Implementation of updates for tracheostomy supplies has been delayed and providers are instructed to hold resubmission.

The Centers for Medicare & Medicaid Services (CMS) has incorporated the quarterly National Correct Coding Initiative (NCCI) Q4 2021 payment policy update into the Medi-Cal claims processing system.

CMS modifications to ICD-10-CM and ICD-10-PCS long and short descriptions for 2022.

The frequency limit for CPT code 99417 is updated from 10 units to 4 units.

Weekly acute rehabilitation therapy hours reduced for AIIR services.

CCS SCGs and GHPP HICL tables are updated.

Certain CPT codes are reimbursable for services rendered by a podiatrist. An EPC will be initiated.

Reminder that the County Medical Services Program was decommissioned. Providers continuing to submit CMSP claims will be denied.

An issue was found with providers being unable to enroll in PE programs. News Article notifies the providers of a workaround.

Guidance for dispensing medication and medical supplies for those displaced by the state of emergency caused by the Lava and Beckwourth Complex fires

Elemental and Semi-Elemental enteral nutrition products NDC-like billing codes have been updated.

The Food and Drug Administration has amended the Emergency Use Authorizations for the Pfizer-BioNTech and Moderna COVID-19 vaccines to permit the administration of a third dose to certain individuals with compromised immune systems.

Technical issues with Presumptive Eligibility systems cause incorrect “ineligible” status for certain individuals presumptively enrolled from August 26, 2021, through August 31, 2021.

Provider virtual event for one-on-one billing assistance.

Maximum doses of Palivizumab increased for the current RSV season.

Non-emergency medical transportation providers now may be reimbursed for administration of COVID-19 vaccines to Medi-Cal beneficiaries who are unable to physically visit a vaccination site.

Technical issue causes delay of printed RAD and Medi-Cal Financial Summary for August 26, 2021, checkwrite.

The third dose of the Moderna and Pfizer-BioNTech COVID-19 vaccines are coming soon and more information will be forthcoming.

The Medi-Cal Dental Program primary care physician toolkit will aid physicians to coordinate medical services to Medi-Cal members with oral health resources.

The look and feel of several webpages on the Medi-Cal Provider website will be updated to improve user experience. This release includes user interface updates to applications within Transactions Services and webpages outside of Transaction Services.

Announcement for the Virtual Claim Assistance Room (CAR) event occurring for the month of November 2021. Providers may receive free one-on-one billing assistance from a Provider Field Representative.

KP Cal, LLC Managed Care Plans (MCP) in Amador, El Dorado and Placer counties are noncapitated

Providers with access to testing environment must reset PIN monthly.

DHCS accepted a Magellan Conflict Avoidance Plan and announces January 1, 2022 implementation date for Medi-Cal Rx.

Incorrect message displayed in AEVS should be ignored, and services still provided.

Effective July 26, 2021, new threshold languages are added to the HPE, CHDP and PE4PW programs.

Appointments for free one-on-one billing assistance are available during the August Virtual Claims Assistance Room (CAR) Event.