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MAPC update for HCPCS code A4245 in List of Medical Supplies Billing Codes, Units and Quantity Limits.

Virtual Claims Assistance Room (CAR) Event is scheduled for March.

UPN in The List of Contracted Incontinence Products will be corrected.

Medi-Cal can now adjudicate the administration of a booster dose to individuals 18 years of age and older who received the second dose of their primary vaccination series at least six months ago.

Major organ transplants will be able to enroll or continue enrollment in Medi-Cal managed care in all counties.

Major organ transplants will be able to enroll or continue enrollment in Medi-Cal managed care in all counties.

Major organ transplants will be able to enroll or continue enrollment in Medi-Cal managed care in all counties.

This article details the administration and reimbursement of COVID-19 vaccines and monoclonal antibodies when administered as Physician Administer Drugs (PADs) by medical providers.

Outreach and Education along with the Department of Health Care Services is offering category specific webinar sessions in February.

CalAIM initiative to standardize enrollment process to help ensure populations moving between counties are subject to the same enrollment requirements.

Updated payer sheet available on the Medi-Cal Rx Web Portal.

Providers can bill for shared nursing services with HCPCS codes S9123 and S9124 with modifier TT.

CalAIM will be implemented with dental initiatives including pay-for-performance payments for preventive services and continuity of care/establishing a dental home, and two new program benefits.

Medi-Cal can now adjudicate the administration of a primary vaccination series in children 5 thru 11 years of age.

The FDA has amended the Pfizer-BioNTech COVID-19 vaccine EUA to allow for the administration of a reduced dose primary vaccination series in children 5 thru 11 years of age. However, Medi-Cal still requires system updates to support adjudication.

Beneficiaries in pregnancy related aid codes continue to remain eligible for non-pregnancy related services during this health crisis, beyond the end of their pregnancy through the duration of the PHE.

Medi-Cal can now accept all claims for a Pfizer-BioNTech COVID-19 booster dose.

While the FDA has amended the Janssen COVID-19 vaccine EUA to allow for the administration of a booster dose, Medi-Cal still requires system updates to support adjudication.

The FDA has amended the Moderna COVID-19 vaccine EUA to allow for the administration of a booster dose. Medi-Cal can accept all claims for a booster dose, although Outpatient claims may suspend until further notice.

Medi-Cal can now accept most Medical, Outpatient, and Pharmacy claims for the administration of a booster Janssen COVID-19 vaccine.

California Kids Care will no longer be a Managed Care provider effective January 2022.

The FDA has amended various COVID-19 vaccine EUAs to allow for the administration of a heterologous (mix and match) booster dose to eligible populations.

Better understand how to electronically replace or void already processed 837 Institutional and Professional claims. A way to fix claim issues without needing paper Claims Inquiry Forms Remittance Advice Details or Appeal Forms.

The Food and Drug Administration amended the Emergency Use Authorization for the Pfizer BioNTech COVID-19 vaccine to allow for use of a single booster dose for certain populations.

DHCS reminds providers of the scope of coverage that individuals in the COVID-19 Uninsured Group are eligible for, including transportation and various COVID-19 related treatment services.

Medi-Cal is now able to properly process and adjudicate Pharmacy electronic batch or hard copy claims for the third dose of either the Pfizer-BioNTech and Moderna COVID-19 vaccines.

Medi-Cal can now accept Medical and Outpatient claims for the administration of a third dose of an applicable COVID-19 vaccine.

Providers are reminded to mail claims to the CAMMIS FI. Claims submitted to the EWC Office will not be processed.

DHCS posted a bulletin informing FQHCs and RHCs of a 1.4 percent rate increase to reflect the current MEI. These rates were erroneously updated at 1.9 percent and being corrected.

PE providers are allowed to complete determinations for COVID-19 PE, off the premises of hospitals and clinics. They may also use third-party vendors to help complete applications.