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News Archives
News Archives: 2018
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Pharmacy
Title
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Category
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Publish Date
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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
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