Title
Medi-Cal Provider Portal Introduces Electronic 835 Transactions
Providers will soon be able to access and manage 835 transactions within the Medi-Cal Provider Portal.
DHCS Notice
05/26/2023
CHDP Gateway Program 2023 Income Eligibility Guidelines
The CHDP Gateway program 2023 income eligibility guidelines have been updated.
Programs
05/22/2023
Medi-Cal Eligibility Response Messaging is Updated
The County of Responsibility will no longer display on the Medi-Cal eligibility response for recipients enrolled in a Managed Care Plan.
DHCS Notice
05/22/2023
Seats Are Available for the July 2023 Meet and Greet Event
Providers are reminded of the July 2023 Meet & Greet.
Outreach and Education
05/22/2023
LEA BOP Providers Rate Update
Effective for DOS between April 1, 2023 and June 30, 2023, there is a new reimbursement rate for LEA BOP under Provider Type 55.
LEA 
Billing
05/22/2023
Presumptive Eligibility for Pregnant Women Program 2023 Monthly Income Levels
Effective for January 1, 2023, through December 31, 2023, PE4PW 2023 FPL has been updated.
CAH, GM, OB, PH 
Programs
05/22/2023
2023 HPE FPL Income Eligibility Guidelines
The 2023 income eligibility guidelines for the Hospital Presumptive Eligibility program are available.
IPS 
Programs, DHCS Notice
05/22/2023
PHE Update for Who May Prescribe Home Health Services, DME and Medical Supplies
With the expiration of the COVID-19 PHE, Medi-Cal policy expands list of allowable medical practitioners who can prescribe home health services, DME and medical supplies beyond physicians.
COVID-19
05/19/2023
Billing Issue: ICD-10-CM Codes B37-1 and B37-2
DHCS is aware of a billing issue with ICD-10-CM codes B37.31 and B37.32.
ICD-10, Billing
05/19/2023
Reminder: Postpartum Care Expansion for Medi-Cal and MCAP Beneficiaries
Medi-Cal and Medi-Cal Access Program recipients are eligible for 365 days of postpartum care coverage.
CAH, GM, OB 
DHCS Notice
05/18/2023
May 2023 Update: Discontinuation of the COVID-19 Uninsured Group Program
On May 31, 2023, California’s COVID-19 Uninsured Group program will end.
COVID-19
05/16/2023
Reminder: Mpox Vaccines and Laboratory Tests are No Longer Family PACT Benefits
Mpox vaccines and laboratory tests are no longer Family PACT benefits effective February 1, 2023.
Family PACT, Billing
05/16/2023
Meet and Greet Event-August 2023
Provider Meet and Greet event scheduled for August 9, 2023 in San Diego.
Outreach and Education, Programs
05/15/2023
2022-2023 Fiscal Year Two Week Fee-For-Service Checkwrite Hold
Specific checkwrites in June for fiscal year 2022-2023 will be delayed until the start of fiscal year 2023-2024.
Billing, DHCS Notice
05/15/2023
Virtual Telephonic Communication for FQHC, RHC and Tribal Health Programs Update
Virtual telephonic communications for FQHC, RHC and tribal health programs will expire on May 11, 2023 at the end of the federal Public Health Emergency.
CAH, GM 
COVID-19, DHCS Notice
05/10/2023
CCS Service Code Groupings Policy Update
The following codes will be added to the California Children’s Services (CCS) Service Code Groupings (SCGs): 98960, 98961 and 98962.
Billing
05/09/2023
Pasteurized Donor Human Milk Billable with HCPCS codes T2101 and K1005
Effective for dates of service on or after January 1, 2023, HCPCS codes T2101 K1005 are Medi-Cal benefits.
Bulletin Announcements
05/09/2023
Rate Increase for Home and Community-Based Services Waivers and Programs
Effective retroactively for dates of service on or after January 1, 2023, a rate increase in California Medicaid Management Information Systems (CA-MMIS) will be implemented as indicated in the article’s tables.
Claims
05/09/2023
Update to LTC Benefit Standardization and Transition of Members to Managed Care
APL 23-004 and FAQs updated for Long Term Care Benefit Standardization and Transition of Members to Managed Care.
LTC 
Outreach and Education
05/08/2023
Medi-Cal Learning Portal-New Secured Email Process
Medi-Cal Learning Portal secured email process has been updated.
Outreach and Education, Provider Enrollment
05/02/2023
2022-2023 Distinct Part Pediatric Subacute Rates Update
2022-2023 Distinct Part Pediatric Subacute rates have been updated.
LTC 
Rates
05/01/2023
Medi-Cal Managed Care Members with Other Health Care Coverage
Medi-Cal Managed Care Members with other health care coverage billing update.
Billing, DHCS Notice
04/28/2023
Skilled Nursing Facility Wage and Benefits Survey, 2023
Fee for Service Rates Development Division survey of freestanding skilled nursing facilities level-B and freestanding adult subacute facilities.
LTC 
Programs, DHCS Notice
04/28/2023
April Bulletin MCSS Emails Incorrectly Referenced Claims Based on Sex
April 2023 General Bulletin MCSS emails erroneously referenced an article titled “Medi-Cal No Longer Processing Claims Based on Sex.”
Bulletin Announcements, Claims
04/28/2023
DRG Payment System Update to Hospital Acquired Condition V40-1
Diagnosis Related Group Program payment system update for HAC condition V40.1
Claims, ICD-10
04/25/2023
Medi-Cal Provider Portal Coffee Breaks in May 2023
The Department of Health Care Services (DHCS) will host two additional Medi-Cal Provider Portal coffee break sessions in May.
DHCS Notice, Programs
04/25/2023
BCCTP is Resuming Wet Signature Requirement with the End of the COVID-19 PHE
Wet-ink signatures will be required for BCCTP applications following the end of the COVID-19 PHE.
COVID-19, Programs
04/21/2023
Select ICD-10-CM Codes End-Dated for CDC Data Collection
Select ICD-10-CM codes are end-dated in support of the CDC effort to collect health-related social needs data.
ICD-10
04/19/2023
June 2023 Medi-Cal Provider Training Webinars
June 2023 Medi-Cal provider training webinars.
Outreach and Education, Programs
04/18/2023
Meet and Greet Event-July 2023
Provider Meet & Greet event scheduled for July 12, 2023.
Outreach and Education, Programs
04/18/2023