On September 30, DHCS will host a webinar from 2:30 to 4:30 pm to introduce stakeholders of the new FQHC APM.

News article announcing the resolution of a previously noted billing issue with E&M Code 99202 with TD Modifier.

Effective for DOS on or after 8/15/2022, commercial distribution of bebtelovimab began, which DHCS will reimburse when billed with HCPCS code Q0222.

Addition of Novavax COVID-19 vaccine administration for ages 18 years and older and additional administration codes for Moderna vaccine.

Orthopox virus test, CPT® code 87593, is a new Medi-Cal benefit.

The Centers for Medicare & Medicaid Services (CMS) has incorporated the quarterly National Correct Coding Initiative (NCCI) Q3 2022 payment policy update into the Medi-Cal claims processing system.

There is a planned East End outage for September 17, 2022 for HVAC replacement activities.

The U.S. FDA amended the EUA for a Bivalent booster formulation for select COVID-19 vaccines.

LTC providers are transitioning away from the use of LTC service codes and the local Payment Request for Long Term Care 25-1 form.

Medi-Cal will hold a virtual “Coffee Break” event in October for providers to ask questions and learn about various Medi-Cal related topics.

The following codes have been added to SCG 04 and SCG 05: 92650, 92651, 92652, 92653, 92517, 92518, 92519 for the California Children’s Services program.

One ICD-10-CM code related to COVID-19 has been end-dated.

Effective October 1, 2022, DHCS Medi-Cal Program will reimburse FQHC, RHC, IHS-MOA and Tribal FQHC provides at a fee-for-service rate for abortion services.

DHCS has updated the requirements for provider enrollment and responsibilities into the Family PACT program effective August 15, 2022.

Appointments are still available during the month of September for free one-on-one billing assistance at our Virtual Claims Assistance Room (CAR) Event.

Providers are advised to continue to provide beneficiaries in pregnancy related aid codes with any medically necessary service through the duration of the PHE.

DHCS developed eligibility criteria for the Supplemental Payment Program for non-hospital based 340B clinics. Complete and submit the application to participate.

DHCS continues to monitor the Monkeypox situation and will update and inform all Medi-Cal providers on any reimbursement policy for vaccine administration, testing and treatment as guidance becomes available.

Medi-Cal announces new Provider Portal with electronic services made available to fee-for-service billing providers.

DHCS reminds providers the COVID-19 related therapeutics are covered by Medi-Cal for the uninsured.

Correction to NCCI Medically Unlikely Edit value for HCPCS code J7295.

Medi-Cal announces new Provider Portal with electronic services made available to Fee-For-Service billing providers.

New allowable modifiers can be added when billing for Community Health Worker (CHW) services and Asthma Preventative services (APS).

Update to ICD-10-CM and PCS code mapping for COVID-19.

The Department of Health Care Services is aware of the billing issue with Evaluation and Management code 99202 with TD modifier.

Family PACT providers may now use the Provider Application and Validation for Enrollment (PAVE) portal.

Reminder to providers to verify beneficiary eligibility and the Medi-Cal billing policy before providing services.

Two Monkeypox Vaccines will soon be available as Medi-Cal Benefits.

To aid providers with requesting financial data from the Financial Cash Control Unit (FCCU), a specific request form is now available.

The FDA has amended the EUAs for the addition of the Novavax COVID-19 vaccine for individuals 18 years of age and older.