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Medi-Cal Update

Local Educational Agency | May 2022 | Bulletin 572

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1. Medi-Cal Subscription Service is Coming Back

++An article titled “Medi-Cal Subscription Service (MCSS) is Live” is now posted to the News Flash area of the Part 1 Provider Communications section of the Medi-Cal website. Refer to this article for the most recent status of and instruction regarding MCSS.


The Department of Health Care Services (DHCS) is pleased to announce that the Medi-Cal Subscription Service (MCSS) is returning.

For providers and Medi-Cal stakeholders unfamiliar with the service, MCSS is a free service that sends subscribers subject-specific emails based on the provider communities they have subscribed to. This keeps subscribers up-to-date when urgent announcements and other updates post to the Medi-Cal Providers website.

DHCS took the service down in October 2021 to address some necessary changes. The returning MCSS retains the functionality and look-and-feel of the service subscribers are familiar with. However, DHCS wishes to highlight one change and one action required of subscribers to ensure they receive MCSS emails once the service is turned back on:

  • Sent From Email Changed: Emails received via MCSS will be sent from the following email address:

  • Subscriber Action: The first few messages from MCSS may appear in spam or promotional inboxes. To avoid this, and to ensure they receive the latest messages from Medi-Cal fee-for-service, subscribers are instructed to add to their list of approved senders. Note that the exact instructions on how to add an email to the list of approved senders, will change depending on the email client in use. Medi-Cal has identified some frequently used email domains and resources on how to manage an approved senders list:

  • Subscribers who have alternative email domains not listed above (for example,, should defer to their company’s IT group or the email provider they use for their business, to ensure is listed as an approved sender.

  • Without taking action to add to the list of approved senders, it is possible that MCSS messages will either be blocked from the subscriber’s account or be filtered into Spam/Promotional folders.

Returning MCSS Subscribers

DHCS recommends existing subscribers add to their approved sender list to resume receiving MCSS emails. This is the only action needed. You do not need to re-subscribe for MCSS. Subscribers should keep an eye out for a “Welcome Back” email in the near future to see if they have appropriately added to the approved senders list.

DHCS will not send MCSS emails for publications published between October 2021 and May 2022. Instead, the “Welcome Back” email will highlight major changes and point to additional resources on any missed updates. Medi-Cal apologizes for any inconvenience this may cause.

Existing Subscribers can update their subscription preferences through a link in the footer of MCSS emails they receive. Only the most recent MCSS email will properly update subscription preferences.

New MCSS Subscribers

New subscribers can either sign up now using the current MCSS Subscription Form, or when MCSS returns using the updated online form. New subscribers using the current MCSS Subscription Form will not receive any emails until MCSS returns and the “Welcome Back” email is sent. New subscribers who sign up when MCSS returns will receive a “Welcome to MCSS” email. New subscribers should add to their approved senders list.

What’s Next

A News article will be published on the Medi-Cal Providers website once MCSS and MLP surveys are officially brought back online, and the “Welcome Back” emails begin to be sent out. DHCS is projecting that this will occur in late May or early June 2022.

Additionally, for all MCSS subscribers, refer to the updated Med-Cal Subscription Service (MCSS) Help page to find more information about this service.

2. Modifiers HL and HM Billable with CPT Codes 96156 and 99401 for Select LEA BOP Services

Effective for dates of service on or after July 1, 2021, modifiers HL and HM are billed with CPT® codes 96156 and 99401 when services are rendered by an associate marriage and family therapist or registered associate clinical social worker for the following Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) services:

  • Individual Education Plan (IEP) psychosocial status assessment

  • Individual Family Service Plan (IFSP) psychosocial assessment

  • Non-IEP/IFSP psychosocial status assessment

  • Health education/anticipatory guidance
Note: Modifier HL corresponds with associate marriage and family therapists and modifier HM corresponds with clinical social worker.

An Erroneous Payment Correction (EPC) will be implemented to reprocess denied claims with dates of service on or after the effective date of this billing policy, that were appropriately submitted based on the guidance published in this article, but erroneously denied because Medi-Cal had not yet implemented the system changes to support appropriate adjudication. Providers may also elect to use this updated billing policy to correct and resubmit previously denied claims as described in the CIF Submission and Timeliness Instructions section of the Provider Manual.

Provider Manual(s) Page(s) Updated
Local Educational Agency loc ed bil cd (12, 13, 18, 19, 22); loc ed serv psych (9–11)

3. Billing Multiple NCCI Modifiers Together and Additional NCCI Webpage Resources

As previously announced in the article titled “Multiple NCCI Modifiers Now Billable Together,” multiple National Correct Coding Initiative (NCCI) modifiers may be billed on the same claim line if it is appropriate and medically justified. In particular, claims may have more than one NCCI associated modifier applied to a claim line only when medically necessary, as documented in the medical record, and in accordance with the Medicaid NCCI program and HCPCS and CPT® guidelines for the modifier and procedure code combination. Providers can refer to Correct Coding Initiative: National section in the appropriate Part 2 manual for instructions regarding the appropriate use of NCCI-associated modifiers.

The Correct Coding Initiative: National manual section also includes direction specifically on how providers should complete claims to bypass any potential NCCI edit when they:

  • Perform the same service on the same date for a newborn and the mother or;

  • Perform the same service on the same day for newborns in a multiple birth scenario.

Additionally, the following resource list from the Centers for Medicare & Medicaid Services (CMS) Medicaid NCCI website have been added to the NCCI web page:

  • NCCI Policy Manual for Medicaid Services

  • The Medicare Learning Network (MLN) booklet, “How to Use the Medicaid National Correct Coding Initiative (NCCI) Tools”

  • Complete Medicaid NCCI Edit Files

  • Medicaid Change Reports

  • Proper Use of Modifiers 59 & - X{EPSU}

  • Medicaid NCCI Correspondence Language Manual

  • Medicaid NCCI FAQs
Provider Manual(s) Page(s) Updated
appeal form (7); cif co (3); cms comp (15, 21); remit adv (3); remit pay (3)
AIDS Waiver Program
Home Health Agencies/Home and
Community-Based Services
Vision Care
appeal form (7); cif co (3); correct (1–7); correct cod (1); modif app (1); remit adv (3); remit pay (3)
Audiology and Hearing Aids
appeal form (7); cif co (3); cms comp (15, 21); correct (1–7); correct cod (1); modif app (1); remit adv (3); remit pay (3)
Chronic Dialysis Clinics
Clinics and Hospitals
Rehabilitation Clinics
appeal form (7); cif co (3); correct (1–7); correct cod (1); modif app (1); modif used (2); remit adv (3); remit pay (3)
Community-Based Adult Services
Heroin Detoxification
Multipurpose Senior Services Program
appeal form (7); cif co (3); correct (1–7); correct cod (1); remit adv (3); remit pay (3)
Durable Medical Equipment appeal form (7); cif co (3); cms comp (15, 21); correct (1–7); correct cod (1); modif app (1); remit adv (3); remit pay (3)
General Medicine
appeal form (7); cif co (3); cms comp (15, 21); correct (1–7); correct cod (1); modif app (1); modif used (2); preg ex cms (5, 7); remit adv (3); remit pay (3)
Hospice Care Program
Inpatient Services
Long Term Care
appeal form (7); cif co (3); remit adv (3); remit pay (3)
Home Health Agencies/Home and Community-Based Services
Local Educational Agency
appeal form (7); cif co (3); modif app (1); remit adv (3); remit pay (3)
Medical Transportation appeal form (7); cif co (3); cms comp (15, 21); remit adv (3); remit pay (3)
Orthotics and Prosthetics appeal form (7); cif co (3); cms comp (15, 21); correct (1–7); correct cod (1); modif app (1); ortho ex (5); remit adv (3); remit pay (3)
Pharmacy appeal form (7); cif co (3); cms comp (15, 21); ortho ex (5); remit adv (3); remit pay (3)
Psychological Services appeal form (7); cif co (3); cms comp (15, 21); correct (1–7); correct cod (1); remit adv (3); remit pay (3)

4. Get the Latest Medi-Cal News: Subscribe to MCSS Today

The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails shortly after urgent announcements and other updates post on the Medi-Cal website.

Subscribing is simple and free!

  1. Go to the MCSS Subscriber Form

  2. Enter your email address and ZIP code and select a subscriber type

  3. Customize your subscription by selecting subject areas for NewsFlash announcements, Medi-Cal Update bulletins and/or System Status Alerts

After submitting the form, a welcome email will be sent to the provided email address. If you are unable to locate the welcome email in your inbox, check your junk email folder.

For more information about MCSS, please visit the MCSS Help page.

5. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:

Download PDF (Portable Document Format) reader from the Web Tool Box.