Medi-Cal Update

Long Term Care | April 2019 | Bulletin 506

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1. Hospice Eligibility Billing and Payment Requirements for Board and Care

Hospice providers are reminded that they are required to register the decision of a recipient to elect, revoke election or re-elect participation in the hospice program by sending a certification to the Hospice Unit of the Medi-Cal Eligibility Division in the Department of Health Care Services. This participation will enable the recipient to receive different services and must be signed by a physician as well as the recipient and sent to the attention of the hospice clerk at:

Attn: Hospice Clerk
Department of Health Care Services
Medi-Cal Eligibility Division, MS 4607
1501 Capitol Avenue, Room 4063
P.O. Box 997417-7417
Sacramento, CA¬†  95899-7417

Hospice providers are also reminded of the binding federal regulations and the requirement to accept responsibility for the management, billing and payments associated with hospice services in a long term care (LTC) setting, including the room, board and care for hospice recipients living in LTC facilities. The federal regulations further describe the requirements for a hospice plan of care and criteria for participation in providing hospice services within an LTC setting, and are located in:

This information is reflected in the following provider manual(s):

Provider Manual(s) Page(s) Updated
Clinics and Hospitals
Inpatient Services
General Medicine
hospic (2)
Hospice Care Program hospic (2); hospic bil cd (2)
Long Term Care leave (1–3); rate facil misc (7)
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2. May 2019 Medi-Cal Provider Seminar

The May Medi-Cal Provider Seminar is scheduled for May 15 – 16, 2019, at the California Center for the Arts in Escondido, California. Providers can access a class schedule for the seminar by visiting the Provider Training web page of the Medi-Cal Learning Portal (MLP) and clicking the seminar date(s) they would like to attend. Providers may RSVP by logging in to the MLP.

Throughout the year, the Department of Health Care Services (DHCS) and the California Medicaid Management Information System (MMIS) Fiscal Intermediary (FI) for Medi-Cal, conduct Medi-Cal training seminars. These seminars, which target both novice and experienced providers and billing staff, cover the following topics:

Providers must register by May 1, 2019, to receive a hard copy of the Medi-Cal provider training workbooks on the date(s) of training. After May 1, 2019, the workbooks will be available only by download on the Medi-Cal Provider Training Workbooks web page of the Medi-Cal website.

Note:

Wi-Fi will not be provided at the seminar. Please plan accordingly.

Providers that require more in-depth claim and billing information have the option to receive one-on-one claims assistance, which is available at all seminars, in the Claims Assistance Room.

Providers may also schedule a custom billing workshop. On the Lookup Regional Representative web page, enter the ZIP code for the area you wish to search and click the “Enter ZIP Code” button. The name of the designated field representative for your area will appear on the map. To contact a regional representative, providers must first contact the Telephone Service Center (TSC) at 1-800-541-5555 and request to be contacted by a representative.

Providers are encouraged to bookmark the Provider Training web page and refer to it often for current seminar information.

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3. June 2019 Medi-Cal Provider Training Webinars

From June 4 through June 27, 2019, Medi-Cal providers may participate in provider training webinars that are:

To register and participate in the live webinars, providers must access training through the Medi-Cal Learning Portal (MLP). Providers will be able to print class materials and ask questions during the training sessions. Recorded webinars will be archived and available for on-demand viewing from the MLP. Detailed instructions about the registration progress for the live webinars and access to recorded webinar classes are available on the Outreach & Education page of the Medi-Cal website.

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5. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:

2 toc ltc (ii)
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