claims 9/24/2018
VeriFone VX 520 POS Device Decommissioned in July 2018 POS Device/Network 9/24/2018
Issue Regarding RAD and Check Warrant Production Billing 9/19/2018
April 2018 HCPCS Quarterly Update: Policy Updates HCPCS 9/14/2018
July 2018 HCPCS Quarterly Update: Policy Updates HCPCS 9/14/2018
Long Term Care Rates Schedule Update Rates 9/13/2018
PAVE Release 3.0 Accepts Enrollment Through PED of All Provider Types Provider Enrollment 9/11/2018
Correction: Radiology Claims Erroneously Denied with RAD Code 0090 Claims 9/11/2018
Radiology Claims Erroneously Denied with RAD Code 0090 Claims 9/7/2018
VeriFone VX 520 POS Device Decommissioned in July 2018 POS Device/Network 9/5/2018
Whole-Child Model Program Implementing in Select Counties Programs 8/29/2018
Ventilator and Non-Ventilator Residential Care Rates Updated Rates 8/29/2018
Fill Number Now Required On RTIP and NCPDP Pharmacy Transactions Pharmacy 8/28/2018
Grievance Procedure for Recipient Claims of Discrimination Claims 8/23/2018
Fill Number Now Required On RTIP and NCPDP Pharmacy Transactions Pharmacy 8/22/2018
October 2018 Medi-Cal Provider Seminar Outreach & Education 8/16/2018
New Bioverativ Blood Factor NDC Medi-Cal Benefits Pharmacy 8/14/2018
August Medi-Cal Update Bulletins: Posting Date Delayed DHCS Notice 8/13/2018
Long Term Care Rates Schedule Update Rates 8/10/2018
Changes to Pharmacy and Compound Drug Pharmacy Claim Forms Pharmacy 8/9/2018
Implementation Delay: Automated Hemogram and RSV Laboratory Tests Claims 8/7/2018
CPT-4 Code 87255 Erroneously Denied for Family PACT Program Family PACT 8/6/2018
Family PACT Claims for CPT-4 Code 87624 Erroneously Denied Family PACT 8/3/2018
MLP Outage – Register for September 2018 Long Beach Seminar by Email Outreach & Education 7/30/2018
It's Live: Online PDF RAD and Medi-Cal Financial Summary Claims 7/23/2018
September 2018 Medi-Cal Provider Seminar Outreach & Education 7/20/2018
Update to Clinic Dispensing Limits for Self-Administered Hormonal Contraceptives Family PACT 7/17/2018
Correction: Amended Billing Structure for CCT Code Billing 7/17/2018
Long Term Care Rates Schedule Update Rates 7/12/2018
Coming Soon: TAR Submission Change for Non-Emergency Medical Transportation eTAR & TAR 7/11/2018
Postponement of AIDS MCP Antiviral Capitation/Inpatient Admissions Changes DHCS Notice 7/11/2018
Electronic SAR Now Supports Attachments Claims 7/2/2018
Enteral Nutrition Product-Specific Criteria Removed for Kate Farms, Inc. Pharmacy 6/29/2018
Medi-Cal Website and AEVS Downtime Scheduled for July 2018 System 6/29/2018
Final Rate Update for AIDS Medi-Cal Waiver Program Rates 6/28/2018
Ground Emergency Medical Transport Quality Assurance Fee Rates 6/28/2018
Fiscal Year 2018 – 2019 State Budget Reimbursement Contingency Claims 6/26/2018
Medi-Cal Web Transaction Services Downtime Scheduled for June 24, 2018 System 6/20/2018
Reinstatement of End of Life Option Act Services in Medi-Cal Pharmacy 6/19/2018
Correction: No TAR Required for Copper IUDs eTAR & TAR 6/15/2018
Suspension of End of Life Option Act Services in Medi-Cal DHCS Notice 6/14/2018
August 2018 Medi-Cal Provider Seminar Outreach & Education 6/11/2018
Point of Service Transactions Downtime Scheduled for June 2018 POS Device/Network 6/8/2018
Every Woman Counts Payment Delay Every Woman Counts 6/5/2018
Fiscal Year Two-Week Checkwrite Hold for Specific Provider Payments Budget/Payment Reduction 6/5/2018
Reminder: Instructions when Completing an MC 604 MDV Form Claims 6/5/2018
Correction to 2018 CPT-4 Annual Update Billing 6/5/2018
Billing Reminder: Pharmacy 340B Claim Submissions and Dispensing Fees Pharmacy 6/4/2018
Medi-Cal Benefit Added: Nonmedical Transportation Billing 6/4/2018
Every Woman Counts Provider Covered Procedures Forms Updated Every Woman Counts 6/1/2018
Long Term Care Rates Schedule Update Rates 6/1/2018
Frequency Limitation Removed for Infant Preventive Medicine Code Claims 5/30/2018
RAIS/Drug Rebate System Downtime Scheduled for June 2018 System 5/25/2018
Amended Billing Structure for California Community Transitions Code Claims 5/23/2018
Capitation of Antivirals/Inpatient Admissions Process Change for AIDS MCP Claims 5/23/2018
VeriFone VX 520 POS Device to Decommission in July 2018 POS Device/Network 5/18/2018
Claims Processing Issue Affecting AIDS Medi-Cal Waiver Program Providers Claims 5/17/2018
Modifiers Added or Revised for Select Oxygen System Codes HCPCS 5/16/2018
Medi-Cal Transactions Services and SURGE/TAR Downtime Scheduled for May 2018 System 5/14/2018
A New Way to Subscribe – Contact Medi-Cal Subscription Service Representatives DHCS Notice 5/8/2018
July 2018 Medi-Cal Provider Seminar Outreach & Education 5/4/2018
Family PACT Claims Issue Resolved for RAD Codes 0169, 9515 and 9516 Claims 5/3/2018
Valid Revenue Codes for Outpatient Services Claims 5/2/2018
Issue Resolved for ICD-10-CM Diagnosis Codes for Cervical Abnormalities Claims 5/1/2018
Corrected Rate Update for AIDS Waiver Program Rates 4/30/2018
Long Term Care Rates Schedule Update Rates 4/26/2018
Claims Processing Issue for Screening and Diagnostic Mammography Codes Claims 4/24/2018
Cardiac Rehabilitation is a New Medi-Cal Benefit Billing 4/20/2018
Reimbursement Rate Update for Intrauterine Contraceptive System (Kyleena) Rates 4/18/2018
Updated Directory for San Francisco County Mental Health Services DHCS Notice 4/16/2018
Correction to Laboratory Services EPC Letter (Reference Number P33416A) Rates 4/12/2018
Affordable Care Act Federal Upper Limit Effective Dates Pharmacy 4/11/2018
Correction to Reimbursement Rate for Hydroxyprogesterone Caproate Billing 4/10/2018
Supplemental Payment Program Implemented for ICF-DD Services Budget/Payment Reduction 4/10/2018
Expansion of Providers that can Authorize NEMT Services Claims 4/9/2018
Hospice Routine Home Care Updates Billing 4/9/2018
New Medi-Cal Benefits for Services Related to Alcohol Misuse Billing 4/6/2018
Minimum Wage Senate Bill 3 Impact Survey: Due Date Extension DHCS Notice 4/5/2018
Modifications to the HPE Computer Based Training and HPE Application Portal Outreach & Education 4/2/2018
June 2018 Medi-Cal Provider Training Webinars Outreach & Education 3/30/2018
TAR Requirements for Diclofenac Sodium Injection eTAR & TAR 3/27/2018
Long Term Care Rates Schedule Update Rates 3/22/2018
Reminder: Do Not Staple Paper Claim Forms Claims 3/20/2018
Special Open Door Forum for New Medicare Card Project Hosted by CMS Outreach & Education 3/16/2018
Medi-Cal Website and AEVS Downtime Scheduled for March 2018 System 3/16/2018
March Medi-Cal Update Bulletins: Posting Date Delayed DHCS Notice 3/15/2018
Outpatient Acupuncture Services Restored for FQHC/RHC Providers Billing 3/15/2018
PAVE 3.0 Upcoming Events Outreach & Education 3/13/2018
May 2018 Medi-Cal Provider Seminar Outreach & Education 3/9/2018
IMD Reimbursement Rates Freeze Rates 3/8/2018
Face-to-Face Encounter Required for Services by a Home Health Agency Programs 3/6/2018
Correction: Hospital Name/Accepting Physician Not Needed for Medical Transportation Dry Runs Claims 2/27/2018
Anticipated Delay for Printed Remittance Advice Details Enhancements & Operations 2/23/2018
Family PACT Claims Erroneously Denied with RAD Codes 0169, 9515 and 9516 Family PACT 2/23/2018
ICD-10-CM Diagnosis Codes for Cervical Abnormalities Erroneously Denied Claims 2/22/2018
Long Term Care Rates Schedule Update Rates 2/21/2018
One Week Left to Complete the Medi-Cal Pharmacy Provider Self-Attestation Claims 2/21/2018
Update to EWC Diagnostic and Screening Mammography Benefits HCPCS 2/20/2018
Corrections to 2018 CPT-4/HCPCS Annual Update HCPCS 2/16/2018
New PDF RAD Web Portal User Guide Available on Medi-Cal Website Enhancements & Operations 2/16/2018
Every Woman Counts Income Eligibility Guidelines Update Every Woman Counts 2/14/2018
April 2018 Medi-Cal Provider Seminar Outreach & Education 2/9/2018
New Managed Care Payment Process for IHS-MOA Claims 2/2/2018
Minimum Wage Senate Bill 3 Impact Survey DHCS Notice 2/1/2018
Correction to 2017 – 2018 Freestanding Nursing Facilities – Level A Rates Rates 1/29/2018
Aptiom Added as New Medi-Cal Benefit Pharmacy 1/29/2018
CA-MMIS Mainframe Upgrade Scheduled for January 2018 System 1/25/2018
Restored Outpatient Acupuncture Services for FQHC/RHC Providers Claims 1/24/2018
Proposition 56 One-Year Supplemental Payment for ICF-DDs DHCS Notice 1/23/2018
Correction to Frequency Limitation for HCPCS Code J7296 HCPCS 1/22/2018
Correction to Presumptive Eligibility Benefits HCPCS 1/22/2018
The Affordable Care Act Payment Adjustments and Forthcoming EPC Claims 1/22/2018
Long Term Care Rates Schedule Update Rates 1/19/2018
Benefit Update for Intrauterine Contraceptive System (Kyleena) Claims 1/17/2018
Medications to Treat Influenza Pharmacy 1/16/2018
ICD-10-CM Diagnosis Codes for Postprocedural Hematoma Erroneously Denied Claims 1/8/2018
2018 ALW Program Reimbursement Rates Rates 1/8/2018
March 2018 Medi-Cal Provider Seminar Outreach & Education 1/5/2018
Claims Processing Issue for FQHC/RHC/IHS-MOA Providers Claims 1/3/2018
Safe Arms for Newborns Baby Naming Conventions Claims 1/2/2018
Diabetes Prevention Program Established for Medi-Cal Programs 1/2/2018